Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders

von Wagner, C., Bonello, B. , Stoffel, S., Skrobanski, H., Freeman, M., Kerrison, R. S. and McGregor, L. M. (2018) Barriers to bowel scope (flexible sigmoidoscopy) screening: a comparison of non-responders, active decliners and non-attenders. BMC Public Health, 18, 1161. (doi: 10.1186/s12889-018-6071-8) (PMID:30290783) (PMCID:PMC6173878)

Abstract

Background: Participation in bowel scope screening (BSS) is low (43%), limiting its potential to reduce colorectal cancer (CRC) incidence and mortality. This study aimed to quantify the prevalence of barriers to BSS and examine the extent to which these barriers differed according to non-participant profiles: non-responders to the BSS invitation, active decliners of the invitation, and non-attenders of confirmed appointments. Methods: Individuals invited for BSS between March 2013 and December 2015, across 28 General Practices in England, were sent a questionnaire. Questions measured initial interest in BSS, engagement with the information booklet, BSS participation, and, where applicable, reasons for BSS non-attendance. Chi-square tests of independence were performed to examine the relationship between barriers, non-participant groups and socio-demographic variables. Results: 1478 (45.8%) questionnaires were returned for analysis: 1230 (83.2%) attended screening, 114 (7.7%) were non-responders to the BSS invitation, 100 (6.8%) were active decliners, and 34 (2.3%) were non-attenders. Non-responders were less likely to have read the whole information booklet than active decliners (x2 (2, N = 157) = 7.00, p = 0.008) and non-attenders (x2 (2, N = 101) = 8.07, p = 0.005). Non-responders also had lower initial interest in having BSS than either active decliners (x2 (2, N = 213) = 6.07, p = 0.014) or non-attenders (x2 (2, N = 146) = 32.93, p < 0.001). Overall, anticipated pain (33%) and embarrassment (30%) were the most commonly cited barriers to BSS participation. For non-attenders, however, practical, appointment-related reasons were most common (27%). Conclusions: Interventions to improve BSS uptake should be more nuanced and use targeted strategies to address the specific needs of each group.

• Item Type: Articles
• Additional Information: This study was funded by a project grant from Cancer Research UK (C27064/A17326) to CVW.
• Keywords: Bowel scope, colorectal cancer, flexible sigmoidoscopy, non-attendance, screening.
• Status: Published
• Refereed: Yes
• Glasgow Author(s) Enlighten ID: Bonello, Bernardette
• Authors: von Wagner, C., Bonello, B., Stoffel, S., Skrobanski, H., Freeman, M., Kerrison, R. S., and McGregor, L. M.
• College/School: College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > MRC/CSO SPHSU
• Journal Name: BMC Public Health
• Publisher: BioMed Central
• ISSN: 1471-2458
• ISSN (Online): 1471-2458
• Copyright Holders: Copyright © 2018 The Authors
• First Published: First published in BMC Public Health 18: 1161
• Publisher Policy: Reproduced under a Creative Commons License