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Health literacy skills for informed decision making in colorectal cancer screening: Perceptions of screening invitees and experts
- Source :
- Health expectations, 21(3), 636-646. Wiley-Blackwell, Woudstra, A J, Timmermans, D R M, Uiters, E, Dekker, E, Smets, E M A & Fransen, M P 2018, ' Health literacy skills for informed decision making in colorectal cancer screening : Perceptions of screening invitees and experts ', Health Expectations, vol. 21, no. 3, pp. 636-646 . https://doi.org/10.1111/hex.12658, Health Expectations : An International Journal of Public Participation in Health Care and Health Policy, Health Expectations, 21(3), 636-646. Wiley-Blackwell
- Publication Year :
- 2018
-
Abstract
- BACKGROUND: The process of informed decision making (IDM) requires an adequate level of health literacy. To ensure that all individuals have equal opportunity to make an informed decision in colorectal cancer (CRC) screening, it is essential to gain more insight into which health literacy skills are needed for IDM. Our aims were (i) to explore how individuals make a decision about CRC screening and (ii) to explore which skills are needed for IDM in CRC screening and (iii) to integrate these findings within a conceptual framework.METHODS: We conducted 3 focus groups with individuals eligible for CRC screening (n = 22) and 2 focus groups with experts in the field of health literacy, oncology and decision making, including scientific researchers and health-care professionals (n = 17). We used framework analysis to analyse our data.RESULTS: We identified and specified ten health literacy skills, which varied from the ability to read and understand CRC screening information to the ability to weigh up pros and cons of screening for personal relevance. The skills were linked to 8 decision-making stages in CRC screening within a conceptual framework. We found differences in perceptions between screening invitees and experts, especially in the perceived importance of CRC screening information for IDM.CONCLUSIONS: This study provides insight into the decision-making stages and health literacy skills that are essential for IDM in CRC screening. The proposed conceptual framework can be used to inform the development of context-based measurement of health literacy and interventions to support IDM in cancer screening.
- Subjects :
- Male
context‐based measurement
Health Personnel
Decision Making
Psychological intervention
Context (language use)
Health literacy
colorectal cancer screening
03 medical and health sciences
0302 clinical medicine
Cancer screening
Humans
Mass Screening
030212 general & internal medicine
Decision-making
Early Detection of Cancer
Mass screening
Aged
Medical education
030503 health policy & services
Public Health, Environmental and Occupational Health
Focus Groups
Focus group
Health Literacy
Original Research Paper
Conceptual framework
Female
Perception
conceptual framework
Informed decision making
Colorectal Neoplasms
0305 other medical science
Psychology
Original Research Papers
Subjects
Details
- Language :
- English
- ISSN :
- 13696513
- Volume :
- 21
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Health expectations
- Accession number :
- edsair.doi.dedup.....ee09e1fa7a55a2fb835de8fd3a00718d