Barriers to Colorectal Cancer Screening in the Eastern Mediterranean Region: A Scoping Review Using the Theoretical Domains Framework Open Access
Hartley, Caleb (Summer 2021)
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
About this Master's Thesis
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