修改邀请函对肠癌结肠镜随访检查的影响。

IF 3.5 2区 心理学 Q1 PSYCHOLOGY, CLINICAL
Elizabeth Travis, Laura Ashley, Daryl B. O'Connor
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引用次数: 0

摘要

目的:探讨对现行国家卫生服务(NHS)结肠镜随访检查邀请函的修改是否影响参与者的状态焦虑和行为意愿。方法:538名符合肠癌筛查年龄(56-74岁)的成年人被随机分为两组,一组接受目前的NHS邀请函,另一组接受修改后的邀请函。对这封信的修改包括减少使用“癌症”一词,并提高对其他筛查选择的认识。结肠镜检查邀请的历史,预期状态焦虑,参加护士预约的行为意图,以及阅读信件时结肠镜检查的担忧被测量。结果:两种情况下的行为意向均较高;然而,与修改过的信件相比,阅读当前信件的参与者报告了明显更高的行为意图。之前的邀请状态或之前的邀请状态与信件条件之间的交互作用对行为意图没有主要影响。然而,信件对焦虑程度的影响取决于参与者的邀请历史。那些从未被邀请进行结肠镜检查的人在阅读修改后的信件时比阅读当前的信件时更加焦虑。相反,先前接受结肠镜检查的人在阅读修改后的信件后比阅读当前信件的人更不焦虑。那些从未被邀请进行结肠镜检查的人更担心尴尬和检查的侵入性。在控制了年龄和教育程度后,所有的研究结果都是一样的。结论:邀请函的修改不利于筛查意向和焦虑水平的提高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Effects of a modified invitation letter to follow-up colonoscopy for bowel cancer detection

Effects of a modified invitation letter to follow-up colonoscopy for bowel cancer detection

Objective

To investigate whether modifications made to the current National Health Service (NHS) invitation letter for follow-up colonoscopy examination affect participant state anxiety and behavioural intentions to attend.

Methods

Five hundred and thirty-eight adults of bowel cancer-eligible screening age (56–74) were randomized to receive the current NHS invitation letter or the modified version of the letter as a hypothetical scenario. Modifications to the letter included fewer uses of the term cancer and awareness of alternative screening options. The history of the colonoscopy invitation, anticipated state anxiety, behavioural intention to attend the nurse appointment, and colonoscopy concerns upon reading the letter were measured.

Results

Behavioural intentions were high in both conditions; however, participants reading the current letter reported significantly higher behavioural intentions compared to the modified letter. There was no main effect of previous invite status or interaction between previous invite status and letter condition on behavioural intentions. However, the effect of the letter on levels of anxiety depended on the participant's invitation history. Those never invited for a colonoscopy were more anxious when reading the modified letter compared to the current letter. Conversely, previous colonoscopy invitees were less anxious following reading the modified letter than those reading the current letter. Those never invited for a colonoscopy were more concerned about embarrassment and test invasiveness. All findings remained the same when controlling for age and education.

Conclusion

Modifications to the invitation letter were not beneficial to levels of screening intention or anxiety.

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来源期刊
British Journal of Health Psychology
British Journal of Health Psychology PSYCHOLOGY, CLINICAL-
CiteScore
14.10
自引率
1.30%
发文量
58
期刊介绍: The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.
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