Identifying communication barriers to colorectal cancer screening adherence among appalachian kentuckians

Audrey Smith Bachman, Elisia L. Cohen, Tom Collins, Jennifer Hatcher, Richard Crosby, Robin C. Vanderpool

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1284-1292
Number of pages9
JournalHealth communication
Volume33
Issue number10
DOIs
StatePublished - Aug 19 2018

Fingerprint

communication barrier
Communication Barriers
Early Detection of Cancer
Colorectal Neoplasms
Screening
cancer
Communication
communication
Health Communication
Guideline Adherence
Privacy
Health Personnel
Fear
level of knowledge
Guidelines
Interviews
Delivery of Health Care
family member
privacy
anxiety

PubMed: MeSH publication types

  • Journal Article
  • Research Support, U.S. Gov't, P.H.S.

Cite this

Identifying communication barriers to colorectal cancer screening adherence among appalachian kentuckians. / Bachman, Audrey Smith; Cohen, Elisia L.; Collins, Tom; Hatcher, Jennifer; Crosby, Richard; Vanderpool, Robin C.

In: Health communication, Vol. 33, No. 10, 19.08.2018, p. 1284-1292.

Research output: Contribution to journalArticle

Bachman, Audrey Smith ; Cohen, Elisia L. ; Collins, Tom ; Hatcher, Jennifer ; Crosby, Richard ; Vanderpool, Robin C. / Identifying communication barriers to colorectal cancer screening adherence among appalachian kentuckians. In: Health communication. 2018 ; Vol. 33, No. 10. pp. 1284-1292.
@article{5c2d341fdbbf4e1593cc4d939d30afac,
title = "Identifying communication barriers to colorectal cancer screening adherence among appalachian kentuckians",
abstract = "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.",
author = "Bachman, {Audrey Smith} and Cohen, {Elisia L.} and Tom Collins and Jennifer Hatcher and Richard Crosby and Vanderpool, {Robin C.}",
year = "2018",
month = "8",
day = "19",
doi = "10.1080/10410236.2017.1351274",
language = "English (US)",
volume = "33",
pages = "1284--1292",
journal = "Health Communication",
issn = "1041-0236",
publisher = "Routledge",
number = "10",

}

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.

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.

UR - http://www.scopus.com/inward/record.url?scp=85027883013&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85027883013&partnerID=8YFLogxK

U2 - 10.1080/10410236.2017.1351274

DO - 10.1080/10410236.2017.1351274

M3 - Article

VL - 33

SP - 1284

EP - 1292

JO - Health Communication

JF - Health Communication

SN - 1041-0236

IS - 10

ER -