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Sunderland Repository records the research produced by the University of Sunderland including practice-based research and theses.

Attitudes and beliefs of non‐participants in a population‐based screening programme for colorectal cancer

Hall, Nicola, Rubin, Greg, Dobson, Christina, Weller, David, Wardle, Jane, Ritchie, Mary and Rees, Colin J (2013) Attitudes and beliefs of non‐participants in a population‐based screening programme for colorectal cancer. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, 18 (5). pp. 1645-1657.

Item Type: Article



Uptake of colorectal cancer screening programmes needs to be improved or at least maintained in order to achieve projected reductions in mortality and morbidity. Understanding the origins of non‐participation in screening is therefore important.

To explore the beliefs and experiences of individuals who had not responded either to their screening invitation or reminder.

A qualitative study using in‐depth interviews with non‐participants from England's population‐based colorectal cancer screening programme. Data collection and analysis were carried out using a grounded theory approach, with an emphasis on the constant comparison method, and continued until saturation (27 interviews).

The interviews provided an in‐depth understanding of a range of reasons and circumstances surrounding non‐participation in screening, including contextual and environmental influences as well as factors specific to the screening test. Non‐participation in screening was not necessarily associated with negative attitudes towards screening or a decision to not return a kit. Reasons for non‐participation in screening included not feeling that participation is personally necessary, avoiding or delaying decision making, and having some degree of intention to take part but failing to do so because of practicalities, conflicting priorities or external circumstances. Beliefs, awareness and intention change over time.
Discussion and conclusions

A range of approaches may be required to improve screening uptake. Some non‐participants may already have a degree of intention to take part in screening in the future, and this group may be more responsive to interventions based on professional endorsement, repeat invitations, reminders and aids to making the test more practical.

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Uncontrolled Keywords: attitudes, behaviour, beliefs, bowel cancer screening, colorectal cancer screening, non‐participation
Depositing User: Wendy Tasker


Item ID: 7934
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Date Deposited: 04 Oct 2017 10:22
Last Modified: 04 Oct 2017 10:22


Author: Nicola Hall
Author: Greg Rubin
Author: Christina Dobson
Author: David Weller
Author: Jane Wardle
Author: Mary Ritchie
Author: Colin J Rees

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Faculty of Health Sciences and Wellbeing

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