Understanding the potential and challenges of adenoma treatment as a prevention opportunity

TY - JOUR

T1 - Understanding the potential and challenges of adenoma treatment as a prevention opportunity

T2 - insights from the BeWEL formative study

A1 - Stead,Martine

A1 - Caswell,Stephen

A1 - Craigie,Angela M.

A1 - Eadie,Douglas

A1 - Anderson,Annie S.

A1 - BeWEL Team

AU - Stead,Martine

AU - Caswell,Stephen

AU - Craigie,Angela M.

AU - Eadie,Douglas

AU - Anderson,Annie S.

AU - BeWEL Team

PY - 2012/1/1

Y1 - 2012/1/1

N2 - <p>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).</p><p>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 &gt; 25 kg/m(2) with removal of adenoma detected by colorectal cancer screening.</p><p>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.</p><p>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. (C) 2011 Elsevier Inc. All rights reserved.</p>

AB - <p>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).</p><p>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 &gt; 25 kg/m(2) with removal of adenoma detected by colorectal cancer screening.</p><p>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.</p><p>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. (C) 2011 Elsevier Inc. All rights reserved.</p>

KW - Qualitative research

KW - Focus groups

KW - Cancer screening

KW - Adenoma

KW - Polyps

KW - Lifestyle

KW - Intervention

KW - Prevention

KW - Life-style intervention

KW - Colorectal cancer

KW - Physical activity

KW - Teachable moment

KW - Risk

KW - Reduction

KW - Health

KW - Impact

KW - Trials

KW - People

U2 - 10.1016/j.ypmed.2011.10.017

DO - 10.1016/j.ypmed.2011.10.017

M1 - Article

JO - Preventive Medicine

JF - Preventive Medicine

SN - 0091-7435

IS - 1

VL - 54

SP - 97

EP - 103

ER -