Identifying Communication Barriers to Colorectal Cancer Screening Adherence among Appalachian Kentuckians

Bachman, Audrey Smith; Cohen, Elisia L.; Collins, Tom; Hatcher, Jennifer; Crosby, Richard; Vanderpool, Robin C.

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Identifying Communication Barriers to Colorectal Cancer Screening Adherence among Appalachian Kentuckians

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August 18 2017
By Bachman, Audrey Smith ; Cohen, Elisia L. ; Collins, Tom ; ...

File Language:

English

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Alternative Title:

Health Commun
Personal Author:

Bachman, Audrey Smith ; Cohen, Elisia L. ; Collins, Tom ; Hatcher, Jennifer ; Crosby, Richard ; Vanderpool, Robin C.
Description:

Utilizing data from 40 in-depth interviews, this article identifies both barriers and facilitators to colorectal screening guideline adherence among Appalachian Kentucky adults recruited through a community-based research network. Key findings identify (a) varying levels of knowledge about screening guidelines, (b) reticence to engage in screening processes, and (c) nuanced communication with healthcare providers and family members regarding screening adherence. What participants knew about the screening process was often derived from personal stories or recalled stories from family members about their screening experiences. Reticence to engage in screening processes reflected reports of cumbersome preparation, privacy issues, embarrassment, medical mistrust, fear of receiving a cancer diagnosis, and lack of symptoms. Participants cited many ways to enhance patient-centered communication, and the findings from this study have implications for health communication message design and communication strategies for healthcare practices in Appalachian Kentucky clinics.
Subjects:

Appalachian Region Article Colorectal Neoplasms Communication Barriers Community-Based Participatory Research Early Detection Of Cancer Female Guideline Adherence Health Communication Humans Interviews As Topic Kentucky Male Middle Aged Patient Acceptance Of Health Care Rural Population
Source:

Health Commun. 33(10):1284-1292
Pubmed ID:

28820641
Pubmed Central ID:

PMC5817037
Document Type:

Journal Article
Funding:

U48 DP001932/DP/NCCDPHP CDC HHS/United States
Volume:

33
Issue:

10
Collection(s):

CDC Public Access
Main Document Checksum:

urn:sha256:000c55181c838d14cc16f16b759e0e88cfd08d14f44f90981fc22bfcc4dbd04e
Download URL:

https://stacks.cdc.gov/view/cdc/51930/cdc_51930_DS1.pdf
File Type:

[PDF - 85.65 KB ]

nihms905083.nxml

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File Language:

English

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