Imperial College London
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ProfessorHelenWard

Faculty of Medicine, School of Public Health

Professor of Public Health
 
 
 
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Contact

 

+44 (0)20 7594 3303h.ward Website

 
 
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Location

 

311School of Public HealthWhite City Campus

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Summary

 

Publications

Citation

BibTex format

@article{Georgiou:2022:10.3399/BJGPO.2021.0102,
author = {Georgiou, Delisle T and D'Souza, N and Davies, B and Benton, S and Chen, M and Ward, H and Abulafi, M and NICE, FIT Steering Committee},
doi = {10.3399/BJGPO.2021.0102},
journal = {BJGP Open},
title = {Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability.},
url = {http://dx.doi.org/10.3399/BJGPO.2021.0102},
volume = {6},
year = {2022}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - BACKGROUND: Recent evidence suggests that the faecal immunochemical test (FIT) can rule out colorectal cancer (CRC) in symptomatic patients. To date, there is no research on usability and perception of FIT for these patients. AIM: To measure variation in attitudes and perception of FIT in patients with suspected CRC symptoms. DESIGN & SETTING: A cross-sectional survey of a subset of participants of the NICE FIT study. METHOD: A questionnaire was co-developed with patients covering four themes on a Likert scale: FIT feasibility, faecal aversion, patient knowledge, and future intentions. Questionnaire and FIT kits were sent to patients with suspected CRC symptoms participating in the NICE FIT study. Logistic regression explored differences in patients' test perception by ethnic group, language, age, location, deprivation, FIT use, and previous experience. RESULTS: A total of 1151 questionnaires were analysed; 90.2% (95% confidence interval [CI] = 88.3% to 91.8%) of patients found faecal collection straightforward, 76.3% (95% CI = 73.7% to 78.6%) disagreed FIT was unhygienic, and 78.1% (95% CI = 75.6% to 80.4%) preferred FIT to colonoscopy. Preference for FIT over colonoscopy was weaker in patients aged 40-64 years than those >65 years (odds ratio [OR] 0.60; 95% CI = 0.43 to 0.84). Intention to use FIT again was stronger in patients who successfully used FIT than those unsuccessful (OR 11.08; 95% CI = 2.74 to 44.75), and white compared with non-white patients assessed (OR 3.20; 95% CI = 1.32 to 7.75). CONCLUSION: While most patients found FIT practical and hygienic, perception differences were found. Strategies to engage patients with more negative FIT perception should underpin symptomatic FIT pathways.
AU  - Georgiou,Delisle T
AU  - D'Souza,N
AU  - Davies,B
AU  - Benton,S
AU  - Chen,M
AU  - Ward,H
AU  - Abulafi,M
AU  - NICE,FIT Steering Committee
DO  - 10.3399/BJGPO.2021.0102
PY  - 2022///
TI  - Faecal immunochemical test for suspected colorectal cancer symptoms: patient survey of usability and acceptability.
T2  - BJGP Open
UR  - http://dx.doi.org/10.3399/BJGPO.2021.0102
UR  - https://www.ncbi.nlm.nih.gov/pubmed/34645655
VL  - 6
ER  -
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