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Barrier-focused intervention to increase colonoscopy attendance among nonadherent high-risk populations 被引量:3
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作者 Wen Meng Xi-Wen Bi +4 位作者 Xiao-Yin Bai Hua-Feng Pan Shan-Rong Cai Qi Zhao Su-Zhan Zhang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2009年第31期3920-3925,共6页
AIM: To increase attendance tor colonoscopy among nonadherent high-risk individuals for colorectal cancer (CRC) screening in China. METHODS: During the first 12 mo without intervention, only 428 of the 2398 high-r... AIM: To increase attendance tor colonoscopy among nonadherent high-risk individuals for colorectal cancer (CRC) screening in China. METHODS: During the first 12 mo without intervention, only 428 of the 2398 high-risk subjects attended a scheduled colonoscopy examination. The 1970 subjects who did not attend for CRC screening were enrolled in the present study. Prior barrier investigation was performed to ascertain the reasons for nonadherence. A barrier-focused intervention program was then established and implemented among eligible nonadherent subjects by telephone interviews and on-site consultations. The completion rates of colonoscopy during the first 12 mo without intervention and the second 12 mo with intervention were compared. Variations in the effect of the intervention on some high-risk factors and barrier characteristics were analyzed using logistic regression. RESULTS: 540 subjects who were not eligible were excluded from the study. The colonoscopy attendance rate was 23.04% (428/1858) during the first 12 mo without intervention, and 37.69% (539/1430) during the second 12 mo with intervention (P 〈 0.001). Logistic regression analysis showed that the intervention was more effective among subjects with only objective barriers (OR: 34.590, 95% CI: 23.204-51.563) or subjects with some specific highrisk characteristics: first-degree relatives diagnosed with CRC (OR: 1.778, 95% CI: 1.010-3.131), personal history of intestinal polyps (OR: 3.815, 95% CI: 1.994-7.300) and positive result for immunochemical fecal occult blood testing (OR: 2.718, 95% CI: 1.479-4.996). CONCLUSION: The barrier-focused telephone or on- site consultation intervention appears to be a feasible means to improve colonoscopy attendance among nonadherent high-risk subjects for CRC screening in China. 展开更多
关键词 Colorectal cancer Screening INTERVENTION COLONOSCOPY ATTENDANCE
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