ArticleAmerican journal of preventive medicine2010
The relative importance of patient-reported barriers to colorectal cancer screening.
Article in American journal of preventive medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers.
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Who cites it
86 citing papers in PubMed.
- Blood Test Increases Colorectal Cancer Screening in Persons Who Declined Colonoscopy and Fecal Immunochemical Test: A Randomized Controlled Trial.Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association · 2023Trial
- Detection of cancers and advanced adenomas in asymptomatic participants in colorectal cancer screening: a cross-sectional study.BMJ open · 2021Trial
- A Phase 2 Randomized Trial of DCL-101, a Novel Pill-Based Colonoscopy Prep, vs 4L Polyethylene Glycol-Electrolyte Solution.Clinical and translational gastroenterology · 2020Trial
- Trial
- Epi proColonMolecular diagnosis & therapy · 2020Trial
- Trial
- Intervention Mediators in a Randomized Controlled Trial to Increase Colonoscopy Uptake Among Individuals at Increased Risk of Familial Colorectal Cancer.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2017Trial
- Improving uptake of flexible sigmoidoscopy screening: a randomized trial of nonparticipant reminders in the English Screening Programme.Endoscopy · 2017Trial
- Use of a 12 months' self-referral reminder to facilitate uptake of bowel scope (flexible sigmoidoscopy) screening in previous non-responders: a London-based feasibility study.British journal of cancer · 2016Trial
- Anticipated regret to increase uptake of colorectal cancer screening (ARTICS): A randomised controlled trial.Social science & medicine (1982) · 2015Trial
- Efficacy of a Telehealth Intervention on Colonoscopy Uptake When Cost Is a Barrier: The Family CARE Cluster Randomized Controlled Trial.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015Trial
- Increasing colon cancer screening in primary care among African Americans.Journal of the National Cancer Institute · 2014Trial
- Anticipated regret to increase uptake of colorectal cancer screening in Scotland (ARTICS): study protocol for a randomised controlled trial.BMC public health · 2013Trial
- Patient activation increases colorectal cancer screening rates: a randomized trial among low-income minority patients.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2012Trial
- Patient, Clinician, and Communication Factors Associated with Colorectal Cancer Screening.Journal of the American Board of Family Medicine : JABFMTrial
- Getting Real About Colorectal Cancer Education (GRACCE): Pilot Evaluation of a Community-Led Education Program.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026Article
- Strategies to Address Colorectal Cancer Screening Disparities Developed Through Community Based Participatory Design: A Mixed Methods Study.Cancer medicine · 2026Article
- Article
- Development and validation of a LASSO-Based FDG PET/CT model for predicting colorectal adenoma in asymptomatic individuals undergoing colonoscopy.Annals of nuclear medicine · 2026Article
- From planning to savings: CRC screening organization and cost-utility analysis of early CRC detection in Bulgaria.Archives of public health = Archives belges de sante publique · 2025Article
26 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundColorectal cancer (CRC) screening rates are suboptimal. The most important barriers identified by patients are poorly understood. A comprehensive assessment of barriers to all recommended modalities is needed.
methodsIn 2007, a questionnaire was mailed to 6100 patients, aged 50-75 years, from 12 family medicine practices in the Virginia Ambulatory Care Outcomes Research Network. People aged 65-75 years and African Americans were oversampled. Patients were asked to rate 19-21 barriers to each of four recommended tests. In 2008, responses were coded on a 5-point scale; higher scores reflected stronger barrier endorsement.
resultsThe response rate was 55% (n=3357). Approximately 40% of respondents were aged >/=65 years, 30% were African-American, and 73% were adherent to screening. A clinician's failure to suggest screening and not knowing testing was necessary received the highest mean scores as barriers. Financial concerns and misconceptions were also cited. Barrier scores differed depending on whether respondents were never screened, overdue for screening, or adherent to guidelines. The top five barriers for each modality included test-specific barriers (e.g., handling stool, bowel preparation), which often outranked generic barriers to screening. Not knowing testing was necessary was a top barrier for all tests but colonoscopy.
conclusionsAlthough physician advice and awareness of the need for screening are important, barriers to screening are not homogenous across tests, and test-specific barriers warrant consideration in designing strategies to improve screening rates. Barrier scores differ by screening status, highlighting the need to address prior screening experience. Evidence that patients are more familiar with colonoscopy than with other modalities suggests an opportunity to improve screening rates by educating patients about alternative tests.
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