An interview-based study of non-attendance at screening for cardiovascular diseases and diabetes in elderly women: Non-attendees perspectives.

Marie Dahl Thomsen (Ph.d Studerende, Jes Lindholt (hovedvejleder), Rikke Søgaard (medvejleder), Lars Frost (Medvejleder), Lene Søndergård Andersen, Vibeke Lorentzen

Research output: Contribution to journalJournal articleResearchpeer-review

Abstract

AIMS AND OBJECTIVES:
This study explored non-attendees' perspectives on a screening program for cardiovascular disease (CVD) and diabetes mellitus (DM) among women aged 60-77 years.
BACKGROUND:
Non-attendance in screening is a common concern and has been associated with increased morbidity and mortality. Whether non-attendees need targeted information to participate in screening is unknown. Thus, it is important to explore the reasons for non-attendance, particularly as non-attendees' perspectives have not been fully explored.
DESIGN:
AN INTERVIEW STUDY: METHODS: The data were obtained through semi-structured interviews with 10 women sampled from a population who declined to participate in a women's screening program for CVD and DM. Additionally, reflective notes on the interview context were documented. The data were collected in 2013. Kvale and Brinkmann's method for data analysis was applied.
RESULTS:
All informants found the screening offer personally irrelevant, but this belief was changeable. The informants' perceptions of screening were based on subjective health and risk beliefs, personal knowledge of diseases and the screening program, and distrust in the healthcare system.
CONCLUSION:
Personal experiences, beliefs, and self-protective strategies influence individuals' subjective interpretations of a screening program's relevance. The perception that screening is irrelevant seems to be rooted in non-attendees' personal health-related assessment and knowledge. Consequently, whether non-attendance is determined by an informed decision is questionable. Negative experiences with the healthcare system led to hesitation toward screening in general.
RELEVANCE TO CLINICAL PRACTICE:
This study is relevant to healthcare workers as well as decision makers from a screening and preventive perspective. The findings highlight important issues that should be addressed to encourage invitees to accept screening invitations and to facilitate informed decision making about screening participation. This article is protected by copyright. All rights reserved.
Original languageEnglish
JournalJournal of Clinical Nursing
Volume27
Issue number5-6
Pages (from-to)939-948
Number of pages9
ISSN0962-1067
DOIs
Publication statusPublished - 2017

Keywords

  • disease, health science and nursing
  • Cardiovascular Diseases
  • Screening
  • diabetes
  • interviews
  • non-attendance
  • patient experience
  • qualitative study

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