Division of Population Health & Genomics, Centre for Research into Cancer Prevention and Screening, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.
Eur J Cancer Care (Engl). 2021 Jan;30(1):e13350. doi: 10.1111/ecc.13350. Epub 2020 Oct 29.
Colorectal cancer (CRC) is the fourth most common cancer in the UK. It is estimated that around 50% of the disease burden is caused by lifestyle factors. This paper evaluates the impact of a training programme for Specialist Screening Practitioners (SSPs) on knowledge of CRC risk reduction and subsequent health promotion activities.
Attendees (n = 21) were invited to participate in semi-structured qualitative telephone interviews developed in conjunction with programme organisers. An independent researcher undertook the interviews on the perceived impact of the training on knowledge about risk reduction, communicating health promotion messages and working practices.
Ten interviews were conducted. The programme was perceived to be successful in increasing knowledge about CRC risk and methods to promote behavioural change. Participants questioned the suitability of the endoscopy setting to communicate health promotion messages given patient anxiety pre-investigation and post-investigation elation after negative results. Key barriers to health promotion activities were time, hesitancy over raising issues that could not be easily discussed and scepticism about the ability of older adults to change their lifestyle.
Training on CRC risk reduction increased knowledge and behaviour change skills among SSPs. Further work is needed to explore opportunities to optimise the screening environment for health promotion activities.
结直肠癌（CRC）是英国第四大常见癌症。据估计，约有 50%的疾病负担是由生活方式因素引起的。本文评估了为专科筛查从业者（SSP）提供培训计划对结直肠癌风险降低和随后的健康促进活动的影响。
邀请参与者（n=21）参加半结构化定性电话访谈，该访谈是与项目组织者共同制定的。一名独立研究人员根据培训对降低风险相关知识、传播健康促进信息和工作实践的感知影响进行了访谈。
进行了 10 次访谈。该计划被认为在提高对 CRC 风险和促进行为改变方法的认识方面取得了成功。参与者对在检查前患者焦虑和检查后阴性结果后患者兴奋的内镜环境下传播健康促进信息的适宜性提出了质疑。健康促进活动的主要障碍是时间、对无法轻松讨论的问题的犹豫以及对老年人改变生活方式能力的怀疑。
CRC 风险降低培训提高了 SSP 对知识和行为改变技能的认识。需要进一步探索机会，以优化筛查环境以促进健康促进活动。
