识别家庭肠癌筛查试剂盒的可改进特征以促进其使用：消费者视角
Identifying modifiable features of home bowel cancer screening kits to facilitate use: consumer perspectives.
作者信息
Goodwin Belinda C, Viljoen Bianca, Myers Larry, Ireland Michael J, Dunn Jeff, Chambers Suzanne K, Ralph Nicholas, Aitken Joanne F
机构信息
Cancer Council Queensland, Brisbane, Australia; Centre for Health Research, University of Southern Queensland, Springfield, Australia;
Cancer Council Queensland, Brisbane, Australia; School of Nursing and Midwifery, University of Southern Queensland, Toowoomba, Australia.
出版信息
Public Health Res Pract. 2022 Dec 13;32(4):32122203. doi: 10.17061/phrp32122203.
OBJECTIVES
Despite the widely publicised health benefits of participation in bowel cancer screening, only 43.5% of recipients participate in the Australian National Bowel Cancer Screening Program (NBCSP). Through consultation with kit recipients, this study aimed to identify features of home bowel screening kits that could be modified to increase their use.
METHOD
Participants (n = 25) were presented with nine different bowel cancer screening kits and asked to identify features of each kit that might prevent or promote their use. Responses were coded using content analysis, and a narrative synthesis is presented summarising preferences relating to each element of the kit.
RESULTS
Six modifiable elements were identified: collection tool, collection sheet, specimen container, instruction, packaging and processes. Participant preferences were for collection devices that limited the users' proximity to faecal matter, smaller packaging, simpler processes and step-by-step pictorial instructions. Responses regarding aesthetics, the amount of information included and receiving immediate results were mixed.
CONCLUSIONS
Findings provide several consumer-driven recommendations, which are to be tested in future research aimed at improving the acceptability and usability of kits distributed in population bowel cancer screening programs.
目标
尽管参与肠癌筛查对健康的益处已得到广泛宣传，但在澳大利亚国家肠癌筛查计划（NBCSP）中，只有43.5%的受检者参与其中。通过与试剂盒受检者进行咨询，本研究旨在确定家庭肠癌筛查试剂盒中可以改进以提高其使用率的特征。
方法
向25名参与者展示了9种不同的肠癌筛查试剂盒，并要求他们指出每种试剂盒中可能阻碍或促进其使用的特征。使用内容分析法对回答进行编码，并进行叙述性综合，总结与试剂盒各要素相关的偏好。
结果
确定了六个可修改的要素：采集工具、采集表、标本容器、说明书、包装和流程。参与者更喜欢那些能减少用户接触粪便的采集设备、更小的包装、更简单的流程以及分步的图片说明。关于美观性、所含信息量以及即时获得结果的回答不一。
结论
研究结果提供了一些以消费者为导向的建议，这些建议将在未来旨在提高人群肠癌筛查计划中所分发试剂盒的可接受性和可用性的研究中进行测试。
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