Zhou Mingyao, Wu Yuqing, Wang Dan, Cheng Fang
School of Nursing, Nanjing Medical University, Nanjing, China.
The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
BMC Public Health. 2024 Dec 30;24(1):3606. doi: 10.1186/s12889-024-21096-2.
At present, the participation rate in cancer screening is still not ideal, and the lack of screening information or misunderstanding of information is an important factor hindering cancer screening behaviour. Therefore, a systematic synthesis of information needs related to cancer screening is critical.
On July 23, 2024, we searched the Cochrane Library, MEDLINE (Ovid), Embase, EBSCO, PsycINFO, Scopus, ProQuest, PubMed, Web of Science, and CINAHL to collect qualitative or mixed-methods studies on information needs of cancer screening. We also searched for grey literature on OpenGrey and Google websites. Data were synthesised using Sandelowski and Barroso's framework. A top-down approach was adopted to group and synthesise the encodes and then generate analytical themes.
A total of 37 studies were included. The results of the analysis of cancer screening-related information needs content, cancer-specific information needs content, requirements and preferences for information, and associated factors of information-seeking behaviour were reported. Based on the event timeline, we summarised the information needs of the screening demand side into four themes. Their information needs focus on disease risk factors, signs and symptoms, the importance of screening, the benefits and harms of screening, the detailed screening process, and screening results and explanations. Regarding cancer-specific information needs content, we summarised the specific information needs of cervical, breast, colorectal, and lung cancer. By referring to relevant concepts in the Comprehensive Model of Information Seeking, we synthesised the requirements and preferences for information according to the themes of editorial tone, communication potential, recommended information channels, and recommended source place. The information-seeking behaviours of the screening demanders are mainly passive attention and active searching. The common factors leading to the passive attention of screening demanders are demographic factors and fear of cancer. The most common reason for them to actively search information is lack of information.
The list of information needs identified in this review can serve as a reference for health professionals and information service providers before carrying out screening-related work to help the cancer screening participants obtain valuable information.
目前，癌症筛查的参与率仍不理想，筛查信息的缺乏或对信息的误解是阻碍癌症筛查行为的重要因素。因此，系统综合与癌症筛查相关的信息需求至关重要。
2024年7月23日，我们检索了考克兰图书馆、MEDLINE（Ovid）、Embase、EBSCO、PsycINFO、Scopus、ProQuest、PubMed、Web of Science和CINAHL，以收集关于癌症筛查信息需求的定性或混合方法研究。我们还在OpenGrey和谷歌网站上搜索了灰色文献。使用桑德洛维茨和巴罗索的框架对数据进行综合。采用自上而下的方法对编码进行分组和综合，然后生成分析主题。
共纳入37项研究。报告了癌症筛查相关信息需求内容、癌症特异性信息需求内容、信息需求和偏好以及信息寻求行为相关因素的分析结果。基于事件时间线，我们将筛查需求方的信息需求总结为四个主题。他们的信息需求集中在疾病风险因素、体征和症状、筛查的重要性、筛查的益处和危害、详细的筛查过程以及筛查结果和解释。关于癌症特异性信息需求内容，我们总结了宫颈癌、乳腺癌、结直肠癌和肺癌的具体信息需求。通过参考信息寻求综合模型中的相关概念，我们根据编辑语气、传播潜力、推荐信息渠道和推荐信息源地等主题综合了信息需求和偏好。筛查需求者的信息寻求行为主要是被动关注和主动搜索。导致筛查需求者被动关注的常见因素是人口统计学因素和对癌症的恐惧。他们主动搜索信息的最常见原因是信息缺乏。
本综述确定的信息需求清单可为卫生专业人员和信息服务提供者在开展与筛查相关的工作之前提供参考，以帮助癌症筛查参与者获得有价值的信息。
