| Title |
Barriers and facilitators associated with colonoscopy completion in individuals with multiple chronic conditions: a qualitative study
|
|---|---|
| Published in |
Patient preference and adherence, May 2017
|
| DOI | 10.2147/ppa.s127862 |
| Pubmed ID | |
| Authors |
Shahnaz Sultan, Melissa R Partin, Phalgoon Shah, Jennifer LeLaurin, Ivette Magaly Freytes, Chandylen L Nightingale, Susan F Fesperman, Barbara A Curbow, Rebecca J Beyth |
| Abstract |
A recommendation to undergo a colonoscopy, an invasive procedure that requires commitment and motivation, planning (scheduling and finding a driver) and preparation (diet restriction and laxative consumption), may be uniquely challenging for individuals with multiple chronic conditions (MCCs). This qualitative study aimed to describe the barriers and facilitators to colonoscopy experienced by such patients. Semistructured focus groups were conducted with male Veterans who were scheduled for outpatient colonoscopy and either failed to complete the procedure or completed the examination. Focus group recordings were transcribed and analyzed by an inductive grounded approach using constant comparative analysis. Forty-four individuals aged 51-83 years participated in this study (23 adherent and 21 nonadherent). Participants had an average of 7.4 chronic conditions (range 2-14). The five most common chronic conditions were hypertension (75%), hyperlipidemia (75%), osteoarthritis/degenerative joint disease (59%), atherosclerotic heart disease (48%), and diabetes mellitus (36%). We identified four unique themes that influenced motivation to undergo a colonoscopy: competing medical priorities, low perceived benefit, a prior negative colonoscopy experience, and pre-existing medical conditions. Additionally, we identified four themes that influenced individuals' ability to complete the examination: difficulty with bowel cleansing, difficulty with travel, worry about exacerbation of pre-existing conditions, and heightened concerns about potential complications. MCCs are common in individuals referred for colonoscopy and generate unique barriers to colonoscopy completion related to medication, dietary changes, transportation, preparation processes, symptoms exacerbation, and complication concerns. Future research should examine whether tailored interventions that include education and support in addressing the unique barriers can enhance colonoscopy completion. |
X Demographics
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Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 1 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Scientists | 1 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 38 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 38 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 7 | 18% |
| Other | 4 | 11% |
| Researcher | 3 | 8% |
| Student > Postgraduate | 3 | 8% |
| Student > Doctoral Student | 1 | 3% |
| Other | 4 | 11% |
| Unknown | 16 | 42% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 8 | 21% |
| Medicine and Dentistry | 7 | 18% |
| Psychology | 2 | 5% |
| Business, Management and Accounting | 1 | 3% |
| Economics, Econometrics and Finance | 1 | 3% |
| Other | 2 | 5% |
| Unknown | 17 | 45% |
Attention Score in Context
This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 June 2017.
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#17,289,387
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Outputs from Patient preference and adherence
#1,065
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#206,650
of 324,557 outputs
Outputs of similar age from Patient preference and adherence
#16
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