Fox Chase Cancer Center, USA.
Patient Educ Couns. 2012 Apr;87(1):18-22. doi: 10.1016/j.pec.2011.07.012. Epub 2011 Aug 10.
Colorectal cancer screening (CRCS) uptake in the US remains low. The purpose of this study was to use qualitative methods to characterize partner support and influence regarding CRCS decisions among couples who were both either adherent or non-adherent with CRCS.
Eighteen couples were interviewed regarding their discussions about CRCS and support and influence strategies used. Analyses were guided by the Interdependence Model.
Direct and indirect partner effects were found. Direct partner effects were evidenced when the impact of one spouse on the CRCS decision of the other was clearly defined and intended. Three direct partner effect themes were leadership, persuasion, and partnership. Indirect partner effects were evidenced by one spouse considering the information, experience, or actions of the other in ways that informed CRCS decision-making, even if that influence was not intentional or specifically directed at CRCS. Three indirect partner effect themes were companionship, support, and peer socialization.
Spouse influence plays a role in CRCS decisions. Individuals view CRCS as being important to the health and quality of their relationship.
With this increased understanding of the interpersonal context of CRCS, it may be possible to include close others in interventions to improve CRCS.
美国结直肠癌筛查（CRCS）的参与率仍然很低。本研究旨在采用定性方法，描述在结直肠癌筛查中，伴侣支持和影响在那些同时符合或不符合筛查标准的夫妇决策中的作用。
对 18 对夫妇进行了关于他们对 CRCS 的讨论以及支持和影响策略的访谈。分析以相互依存模型为指导。
发现了直接和间接的伴侣效应。当一方配偶对另一方 CRCS 决策的影响明确且有意时，就会出现直接的伴侣效应。三个直接伴侣效应主题是领导、说服和合作。间接伴侣效应是指一方配偶以影响 CRCS 决策的方式考虑另一方的信息、经验或行为，即使这种影响不是有意的或专门针对 CRCS 的。三个间接伴侣效应主题是陪伴、支持和同伴社会化。
配偶的影响在 CRCS 决策中起作用。个人认为 CRCS 对他们的健康和关系质量很重要。
随着对 CRCS 人际背景的进一步了解，可能将亲密的人纳入到提高 CRCS 的干预措施中。
