Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9019
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Understanding the potential and challenges of adenoma treatment as a prevention opportunity: insights from the BeWEL formative study
Authors: Stead, Martine
Caswell, Stephen
Craigie, Angela
Eadie, Douglas
Anderson, Annie S
Contact Email: martine.stead@stir.ac.uk
Keywords: Qualitative research
Focus groups
Cancer screening
Adenoma
Polyps
Lifestyle
Intervention
Prevention
Issue Date: Jan-2012
Publisher: Elsevier
Citation: Stead M, Caswell S, Craigie A, Eadie D & Anderson AS (2012) Understanding the potential and challenges of adenoma treatment as a prevention opportunity: insights from the BeWEL formative study, Preventive Medicine, 54 (1), pp. 97-103.
Abstract: OBJECTIVES To explore prevention opportunities presented by colorectal adenoma diagnosis and inform engagement strategies for the BeWEL study (body weight and physical activity lifestyle intervention for colorectal cancer screening participants who have undergone adenoma removal). METHODS Qualitative study comprising 4 purposively sampled focus groups conducted in urban and rural areas in Tayside, Scotland, with different deprivation levels. Participants were men and women (n=17) aged 50-74 with BMI greater than 25 kg/m(2) with removal of adenoma detected by colorectal cancer screening. RESULTS Adenoma diagnosis presents both opportunities and challenges for prevention. Some patients perceived adenoma as minor and not sufficiently motivating to act as a 'teachable moment'. Patients had low awareness of the relationship between adenoma and lifestyle factors, and received little information on prevention during screening and treatment. Consequently they interpreted post-treatment 'all clear' messages as validation of existing lifestyles, and did not see the relevance of prevention advice. Receptiveness increased when the association between lifestyle, adenoma recurrence and other illness was explained. CONCLUSION The study illustrates the value of exploratory research into patient understanding to improve communications and health services. Without unduly worrying patients, professionals should explain how to reduce risk of adenoma, cancer and other diseases, particularly through diet, physical activity and weight reduction.
Type: Journal Article
URI: http://hdl.handle.net/1893/9019
DOI Link: http://dx.doi.org/10.1016/j.ypmed.2011.10.017
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: Institute for Social Marketing
University of Dundee
University of Dundee
Institute for Social Marketing
University of Dundee

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