An Interventional Study to Improve Colorectal Cancer Screening Knowledge and Health Perceptions among Jordanians' Average Risk Population

Abstract

Context: Globally, Colorectal Cancer (CRC) is the second most commonly occurring cancer in women and the third most commonly occurring cancer in men. Aims: This study was conducted to investigate the current levels of Jordanians' CRC knowledge and health perceptions; and to test the effects of a health education intervention on them. Settings and Design: A descriptive quasi-experimental design was used to recruit a convenience sample of 197 Jordanian adult participants from two governmental hospitals in Amman. Methods and Material: A rolling enrolment strategy was used to randomly assign participants into intervention (n=98) and control (n=99) groups. An education intervention included a 1-hour Power Point presentation about CRC. Results: The mean knowledge scores were (6.51±1.60) and (6.91± 1.83) for females and males, respectively. The mean of the knowledge level in the intervention group subsequent to the intervention was significantly higher than that for the control group. More than half of the study participants (53.8%) did not believe they were susceptible to CRC, while about one third (37.4%) of the participants believed that CRC is a severe disease. 42.2% of study participants believed there were barriers preventing them from participating in CRC screening. The most frequently perceived barrier among them was the cost of screening tests. The means of the perceived susceptibility and severity subscales of the intervention group was significantly higher than that of the control group. Conclusion: Correcting the knowledge gap and improper health perceptions toward CRC could play an important role in facilitating early detection as a primary prevention measure. Findings may enhance health strategies to better address the needs of the average-risk population.

Effects of a health education intervention on knowledge and attitudes towards chronic non‐communicable diseases among undergraduate students in Jordan

“…Students’ knowledge regarding risk factors, symptoms and screenings of different types of cancer improved significantly after the HPC, which is consistent with previous findings (Abuadas & Abuadas, 2020; Alkhasawneh et al., 2017; Ouyang & Hu, 2014). Similarly, a Jordanian study found that the BC educational programme, using various teaching methods, was effective in improving university students’ knowledge regarding BC, its warning signs and risk factors (Alsaraireh & Darawad, 2019).…”

The effect of educational intervention based on theory of planned behavior on the improvement of colorectal cancer screening intention among average-risk individuals referring to Asadabad city clinics

“…), absence of more than two sessions in educational sessions, and migration during the study. According to a similar study conducted by Abuadas et al .,[ 20 ] 95% confidence interval, power of 90%, with probability of loss of 20% of samples, and using the following formula, the samples were determined 50 for each group.…”

Translation, Trans-Cultural Adaptation to Arabic, and Psychometric Testing of a Questionnaire Measuring Colorectal Cancer Knowledge, Perceptions, and Screening Practices among Average-Risk Population

“…Many research studies have been conducted to understand the individuals 'CRC health beliefs and their screening practices in a different population (Omran and Ismail, 2010;Christou and Thompson, 2012;Ahmad, 2014;Ahmad et al, 2015;Almadi et al, 2015;Alsanea et al, 2015;Abuadas and Abuadas, 2019;Al-Hajeili et al, 2019). A reliable and valid instrument is necessary to recognize and understand such health beliefs.…”

“…Screening is essential in the prevention process, as it could reduce the incidence of CRC and increase the likelihood of survival (AmericanCancerSociety, 2018). Despite the effectiveness of CRC screening and the availability of CRC screening tests, overall screening rates are low, and the pace of screening progression is slow (Bidouei et al, 2014;Ferlay et al, 2014;Reyes and Miranda, 2015;Bray et al, 2018;Abuadas and Abuadas, 2019). Several studies were conducted to improve understanding of the barriers that maintain low colorectal cancer screening Editorial Process: Submission:02/15/2021 Acceptance:05/10/2021 rates (Bidouei et al, 2014;Almadi et al, 2015;Reyes and Miranda, 2015;Abuadas et al, 2018;Abuadas and Abuadas, 2019;Al-Hajeili et al, 2019).…”

“…The perception of CRC risk in the broad community is highly important in ensuring a strong tendency toward screening and prevention. In several studies, most participants perceived themselves as good physically and believed that CRC screening was unnecessary (Bidouei et al, 2014;Almadi et al, 2015;Reyes and Miranda, 2015;Abuadas et al, 2018;Abuadas and Abuadas, 2019;Al-Hajeili et al, 2019).…”