Blalock S J, DeVellis B M, Sandler R S
Prev Med. 1987 Jan;16(1):9-18. doi: 10.1016/0091-7435(87)90002-8.
The factors that influence participation in fecal occult blood screening for colorectal cancer are poorly understood. A better understanding of these factors could lead to better screening products or to educational approaches to increase participation with currently available products. In this article, we review findings from studies that have examined the determinants of participation in fecal occult blood screening. Two components of participation are identified: initial agreement to participate and subsequent compliance with the testing procedures. We conclude that the factors that lead to agreement often differ from those that lead to compliance. Following the literature review, we discuss ways in which recent advances in attitude and behavior research might be used to improve future investigations of the determinants of participation in fecal occult blood screening. Specifically, this research suggests that investigators should focus on beliefs and attitudes associated with the perceived consequences of screening participation rather than on other types of beliefs and attitudes; measure beliefs and attitudes at the same level of specificity as behavior; and distinguish between individuals' initial agreement to participate in screening and their actual participation.
影响参与结直肠癌粪便潜血筛查的因素尚不清楚。更好地了解这些因素可能会带来更好的筛查产品，或有助于采用教育方法来提高对现有产品的参与度。在本文中，我们回顾了有关参与粪便潜血筛查决定因素的研究结果。我们确定了参与的两个组成部分：最初同意参与以及随后遵守检测程序。我们得出结论，导致同意参与的因素通常与导致遵守程序的因素不同。在文献综述之后，我们讨论了态度和行为研究的最新进展可用于改进未来对参与粪便潜血筛查决定因素调查的方法。具体而言，这项研究表明，研究人员应关注与参与筛查的感知后果相关的信念和态度，而不是其他类型的信念和态度；在与行为相同的具体程度上衡量信念和态度；并区分个体最初同意参与筛查和他们的实际参与情况。
