a Department of Communication , College of Communication & Information, University of Kentucky.
b Hubbard School of Journalism and Mass Communication, College of Liberal Arts , University of Minnesota.
Health Commun. 2018 Oct;33(10):1284-1292. doi: 10.1080/10410236.2017.1351274. Epub 2017 Aug 18.
Utilizing data from 40 in-depth interviews, this article identifies both barriers and facilitators to colorectal screening guideline adherence among Appalachian Kentucky adults recruited through a community-based research network. Key findings identify (a) varying levels of knowledge about screening guidelines, (b) reticence to engage in screening processes, and (c) nuanced communication with healthcare providers and family members regarding screening adherence. What participants knew about the screening process was often derived from personal stories or recalled stories from family members about their screening experiences. Reticence to engage in screening processes reflected reports of cumbersome preparation, privacy issues, embarrassment, medical mistrust, fear of receiving a cancer diagnosis, and lack of symptoms. Participants cited many ways to enhance patient-centered communication, and the findings from this study have implications for health communication message design and communication strategies for healthcare practices in Appalachian Kentucky clinics.
本文利用 40 次深度访谈的数据，确定了阿巴拉契亚肯塔基州成年人在社区为基础的研究网络中招募后，对遵守结直肠癌筛查指南的障碍和促进因素。主要发现包括：(a)对筛查指南的了解程度不同，(b)对参与筛查过程的犹豫，以及(c)与医疗保健提供者和家庭成员在筛查遵守方面的细致沟通。参与者对筛查过程的了解往往来自个人故事或从家庭成员那里回忆起的关于他们的筛查经历的故事。对参与筛查过程的犹豫反映了对繁琐的准备、隐私问题、尴尬、对医疗的不信任、害怕得到癌症诊断以及没有症状的担忧的报告。参与者列举了许多增强以患者为中心的沟通的方法，本研究的结果对阿巴拉契亚肯塔基州诊所的健康沟通信息设计和沟通策略具有重要意义。
