Who does not get screened? A simple model of the complex relationships in mammogram non-attendance

Sen, Celia K. Naivar; Kumkale, G. Tarcan

doi:10.1177/1359105315587138

Cited by 9 publications

(29 citation statements)

References 38 publications

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“…For example, Schwartz [46] showed that increased conscientiousness was marginally significantly associated with mammogram utilization (OR = 0.74, 95% CI: 0.21-2.56). Another study [47] showed that increased conscientiousness was associated with mammogram attendance (OR = 2.13, 95% CI: 1.23-3.69). Similar findings were made by Pandhi et al [45].…”

Section: Conscientiousness and Use Of Cancer Screeningsmentioning

confidence: 99%

“…Moreover, no studies were excluded because they used an invalid tool to assess personality or cancer screening. In total, n = 11 studies were included in our final synthesis (total number of observations: n = 338,091) [20,21,[39][40][41][42][43][44][45][46][47]. The quality assessment of included studies is described in Table 2.…”

Section: Overview: Included Studiesmentioning

confidence: 99%

“…While Schwartz [46] only focused on conscientiousness (in the association with use of mammography), Sen [47] concentrated on conscientiousness and neuroticism (in the association with mammogram attendance), and Hill [43] only focused on neuroticism (in the association with the use of Pap test), the remaining eight studies included all five personality factors. Some studies focused on specific cancer screenings such as Pap test [40,42,43], mammography [45][46][47], gastric cancer screening [39] or bowel cancer screening [41], whereas other studies more generally investigated the link between personality factors and use of different cancer screening procedures [20,21,44]. Two of the eleven studies focused on screening barriers [40,42], both using a questionnaire (25 items) for Pap test barriers and self-sampling barriers (for example including questions such as "This type of screening is too time-consuming" or "This type of screening would be embarrassing for me").…”

Section: Overview: Included Studiesmentioning

confidence: 99%

“…There was also some variety in the outcome measures (cancer screenings). For example, while some studies (e.g., [46,47]) exclusively focused on the use of mammography, other studies more broadly examined the use of cancer screenings such as breast, cervical, prostate and colorectal cancer screening (e.g., [20]). The recall period for cancer screening ranged from twelve months [45,46] to lifetime [21,44].…”

Section: Plos Onementioning

confidence: 99%

“…Future research is necessary to examine the link between personality factors and all sorts of cancer screening in further detail since the strength of the association between factors like conscientiousness and different sorts of cancer screenings may vary. The bulk of the evidence stems from cross-sectional studies, whereas only two longitudinal studies [44,47] have been identified. Therefore, we strongly recommend future studies based on longitudinal data to confirm the existing findings.…”

Section: Plos Onementioning

confidence: 99%

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Personality and the use of cancer screenings. A systematic review

2020

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Background No systematic review exists synthesizing studies examining the association between personality factors and use of cancer screenings. Hence, the aim of this systematic review is to provide an overview of empirical findings from observational studies investigating the link between personality factors (in terms of agreeableness, conscientiousness, extraversion, neuroticism and openness to experience) and use of cancer screenings. Methods Medline, PsycInfo and CINAHL were searched using predefined search terms. Observational studies examining the link between personality factors and use of cancer screenings using validated tools were included. Study selection, data extraction, and quality assessment were performed by two reviewers. Results In total, n = 11 studies were included in our systematic review. There is mostly inconclusive evidence regarding the link between agreeableness, neuroticism, openness to experience and the use of cancer screenings. Clearer evidence was identified for an association between increased extraversion and an increased use of cancer screenings. Moreover, the majority of studies identified a link between increased conscientiousness and an increased use of cancer screenings. Discussion Studies indicate that personality factors, particularly an increased extraversion and increased conscientiousness, are associated with an increased use of cancer screenings. This knowledge may be beneficial to address individuals at risk for underuse. PROSPERO registration number CRD42020176830

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Section: Conscientiousness and Use Of Cancer Screeningsmentioning

confidence: 99%

Section: Overview: Included Studiesmentioning

confidence: 99%

Section: Overview: Included Studiesmentioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

Section: Plos Onementioning

confidence: 99%

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Personality and the use of cancer screenings. A systematic review

2020

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Was motiviert Frauen zur Teilnahme am Mammographiescreening? Ergebnisse einer qualitativen Analyse von Interviews

et al. 2023

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Zusammenfassung Einleitung Die Teilnahmerate am Mammographiescreening beträgt derzeit ca. 49 %. Über die Gründe für Frauen, am Screening teilzunehmen, ist bisher zu wenig bekannt. Material und Methoden Für eine qualitative Studie wurden aus den Teilnehmerinnen einer Fragebogenstudie zum Einfluss verschiedener Informationsbroschüren auf die Teilnahmebereitschaft 8 Frauen für Interviews ausgewählt. Die Frauen wurden nach den Kriterien Teilnahmebereitschaft (6 ja, 2 nein), Bildung (6 hoch, 2 niedrig) und Entscheidungssicherheit (6 hoch, 2 niedrig) ausgewählt und im Jahr 2014 in problemzentrierten Einzelinterviews befragt. Sequenzen der Interviewtranskripte wurden in multidisziplinären Teams inhaltsanalytisch ausgewertet. Ergebnisse Alle interviewten Frauen hatten Mammographieerfahrung. Es wurden übergreifende Themen in sechs Kategorien identifiziert: Pflichtgefühl, Autonomie, Zweifel, Unsicherheit, Arzt/Ärztin, Institution. Die Frauen sahen in der Screeningteilnahme die Chance, einer möglichen Bedrohung durch Brustkrebs zu entgehen. Erfahrungen mit Brustkrebs im Umfeld beeinflussten ihre Entscheidung. Einer selbstverantwortlichen Entscheidungsbildung wurde ein hoher Stellenwert zugesprochen, andererseits folgten sie dem Rat ihres Arztes/ihrer Ärztin. Bei der Durchführung des Screenings fühlten sie sich einer unpersönlichen und schmerzhaften Maschinerie ausgesetzt. Schlussfolgerungen Frauen treffen ihre Entscheidung, am Screening teilzunehmen oder nicht, eher auf der emotionalen Ebene. Um ihnen eine informierte Entscheidung zu ermöglichen, sollten in einem ärztlichen Gespräch neben sachlichen Informationen ihre Vorstellungen und Erfahrungen in Bezug auf das Mammographiescreening ergebnisoffen besprochen werden.

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Motivation, Challenges and Self-Regulation in Heart Failure Self-Care: a Theory-Driven Qualitative Study

2019

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Background Self-care behaviours are crucial in reducing chronic heart failure (HF) morbidity and mortality but performance remains poor worldwide. This study draws on Temporal Self-regulation Theory (TST) to explore participants' motivations, challenges and personalised self-regulation strategies to enhance self-care. Method Seventeen HF patients were purposively sampled and recruited from outpatient and inpatient settings at a Singaporean tertiary hospital from December 2017 to March 2018. Unstructured face-to-face interviews were conducted. Data were analysed using thematic analysis with constant comparison. Results Five themes emerged. Self-care motivations were (1) consideration of family's future and (2) consideration of own past, while demotivation was (3) fatalistic consideration of own future. Barriers of behaviour change were (4) difficulty adopting physical activity and (5) difficulty deviating from personal dietary habits and sociocultural dietary norms. Personalised strategies to overcome these challenges were described in the 12 subthemes that emerged. Themes were well-fitted into the TST-(1-3) corresponded to time perspective, (4-5) corresponds to behaviour prepotency and the subthemes corresponded to self-regulatory capacity. Motivation could be enhanced by stimulating considerations of one's past regrets, family's future well-being and reallife success stories to instil hope. Clinicians and case managers could enhance self-regulation by empowering patients with tactical and situational skills to develop personalised plans to improve lifestyle habits and strategies to resist temptations. Conclusion Future person-centred self-care interventions could be tailored according to the study findings. Better self-care could improve patient outcomes, reduce rehospitalisation and alleviate global healthcare burden. Findings could be generalised to healthy populations as primary prevention.

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Who does not get screened? A simple model of the complex relationships in mammogram non-attendance

Cited by 9 publications

References 38 publications

Personality and the use of cancer screenings. A systematic review

Personality and the use of cancer screenings. A systematic review

Was motiviert Frauen zur Teilnahme am Mammographiescreening? Ergebnisse einer qualitativen Analyse von Interviews

Motivation, Challenges and Self-Regulation in Heart Failure Self-Care: a Theory-Driven Qualitative Study

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