Evidence map›Paper›PMID 27414462›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2017

Understanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group study.

Karen N Barnett, David Weller, Steve Smith, Sheina Orbell, Peter Vedsted, Robert J C Steele, Jane W Melia, Sue M Moss, Julietta Patnick, Christine Campbell

Open access · goldAbstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.2field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
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  5. Mapping the spectrum of psychological and behavioural responses to low-dose CT lung cancer screening offered within a Lung Health Check.Health expectations : an international journal of public participation in health care and health policy · 2020
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 8 institutions in 2 countries.

Karen N BarnettUniversity of Edinburgh, Edinburgh, UK.
David WellerUniversity of Edinburgh, Edinburgh, UK.
Steve SmithMidlands and NW Bowel Cancer Screening Programme Hub, UHCW NHS Trust, Rugby, UK.
Sheina OrbellUniversity of Essex, Colchester, UK.
Peter VedstedUniversity of Aarhus, Aarhus, Denmark.
Robert J C SteeleUniversity of Dundee, Dundee, UK.
Jane W MeliaUniversity of Cambridge, Cambridge, UK.
Sue M MossQueen Mary University of London, London, UK.
Julietta PatnickUniversity of Oxford, Oxford, UK.
Christine CampbellUniversity of Edinburgh, Edinburgh, UK.
University of Edinburgh · GBAarhus University · DKBowel Cancer UK · GBQueen Mary University of London · GBUniversity of Cambridge · GBUniversity of Dundee · GBUniversity of Essex · GBUniversity of Oxford · GB

Funding

Cancer Research UK 12240
6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) screening using a faecal occult blood test (FOBt) has the potential to reduce cancer-related mortality. Symptom vigilance remains crucial as a proportion of cancers will be diagnosed between screening rounds. A negative FOBt has the potential to influence how participants respond to future symptoms of CRC.

objectiveTo explore (i) understanding of a negative FOBt and (ii) the potential impact of a negative FOBt upon future symptom appraisal and help-seeking behaviour.

designQualitative methodology utilizing focus groups with participants who received a negative FOBt within the National Bowel Cancer Screening Programme in Coventry and Lothian. Topics explored included: experience of screening participation, interpretation and understanding of a negative result, symptom awareness and attitudes towards help-seeking.

resultsFour broad themes were identified: (i) emotional response to a negative FOBt, (ii) understanding the limitations of FOBt screening, (iii) symptom knowledge and interpretation and (iv) over-reassurance from a negative FOBt. Participants were reassured by a negative FOBt, but there was variability in the extent to which the result was interpreted as an "all clear". Some participants acknowledged the residual risk of cancer and the temporal characteristic of the result, while others were surprised that the result was not a guarantee that they did not have cancer. DISCUSSION AND

conclusionsParticipants recognized that reassurance from a negative FOBt could lead to a short-term delay in help-seeking if symptoms developed. Screening programmes should seek to emphasize the importance of the temporal nature of FOBt results with key messages about symptom recognition and prompt help-seeking behaviour.

Indexed as

Help-Seeking BehaviorMass ScreeningOccult BloodAgedAwarenessColorectal NeoplasmsEarly Detection of CancerEnglandFemaleFocus GroupsHumansMaleMiddle AgedScotlandbowel cancercolorectal cancercolorectal cancer screeningfocus groupsguaiac faecal occult blood testhealth knowledgenegative screening resultsScotlandsymptom appraisal

Identifiers

PMID27414462
PMCPMC5512994
OpenAlexW2470332263

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.