Barriers to Colorectal Cancer Screening in the Eastern Mediterranean Region: A Scoping Review Using the Theoretical Domains Framework Restricted; Files Only

Hartley, Caleb (Summer 2021)

Permanent URL: https://etd.library.emory.edu/concern/etds/bn999773b?locale=en
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Abstract

Background: Colorectal cancer screening plays a key role in mitigating morbidity and mortality associated with the disease. Areas such as the Eastern Mediterranean Region experience a particularly large burden of colorectal cancer. While trends have been described at the country level within the region, it is important to understand what barriers exist to colorectal cancer screening, so that more effective interventions can be conceptualized and implemented. 

Objectives: The aims of this paper are two-fold: first, to identify barriers related to colorectal cancer screening at the individual/at-risk population, provider, and system levels; second, to provide a proof-of-concept for the utility of the Theoretical Domains Framework in characterizing barriers.

Methods: A scoping review was conducted applying the TDF. The search strategy was conceptualized and implemented by searching three online databases that identified papers related to colorectal cancer screening in the Eastern Mediterranean Region. Duplicates were removed both automatically by EndNote and manually for those that remained by two members of the research team. Two data collection matrices, constructed according to the TDF, were used to extract data from papers relevant to the study topic. The first is a matrix that identified barriers to colorectal cancer screening at the individual, provider, and health system levels, as oriented from the perspective of the at-risk population. The second is a matrix that identified barriers related to recommending colorectal cancer screening and conducting screening at the individual/public, provider, and health system levels, oriented from the perspective of the provider. 

Results: Barriers related to colorectal cancer screening are evident at the individual/public, provider, and health system levels. The most noted barriers among both matrices pertained to the domains of knowledge, emotion, environmental context and resources, and beliefs about consequences.

Conclusion: In understanding barriers at the individual, provider, and health system levels, more effective interventions can be developed to promote screening and early detection for colorectal cancer. 

Table of Contents

Table of Contents

CHAPTER 1: INTRODUCTION

Background

Statement of the Problem

Study Purpose

Significance

CHAPTER 2: LITERATURE REVIEW

Burden of Colorectal Cancer

Etiology of Colorectal Cancer

Colorectal Cancer Secondary Prevention Programs

Colorectal Cancer Screening Rates

CHAPTER 3: MANUSCRIPT

Contribution of the Student

Abstract

Background

Methods

Results

Discussion

References

Figures and Tables

Figure 1

Figure 2

Figure 3

Figure 4

Table 1

Table 2

Table 3

CHAPTER 4: DISCUSSION AND RECOMMENDATIONS

Discussion

Recommendations

REFERENCES

APPENDICES

Search Strategy Terms

PubMed

Scopus

Figures and Tables

Figure 1

Figure 2

Figure 3

Figure 4

Table 1.

Table 2

Table 3

Table 4

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