Homan Sherri G, Yun Shumei, Stewart Bob R, Armer Jane M
Public Health Epidemiologist, Missouri Department of Health and Senior Services, Division of Community and Public Health, Office of Epidemiology, 920 Wildwood Drive, Jefferson City, MO 65109, USA.
Sinclair School of Nursing, University of Missouri, Columbia, MO 65211, USA.
J Pers Med. 2015 Aug 6;5(3):296-310. doi: 10.3390/jpm5030296.
Breast cancer survivors are at risk of developing a second primary cancer. Colorectal cancer (CRC) is one of the leading second primary cancers, and it is often preventable. We developed a multi-component educational tool to inform and encourage women breast cancer survivors to engage in CRC screening. To assess the strengths and weakness of the tool and to improve the relevancy to the target audience, we convened four focus groups of women breast cancer survivors in Missouri. We also assessed the potential impact of the tool on the knowledge, attitudes, and beliefs regarding CRC and collected information on the barriers to CRC screening through pre- and post-focus groups' questionnaires. A total of 43 women breast cancer survivors participated and provided very valuable suggestions on design and content to update the tool. Through the process and comparing pre- and post-focus group assessments, a significantly higher proportion of breast cancer survivors strongly agreed or agreed that CRC is preventable (78.6% vs. 96.9%, p = 0.02) and became aware that they were at a slightly increased risk for CRC (18.6% vs. 51.7%, p = 0.003). The most cited barrier was the complexity of preparation for colonoscopy.
乳腺癌幸存者有患第二种原发性癌症的风险。结直肠癌（CRC）是主要的第二种原发性癌症之一，且通常是可预防的。我们开发了一种多组件教育工具，以告知并鼓励女性乳腺癌幸存者参与结直肠癌筛查。为了评估该工具的优缺点并提高其与目标受众的相关性，我们在密苏里州召集了四个女性乳腺癌幸存者焦点小组。我们还评估了该工具对有关结直肠癌的知识、态度和信念的潜在影响，并通过焦点小组前后的问卷收集了有关结直肠癌筛查障碍的信息。共有43名女性乳腺癌幸存者参与，并就工具的设计和内容提供了非常有价值的建议以进行更新。通过该过程并比较焦点小组前后的评估结果，明显更高比例的乳腺癌幸存者强烈同意或同意结直肠癌是可预防的（78.6%对96.9%，p = 0.02），并意识到她们患结直肠癌的风险略有增加（18.6%对51.7%，p = 0.003）。最常被提及的障碍是结肠镜检查准备工作的复杂性。
