结直肠癌病例亲属接受结肠镜检查筛查的意向：基于理论的模型
Intention to undergo colonoscopy screening among relatives of colorectal cancer cases: a theory-based model.
作者信息
Boonyasiriwat Watcharaporn, Hung Man, Hon Shirley D, Tang Philip, Pappas Lisa M, Burt Randall W, Schwartz Marc D, Stroup Antoinette M, Kinney Anita Y
机构信息
Huntsman Cancer Institute, University of Utah, Salt Lake City, USA,
出版信息
Ann Behav Med. 2014 Jun;47(3):280-91. doi: 10.1007/s12160-013-9562-y.
Abstract
BACKGROUND
It is recommended that persons having familial risk of colorectal cancer begin regular colonoscopy screening at an earlier age than those in the general population. However, many individuals at increased risk do not adhere to these screening recommendations.
PURPOSE
The goal of this study was to examine cognitive, affective, social, and behavioral motivators of colonoscopy intention among individuals at increased risk of familial colorectal cancer.
METHODS
Relatives of colorectal cancer cases (N = 481) eligible for colonoscopy screening completed a survey assessing constructs from several theoretical frameworks including fear appeal theories.
RESULTS
Structural equation modeling indicated that perceived colorectal cancer risk, past colonoscopy, fear of colorectal cancer, support from family and friends, and health-care provider recommendation were determinants of colonoscopy intention.
CONCLUSIONS
Future interventions to promote colonoscopy in this increased risk population should target the factors we identified as motivators. (ClinicalTrials.gov number NCT01274143).
摘要
背景
建议有结直肠癌家族风险的人比普通人群更早开始定期结肠镜检查筛查。然而，许多风险增加的个体并未遵循这些筛查建议。
目的
本研究的目的是检查家族性结直肠癌风险增加个体中结肠镜检查意愿的认知、情感、社会和行为动机。
方法
符合结肠镜检查筛查条件的结直肠癌病例亲属（N = 481）完成了一项调查，评估来自包括恐惧诉求理论在内的几个理论框架的构念。
结果
结构方程模型表明，感知到的结直肠癌风险、过去的结肠镜检查、对结直肠癌的恐惧、家人和朋友的支持以及医疗保健提供者的建议是结肠镜检查意愿的决定因素。
结论
未来在这个风险增加的人群中促进结肠镜检查的干预措施应针对我们确定为动机的因素。（ClinicalTrials.gov编号NCT01274143）
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