Table 3 Stages of Change, Kin (N = 9)
Pt ID, Gender | Relative w/ CRC | Current Age | Time Since PB dx | Ready to Take Action? | GP Letter? | Stage of Change | Beliefs about Colonoscopy | Key Barriers to Colonoscopy |
|---|---|---|---|---|---|---|---|---|
Kin#8, Female | Brother | 52 | 2.5 yrs | Noc | Yes | PRE-CONT | − Not a pleasant procedure − Requires extensive preparation − Similar to pap smear − Preventative | − GP recommended stool test based on age (> 50) − Negative beliefs about colonoscopy − Spouse had bad experience − Misinformation (no need for colonoscopy b/c asymptomatic) |
Kin#9, Male | Sister | 44 | 3 yrs | No | No | PRE-CONT | − Not worried about procedure − Preventative BUT − Ignorance is bliss | − No GP − Lack of info/unsure where to find reputable info − Desire for more info on risk − No motivation (self-described laziness) |
Kin#14, Female | Mother | 42 | 4 yrs | No | Yes | PRE-CONT | − Preparation “often worse than procedure itself” − Preventative | − HCPs have not recommended colonoscopy (mother did) − Scheduling − Negative beliefs about colonoscopy − Misinformation (no need for colonoscopy b/c asymptomatic) − Privacy concerns |
Kin#19, Female | Son | 83 | 4 yrs | No | No | PRE-CONT | − Not convinced it is necessary − Not appealing (enema) − Risks do not outweigh benefits | − HCPs have not recommended colonoscopy − Perceived risk is low (“generation removed”) − Negative beliefs about colonoscopy |
Kin#25, Female | Sister | 54 | 4 yrs | Noc | Yes | PRE-CONT | − Stool test first − Preparation unappealing: drink beforehand “biggest reason” for not undergoing | − GP recommended stool test based on age (> 50) − BUT “if [GP] told me I had to do it, I would do it.” − Misinformation (stool test sufficient) − Mimicking screening behaviors of FDRs − Desire for more info on risk − Negative beliefs about colonoscopy |
Kin#2, Male | Father | 41 | 4.5 yrs | Maybe | Yes | CONT | − Preventative − Colonoscopy “on the radar”, needs to do it | − Fear of CRC − Scheduling (previously in PREP stage) − Practical (i.e. bad weather) − GP not informed of risk/family history |
Kin#18, Female | Brother | 53 | 1.5 yrs | Maybea | No | CONT | − Preventative BUT − Big time commitment (preparation and recovery) − High priority, keeps thinking about it | − Scheduling − Does not understand risk and desires more specific info |
Kin#1, Male | Daughter | 65 | 4 yrs | Yes | Yes | PREP | − Proactive and part of a healthy lifestyle − Offers peace of mind − Preparation unappealing: drink beforehand | − Negative beliefs about colonoscopy preparation − Perceived risk on spouse’s side |
Kin#26, Male | Brother | 70 | 4 yrs. | Yesb | No | ACTION | − Preventative measure: removes polyps, can improve bowel function − Previously “disgusted” by idea of colonoscopy | − N/A |