A humanitarian and qualitative perspective on participation in colorectal cancer screening

The purpose of this study was to identify and describe facilitating factors and barriers to colorectal cancer screening and the strategies that were most useful in helping individuals to overcome these barriers. The researcher was the health educator for the telephone-based communication. The study was descriptive, and the intent was to generate hypotheses related to increasing screening.; Colorectal cancer is the second leading cause of cancer deaths but is largely preventable through early detection (by screening) and treatment. Rates of participation in screening are low, especially in low-income populations, which was the sample in this study. There is a paucity of research in such populations on barriers to screening and on health education to increase screening.; A sample of 60 cases was selected throughout the two-year intervention period to illustrate particular barriers. The participants were members of a health care workers benefit fund or their dependents, over the age of 52, had access to a telephone, had not had colorectal cancer screening according to the recommended timeline, and agreed to participate in the study. Participants received repeated telephone contacts. Handwritten notes comprised the raw data for this study.; Based on the results, the factors that may be initial impediments to screening are related to low levels of knowledge about screening timelines and tests and fear about having cancer. Subsequent barriers had more to do with the availability and accessibility of the screening tests and the support from significant others, specifically the primary care provider.; One of the main conclusions is that rapport and trust between the participant and health educator are instrumental in assisting individuals to make informed decisions about health. We need to design and implement programs that are respectful of our audience and reflect genuine caring and cultural sensitivity. Such an approach can help to establish good rapport and trust.