Psychological, Behavioral, and Physical Outcomes Following Results of Benign Endoscopic Screening for Colorectal Cancer

2.50
Hdl Handle:
http://hdl.handle.net/10755/165704
Category:
Abstract
Type:
Presentation
Title:
Psychological, Behavioral, and Physical Outcomes Following Results of Benign Endoscopic Screening for Colorectal Cancer
Author(s):
Carpenter, Janet
Author Details:
Janet Carpenter, PhD, Assistant Professor, Vanderbilt University, School of Nursing, Nashville, Tennessee, USA, email: janet.s.carpenter@vanderbilt.edu
Abstract:
Topic/Problem: Recent research suggests cancer screening may be associated with significant negative psychological, behavioral, and/or physical outcomes even when no malignancy is detected. However, research to date has not evaluated outcomes associated with completion of colonoscopy or sigmoidoscopy for colorectal cancer screening. Thus, knowledge that is crucial for subsequent design and implementation of interventions to alleviate adverse outcomes of endoscopic screening is lacking. Purposes: Study purposes are to examine the feasibility of collecting data from patients who have recently completed colonoscopy and/or sigmoidoscopy as screening for colorectal cancer and identify acute psychological, physical, and behavioral outcomes of screening. Framework: This study is based on work by Andrykowski which suggests patients who experience psychological distress following receipt of a benign cancer screening test result are less likely to adhere to follow-up screening recommendations. Methods: Patients meeting inclusion criteria are contacted by telephone two weeks following completion of screening and asked for their willingness to complete a 30 minute telephone interview. Consenting patients are asked questions about demographics, cancer-related and general psychological distress (Lerman questionnaire, Centers for Epidemiologic Studies Depression scale, Profile of Mood States - Short Form, and Positive and Negative Affect Scale), the presence and severity of physical symptoms (Symptom Experience Report), and intentions to adhere to follow-up recommendations (investigator designed behavioral questionnaire). With the exception of the behavioral questionnaire, all measures have demonstrated reliability and validity. Data Analysis: Demographic data will be analyzed using frequencies and descriptive statistics. Comparisons using t-tests, chi-square, and/or ANOVA will be used to evaluate differential responses between those receiving "normal and benign" results (e.g., no pathological findings) and those receiving an "abnormal but benign" result (e.g., benign pathology). We hypothesize that those receiving abnormal benign results will experience more psychological and physical distress and be less likely to report intentions to adhere to follow-up screening. Implications: Results from this in-progress pilot study will demonstrate the feasibility of data collection and identify acute adverse psychological, physical, and behavioral outcomes associated with endoscopic screening.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2002
Conference Name:
27th Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Washington, D.C., USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePsychological, Behavioral, and Physical Outcomes Following Results of Benign Endoscopic Screening for Colorectal Canceren_GB
dc.contributor.authorCarpenter, Janeten_US
dc.author.detailsJanet Carpenter, PhD, Assistant Professor, Vanderbilt University, School of Nursing, Nashville, Tennessee, USA, email: janet.s.carpenter@vanderbilt.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/165704-
dc.description.abstractTopic/Problem: Recent research suggests cancer screening may be associated with significant negative psychological, behavioral, and/or physical outcomes even when no malignancy is detected. However, research to date has not evaluated outcomes associated with completion of colonoscopy or sigmoidoscopy for colorectal cancer screening. Thus, knowledge that is crucial for subsequent design and implementation of interventions to alleviate adverse outcomes of endoscopic screening is lacking. Purposes: Study purposes are to examine the feasibility of collecting data from patients who have recently completed colonoscopy and/or sigmoidoscopy as screening for colorectal cancer and identify acute psychological, physical, and behavioral outcomes of screening. Framework: This study is based on work by Andrykowski which suggests patients who experience psychological distress following receipt of a benign cancer screening test result are less likely to adhere to follow-up screening recommendations. Methods: Patients meeting inclusion criteria are contacted by telephone two weeks following completion of screening and asked for their willingness to complete a 30 minute telephone interview. Consenting patients are asked questions about demographics, cancer-related and general psychological distress (Lerman questionnaire, Centers for Epidemiologic Studies Depression scale, Profile of Mood States - Short Form, and Positive and Negative Affect Scale), the presence and severity of physical symptoms (Symptom Experience Report), and intentions to adhere to follow-up recommendations (investigator designed behavioral questionnaire). With the exception of the behavioral questionnaire, all measures have demonstrated reliability and validity. Data Analysis: Demographic data will be analyzed using frequencies and descriptive statistics. Comparisons using t-tests, chi-square, and/or ANOVA will be used to evaluate differential responses between those receiving "normal and benign" results (e.g., no pathological findings) and those receiving an "abnormal but benign" result (e.g., benign pathology). We hypothesize that those receiving abnormal benign results will experience more psychological and physical distress and be less likely to report intentions to adhere to follow-up screening. Implications: Results from this in-progress pilot study will demonstrate the feasibility of data collection and identify acute adverse psychological, physical, and behavioral outcomes associated with endoscopic screening.en_GB
dc.date.available2011-10-27T12:23:26Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:23:26Z-
dc.conference.date2002en_US
dc.conference.name27th Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationWashington, D.C., USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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