Skip to main content

Advertisement

SpringerLink
Log in

Patients’ Perceptions of Colorectal Cancer Screening Tests and Preparatory Education in Federally Qualified Health Centers

  • Published:
Journal of Cancer Education Aims and scope Submit manuscript

Abstract

This study explored federally qualified health center (FQHC) patients’ perceptions about colorectal cancer screening (CRCS) tests, including immunochemical fecal occult blood tests (iFOBT), as well as preferences for receiving in-clinic education about CRCS. Eight mixed gender focus groups were conducted with 53 patients. Findings centered on three thematic factors: (1) motivators and impediments to CRCS, (2) test-specific preferences and receptivity to iFOBTs, and (3) preferences for entertaining and engaging plain language materials. Results informed the development of educational priming materials to increase CRCS using iFOBT in FQHCs.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Siegel R, Naishadham D, Jemal A (2012) Cancer statistics, 2012. CA Cancer J Clin 62(1):10–29

    Article  PubMed  Google Scholar 

  2. Centers for Disease Control & Prevention (2012) Behavioral risk factor surveillance system. Available at: http://www.cdc.gov/brfss/annual_data/annual_2012.html. Accessed 28 Aug 2013

  3. James AS, Campbell MK, DeVellis B, Reedy J et al (2006) Health behavior correlates among colon cancer survivors: NC STRIDES baseline results. Am J Health Behav 30(6):720–730

    Article  PubMed  Google Scholar 

  4. Khankari K, Clayman M, Skripkauskas S, Diamond-Shapiro L et al (2007) Improving colorectal cancer screening among the medically underserved: a pilot study within a federally qualified health center. J Gen Intern Med 22(10):1410–1414

    Article  PubMed Central  PubMed  Google Scholar 

  5. American Cancer Society. Cancer Facts & Figures for 2011–2013. http://www.cancer.org/research/cancerfactsfigures/colorectalcancerfactsfigures/colorectal-cancer-facts-figures-2011-2013-page. Accessed 28 Aug 2013

  6. Pignone M, Sox HC (2008) Screening for colorectal cancer: US Preventive Services Task Force recommendation statement. Ann Intern Med 149(9):627–637

    Article  Google Scholar 

  7. Ransohoff DF (2007) What is the role of iFOBT in screening for colorectal cancer? Gut 56(10):1343–1344

    Article  PubMed Central  PubMed  Google Scholar 

  8. Greenwald B (2005) From guaiac to immune fecal occult blood tests: the emergence of technology in colorectal cancer screening. Gastroenterol Nurs 28(2):90–96

    Article  PubMed  Google Scholar 

  9. Van Rossum L, Van Rijn A, Laheij R, van Oijen M et al (2009) Cutoff value determines the performance of a semi-quantitative immunochemical faecal occult blood test in a colorectal cancer screening programme. Br J Cancer 101(8):1274–1281

    Article  PubMed Central  PubMed  Google Scholar 

  10. Quintero E (2009) Chemical or immunological tests for the detection of fecal occult blood in colorectal cancer screening? Gastroenterol Hepatol 32(8):565–576

    Article  PubMed  Google Scholar 

  11. Sanford KW, McPherson RA (2009) Fecal occult blood testing. Clin Lab Med 29(3):523–541

    Article  PubMed  Google Scholar 

  12. Allison JE (2005) Colon cancer screening guidelines 2005: the fecal occult blood test option has become a better FIT. Gastroenterology 129(2):745–748

    Article  PubMed  Google Scholar 

  13. Levin TR, Jamieson L, Burley DA, Reyes J et al (2011) Organized colorectal cancer screening in integrated health care systems. Epidemiol Rev 33(1):101–110

    Article  PubMed  Google Scholar 

  14. Mandel JS (2008) Screening for colorectal cancer. Gastrointest Clin N Am 37(1):97–115

    Article  Google Scholar 

  15. Quintero E, Castells A, Bujanda L, Cubiella J et al (2012) Colonoscopy versus fecal immunochemical testing in colorectal-cancer screening. N Engl J Med 366(8):697–706

    Article  CAS  PubMed  Google Scholar 

  16. Berkowitz Z, Hawkins NA, Peipins LA, White MC et al (2008) Beliefs, risk perceptions, and gaps in knowledge as barriers to colorectal cancer screening in older adults. J Am Geriatr Soc 56(2):307–314

    Article  PubMed  Google Scholar 

  17. Lasser KE, Ayanian JZ, Fletcher RH, Good M-JD (2008) Barriers to colorectal cancer screening in community health centers: a qualitative study. BMC Fam Pract 9:15. doi:10.1186/1471-2296-9-15

    Article  PubMed Central  PubMed  Google Scholar 

  18. Ling BS, Klein WM, Dang Q (2006) Relationship of communication and information measures to colorectal cancer screening utilization: results from HINTS. J Health Commun 11(S1):181–190

    Article  PubMed  Google Scholar 

  19. Seeff LC, Rohan EA (2013) Lessons learned from the CDC’s colorectal cancer screening demonstration program. Cancer 119(S15):2817–2819

    Article  PubMed  Google Scholar 

  20. Seeff LC, Royalty J, Helsel WE, Kammerer WG et al (2013) Clinical outcomes from the CDC’s colorectal cancer screening demonstration program. Cancer 119(S15):2820–2833

    Article  PubMed  Google Scholar 

  21. Davis T, Arnold C, Rademaker A, Bennett C et al (2013) Improving colon cancer screening in community clinics. Cancer 119(21):3879–3886

    Article  PubMed Central  PubMed  Google Scholar 

  22. Gwede CK, Davis SN, Quinn GP, Koskan AM et al (2013) Making it work: health care provider perspectives on strategies to increase colorectal cancer screening in federally qualified health centers. J Cancer Educ 28(4):777–783

    Article  PubMed  Google Scholar 

  23. Gwede CK, Jean-Francois E, Quinn GP, Wilson S et al (2011) Perceptions of colorectal cancer among three ethnic subgroups of US blacks: a qualitative study. J Natl Med Assoc 103(8):669–680

    PubMed Central  PubMed  Google Scholar 

  24. Kelly KM, Phillips CM, Jenkins C, Norling G et al (2007) Physician and staff perceptions of barriers to colorectal cancer screening in Appalachian Kentucky. Cancer Control 14(2):167–175

    PubMed  Google Scholar 

  25. Corbin J, Strauss A (2007) Basics of qualitative research: techniques and procedures for developing grounded theory. Sage, Thousand Oaks

    Google Scholar 

  26. Patton MQ (2005) Qualitative research. Sage, Thousand Oaks

    Book  Google Scholar 

  27. Berlin Scientific Software Development. ATLAS.t. (2010) [software]. Hapberg, Germany

  28. SPSS V 19. [software]. Armonk, NY

  29. Condon A, Graff L, Elliot L, Ilnyckyj A (2008) Acceptance of colonoscopy requires more than test tolerance. Can J Gastroenterol Hepatol 22(1):41–47

    Google Scholar 

  30. Meissner HI, Breen N, Klabunde CN, Vernon SW (2006) Patterns of colorectal cancer screening uptake among men and women in the United States. Cancer Epidemiol Biomarkers Prev 15(2):389–394

    Article  PubMed  Google Scholar 

  31. Greiner KA, James AS, Born W, Hall S, Engelman KK et al (2005) Predictors of fecal occult blood test (FOBT) completion among low-income adults. Prev Med 41(2):676–684

    Article  PubMed  Google Scholar 

  32. Farraye FA, Wong M, Hurwitz S, Puleo E et al (2004) Barriers to endoscopic colorectal cancer screening: are women different from men. Cancer Epidemiol Biomarkers Prev 99(2):341–349

    Google Scholar 

  33. Klabunde CN, Vernon SW, Nadel MR, Breen N et al (2005) Barriers to colorectal cancer screening: a comparison of reports from primary care physicians and average-risk adults. Med Care 43(9):939–944

    Article  PubMed  Google Scholar 

  34. Gupta S, Tong L, Anderson P, Rose B et al (2013) Measurement of colorectal cancer test use using medical claims data in a safety-net health system. Am J Med Sci 345(2):99–103

    Article  PubMed Central  PubMed  Google Scholar 

  35. Gonzalez SA, Ziebarth TH, Wang J, Noor AB et al (2012) Interventions promoting colorectal cancer screening in the Hispanic population: a review of the literature. J Nurs Scholarsh 44(4):332–340

    Article  PubMed  Google Scholar 

  36. Arnold CL, Rademaker A, Bailey SC, Esparza JM et al (2012) Literacy barriers to colorectal cancer screening in community clinics. J Health Commun 17(sup3):252–264

    Article  PubMed Central  PubMed  Google Scholar 

  37. US Department of Health and Human Service (2014) Healthy people 2020 topics and objectives: Health Communications and Health Information Technology. http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=18. Accessed 28 Aug 2013

  38. Diaz J, Roberts M, Clarke J, Simmons E et al (2013) Colorectal cancer screening: language is a greater barrier for Latino men than Latino women. J Immigr Minor Health 15(3):472–475

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  39. American Cancer Society (2013) Colorectal cancer screening—state and federal coverage laws. http://www.cancer.org/cancer/colonandrectumcancer/moreinformation/colonandrectumcancerearlydetection/colorectal-cancer-early-detection-screening-coverage-laws. Accessed 5 Sept 2013

  40. Fight Colorectal Cancer (2012) Detailing inconsistencies on who has to pay for their polyps. http://fightcolorectalcancer.org/detailing_inconsistencies_on_who_has_to_pay_for_their_polyps/. Accessed 5 Sept 2013

Download references

Acknowledgments

This manuscript was supported by a grant, U54 CA153509, from the National Cancer Institute. Its content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute.

Conflict of Interest

The authors have no conflicts of interest to disclose.

Author information

Authors and Affiliations

  1. Division of Cancer Prevention and Control, Moffitt Cancer Center, 12902 Magnolia Drive, MRC-CANCONT, Tampa, FL, 33612, USA

    Clement K. Gwede, Gwendolyn P. Quinn, Stacy N. Davis, Jamila Ealey, Rania Abdulla, Susan T. Vadaparampil, David Shibata, Richard G. Roetzheim & Cathy D. Meade

  2. School of Nursing and Health Studies, University of Miami, Coral Gables, FL, USA

    Alexis M. Koskan

  3. College of Medicine, University of South Florida, Tampa, FL, USA

    Clement K. Gwede, Gwendolyn P. Quinn, Susan T. Vadaparampil, David Shibata, Richard G. Roetzheim & Cathy D. Meade

  4. Tampa Family Health Centers, Tampa, FL, USA

    Gloria Elliott

  5. Suncoast Community Health Centers, Inc., Ruskin, FL, USA

    Diana Lopez

Authors
  1. Clement K. Gwede
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Alexis M. Koskan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Gwendolyn P. Quinn
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Stacy N. Davis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jamila Ealey
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Rania Abdulla
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Susan T. Vadaparampil
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Gloria Elliott
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Diana Lopez
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. David Shibata
    View author publications

    You can also search for this author in PubMed Google Scholar

  11. Richard G. Roetzheim
    View author publications

    You can also search for this author in PubMed Google Scholar

  12. Cathy D. Meade
    View author publications

    You can also search for this author in PubMed Google Scholar

Consortia

and the Tampa Bay Community Cancer Network (TBCCN)

Corresponding author

Correspondence to Clement K. Gwede.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Gwede, C.K., Koskan, A.M., Quinn, G.P. et al. Patients’ Perceptions of Colorectal Cancer Screening Tests and Preparatory Education in Federally Qualified Health Centers. J Canc Educ 30, 294–300 (2015). https://doi.org/10.1007/s13187-014-0733-8

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13187-014-0733-8

Keywords

Search

Navigation