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dc.contributor.authorBarnett, Karen N.
dc.contributor.authorWeller, David
dc.contributor.authorSmith, Steve
dc.contributor.authorOrbell, Sheina
dc.contributor.authorVedsted, Peter
dc.contributor.authorSteele, Robert J. C.
dc.contributor.authorMelia, Jane W.
dc.contributor.authorMoss, Sue M.
dc.contributor.authorPatnick, Julietta
dc.contributor.authorCampbell, Christine
dc.descriptionThis is the final version of the article. It first appeared from Wiley via
dc.description.abstract${\bf Background:}$ Colorectal cancer (CRC) screening using a faecal occult blood test (FOBt) has the potential to reduce cancer-related mortality. Symptom vigilance remains crucial as a proportion of cancers will be diagnosed between screening rounds. A negative FOBt has the potential to influence how participants respond to future symptoms of CRC. ${\bf Objective:}$ To explore (i) understanding of a negative FOBt and (ii) the potential impact of a negative FOBt upon future symptom appraisal and help-seeking behaviour. ${\bf Design:}$ Qualitative methodology utilizing focus groups with participants who received a negative FOBt within the National Bowel Cancer Screening Programme in Coventry and Lothian. Topics explored included: experience of screening participation, interpretation and understanding of a negative result, symptom awareness and attitudes towards help-seeking. ${\bf Results:}$ Four broad themes were identified: (i) emotional response to a negative FOBt, (ii) understanding the limitations of FOBt screening, (iii) symptom knowledge and interpretation and (iv) over-reassurance from a negative FOBt. Participants were reassured by a negative FOBt, but there was variability in the extent to which the result was interpreted as an “all clear”. Some participants acknowledged the residual risk of cancer and the temporal characteristic of the result, while others were surprised that the result was not a guarantee that they did not have cancer. ${\bf Discussion~and~conclusions:}$ Participants recognized that reassurance from a negative FOBt could lead to a short-term delay in help-seeking if symptoms developed. Screening programmes should seek to emphasize the importance of the temporal nature of FOBt results with key messages about symptom recognition and prompt help-seeking behaviour.en
dc.description.sponsorshipThis study was funded by the National Awareness and Early Diagnosis Initiative led by Cancer Research UK, the Department of Health, NHS England and Public Health England. Award number C12357/A12240.en
dc.rightsAttribution 4.0 International*
dc.subjectbowel canceren
dc.subjectcolorectal canceren
dc.subjectcolorectal cancer screeningen
dc.subjectfocus groupsen
dc.subjectguaiac faecal occult blood testen
dc.subjecthealth knowledgeen
dc.subjectnegative screening resultsen
dc.subjectsymptom appraisalen
dc.titleUnderstanding of a negative bowel screening result and potential impact on future symptom appraisal and help-seeking behaviour: a focus group studyen
prism.publicationNameHealth Expectationsen

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Attribution 4.0 International
Except where otherwise noted, this item's licence is described as Attribution 4.0 International