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Intention to Undergo Colonoscopy Screening Among Relatives of Colorectal Cancer Cases: a Theory-Based Model

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

It is recommended that persons having familial risk of colorectal cancer begin regular colonoscopy screening at an earlier age than those in the general population. However, many individuals at increased risk do not adhere to these screening recommendations.

Purpose

The goal of this study was to examine cognitive, affective, social, and behavioral motivators of colonoscopy intention among individuals at increased risk of familial colorectal cancer.

Methods

Relatives of colorectal cancer cases (N = 481) eligible for colonoscopy screening completed a survey assessing constructs from several theoretical frameworks including fear appeal theories.

Results

Structural equation modeling indicated that perceived colorectal cancer risk, past colonoscopy, fear of colorectal cancer, support from family and friends, and health-care provider recommendation were determinants of colonoscopy intention.

Conclusions

Future interventions to promote colonoscopy in this increased risk population should target the factors we identified as motivators. (ClinicalTrials.gov number NCT01274143).

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Acknowledgments

This manuscript includes Family Colorectal Cancer Awareness and Risk Education (Family CARE) Project data obtained from the Kinney Research Group and is registered on the ClinicalTrials.gov website (NCT01274143). Family CARE was funded by the National Cancer Institute (1R01CA125194-03; Kinney, PI) and the Huntsman Cancer Foundation. Family CARE was also supported by the Shared Resources (P30 CA042014) at Huntsman Cancer Institute; the Utah Cancer Registry, which is funded by Contract No. HHSN261201000026C from the National Cancer Institute's SEER Program with additional support from the Utah State Department of Health and the University of Utah; the California Department of Public Health as part of the statewide cancer reporting program mandated by California Health and Safety Code Section 103885, the National Cancer Institute's Surveillance, Epidemiology and End Results Program under contract N01PC-2010-00034C awarded to the Northern California Cancer Center, contract N01-PC-35139 awarded to the University of Southern California, and contract N01-PC-54404 awarded to the Public Health Institute, and the Centers for Disease Control and Prevention's National Program of Cancer Registries, under agreement U58CCU000807-05 awarded to the Public Health Institute; the Colorado Central Cancer Registry program in the Colorado Department of Public Health and Environment funded by the National Program of Cancer Registries of the Centers for Disease Control and Prevention; the Cancer Data Registry of Idaho supported in part by the National Program of Cancer Registries of the Centers for Disease Control and Prevention; the New Mexico Tumor Registry which is funded by National Cancer Institute Contract No. HHSN261201000033C; the Rocky Mountain Cancer Genetics Network (HHSN261200744000C); the Huntsman Cancer Registry; the University of Utah Department of Orthopaedics and the Center for Outcomes Research and Assessment; the Intermountain Healthcare Oncology Clinical Program and Intermountain Clinical Genetics Institute. This content is solely the responsibility of the authors and does not necessarily reflect the opinions or views of the funding and supporting agencies.

Conflict of Interest

The authors have no conflict of interest to disclose.

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Authors and Affiliations

  1. Huntsman Cancer Institute, University of Utah, Salt Lake City, USA

    Watcharaporn Boonyasiriwat Ph.D., Man Hung Ph.D., M.Stat., M.Ed., Lisa M. Pappas M.Stat., Randall W. Burt M.D. & Anita Y. Kinney Ph.D., R.N.

  2. Faculty of Psychology, Chulalongkorn University, 7th Fl. Borommaratchonnani Srisattapat Bldg., Rama 1 Rd., Patumwan, Bangkok, 10330, Thailand

    Watcharaporn Boonyasiriwat Ph.D.

  3. Department of Orthopaedic Surgery Operations, University of Utah, Salt Lake City, USA

    Man Hung Ph.D., M.Stat., M.Ed. & Shirley D. Hon B.S.

  4. University of Utah College of Computer & Electrical Engineering, Salt Lake City, USA

    Shirley D. Hon B.S.

  5. School of Medicine, University of Utah, Salt Lake City, USA

    Philip Tang B.S.

  6. Touro University California College of Osteopathic Medicine, Vallejo, USA

    Philip Tang B.S.

  7. Division of Gastroenterology, Department of Medicine, School of Medicine, University of Utah, Salt Lake City, USA

    Randall W. Burt M.D.

  8. Department of Oncology, Cancer Prevention and Control Program, Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC, USA

    Marc D. Schwartz Ph.D.

  9. Division of Epidemiology, Department of Internal Medicine, School of Medicine, University of Utah, Salt Lake City, USA

    Antoinette M. Stroup Ph.D. & Anita Y. Kinney Ph.D., R.N.

  10. Division of Epidemiology, Department of Medicine, School of Medicine, University of Utah, Salt Lake City, USA

    Man Hung Ph.D., M.Stat., M.Ed.

  11. Division of Epidemiology, Department of Internal Medicine, University of New Mexico and University of New Mexico Cancer Center, Albuquerque, NM, USA

    Anita Y. Kinney Ph.D., R.N.

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  1. Watcharaporn Boonyasiriwat Ph.D.
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  2. Man Hung Ph.D., M.Stat., M.Ed.
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Correspondence to Watcharaporn Boonyasiriwat Ph.D..

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Boonyasiriwat, W., Hung, M., Hon, S.D. et al. Intention to Undergo Colonoscopy Screening Among Relatives of Colorectal Cancer Cases: a Theory-Based Model. ann. behav. med. 47, 280–291 (2014). https://doi.org/10.1007/s12160-013-9562-y

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