TY - JOUR
T1 - Identifying communication barriers to colorectal cancer screening adherence among appalachian kentuckians
AU - Bachman, Audrey Smith
AU - Cohen, Elisia L.
AU - Collins, Tom
AU - Hatcher, Jennifer
AU - Crosby, Richard
AU - Vanderpool, Robin C.
N1 - Publisher Copyright:
© 2017 Taylor & Francis Group, LLC.
PY - 2018/8/19
Y1 - 2018/8/19
N2 - 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 familymembers about their screening experiences. Reticence to engage in screening processes reflected reports of cumbersome preparation, privacy issues, embarrassment,medicalmistrust, 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.
AB - 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 familymembers about their screening experiences. Reticence to engage in screening processes reflected reports of cumbersome preparation, privacy issues, embarrassment,medicalmistrust, 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.
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U2 - 10.1080/10410236.2017.1351274
DO - 10.1080/10410236.2017.1351274
M3 - Article
C2 - 28820641
AN - SCOPUS:85027883013
SN - 1041-0236
VL - 33
SP - 1284
EP - 1292
JO - Health communication
JF - Health communication
IS - 10
ER -