+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

CRC Screening Results: Patient Comprehension and Follow-up



CRC Screening Results: Patient Comprehension and Follow-up



Cancer Control 26(1): 1073274819825828



Fecal occult blood tests are recommended for colorectal cancer screening, but are only effective if colonoscopy follows positive results. Patients with positive results often do not complete follow-up. This study examined the association between patient comprehension and adherence to colonoscopy after positive FIT (Fecal Immunochemical Test). Five hundred twenty-two patients completed a telephone questionnaire regarding the FIT and its implications 120 days after a positive result. Patients were asked whether they had the test, received the results, and required follow-up. These questions were used to identify the degree to which patients understood medical information. A participant who answered "no" to any question was defined as having "low comprehension" regarding the FIT, and participants who answered "yes" to all 3 questions, as having "high comprehension". Comprehension and colonoscopy adherence were significantly associated. Adherence to colonoscopy was significantly higher among participants with high comprehension, after adjusting for gender, age, education, ethnicity, and socio-economic status. This study demonstrates a link between health comprehension and patient follow-up after positive FIT and contributes to understanding the implications of health comprehension in terms of health promotion. We recommend patients undergoing screening tests receive clear explanations regarding need for follow-up of positive results thus reducing health disparities associated with health comprehension.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 066446404

Download citation: RISBibTeXText

PMID: 30704290

DOI: 10.1177/1073274819825828


Related references

For the patient. Eye screening can prevent eye disease. Personalized follow-up increases return rate at urban eye disease screening clinics for African Americans with diabetes: results of a randomized trial. Ethnicity and Disease 13(1): 149, 2003

The Effects of Web-Based Patient Access to Laboratory Results in British Columbia: A Patient Survey on Comprehension and Anxiety. Journal of Medical Internet Research 17(8): E191, 2015

Contribution of patient, physician, and environmental factors to demographic and health variation in colonoscopy follow-up for abnormal colorectal cancer screening test results. Cancer 123(18): 3502-3512, 2017

Poor patient comprehension of abnormal mammography results. Journal of General Internal Medicine 20(5): 432-437, 2005

Follow-up study on screening positives of hypertension and diabetes--results of follow-up by the Yang-Ming Crusade in 1990. Zhonghua Yi Xue Za Zhi 51(3): 216-224, 1993

Role of education in screening for cancer control: results of follow up in two screening programs. Progress in Clinical and Biological Research 83: 231-247, 1982

Is the promise of cancer-screening programs being compromised? Quality of follow-up care after abnormal screening results. Medical Care Research and Review 60(3): 294-331, 2003

Community visual field screening: prevalence of follow-up and factors associated with follow-up of participants with abnormal frequency doubling perimetry technology results. Ophthalmic Epidemiology 14(3): 134-140, 2007

Urine screening for aminoacidopathies: is it beneficial? Results of a long-term follow-up of cases detected bny screening one millon babies. Journal of Pediatrics 97(3): 492-497, 1980

OH: nurses fail to follow orders re Coumadin: complications follow--patient's death results. Nursing Law's Regan Report 42(3): 3-3, 2002

Evaluation of Legs For Life National Screening and Awareness Program for Peripheral Vascular Disease: results of a follow-up survey of screening participants. Journal of Vascular and Interventional Radiology 13(1): 25-35, 2002

Newborn screening programmes in Europe; arguments and efforts regarding harmonization. Part 2. From screening laboratory results to treatment, follow-up and quality assurance. Journal of Inherited Metabolic Disease 35(4): 613-625, 2012

Contextualizing numeric clinical test results for gist comprehension: Implications for EHR patient portals. Journal of Experimental Psychology. Applied 25(1): 41-61, 2019

Follow-up of newborns with low thyroxine and nonelevated thyroid-stimulating hormone-screening concentrations: results of the 20-year experience in the Northwest Regional Newborn Screening Program. Journal of Pediatrics 132(1): 70-74, 1998

Follow-up study on reading comprehension in Down's syndrome: the role of reading skills and listening comprehension. International Journal of Language and Communication Disorders 46(2): 231-242, 2014