Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation
Recent evidence suggests that faecal immunochemical testing (FIT) can rule out colorectal cancer (CRC) in symptomatic adults. To date, there has been little research exploring experiences of FIT for this population. To explore patient experience and satisfaction with FIT in an 'early adopter�...
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| Veröffentlicht in: | British journal of general practice 2023-02, Vol.73 (727), p.e104-e114 |
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| container_title | British journal of general practice |
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| creator | Gil, Natalie Su, Helen Kaur, Kirandeep Barnett, Michael Murray, Anna Duffy, Stephen von Wagner, Christian Kerrison, Robert S |
| description | Recent evidence suggests that faecal immunochemical testing (FIT) can rule out colorectal cancer (CRC) in symptomatic adults. To date, there has been little research exploring experiences of FIT for this population.
To explore patient experience and satisfaction with FIT in an 'early adopter' site in England.
Explanatory sequential mixed-methods approach combining mailed quantitative surveys with semi-structured telephone interviews.
Multivariate logistic regression was used to analyse quantitative data. Thematic analysis was used to assess qualitative transcripts.
The survey had 260 responders, and it found that satisfaction with FIT was high (88.7%). Compared with test satisfaction, the proportion of responders satisfied with their GP consultation and how they received their results was lower (74.4% and 76.2%, respectively). Multivariate analysis showed that increased area-level deprivation and not receiving an explanation of the purpose of the test were associated with lower satisfaction with the GP consultation (both
-values |
| doi_str_mv | 10.3399/BJGP.2022.0241 |
| format | Article |
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To explore patient experience and satisfaction with FIT in an 'early adopter' site in England.
Explanatory sequential mixed-methods approach combining mailed quantitative surveys with semi-structured telephone interviews.
Multivariate logistic regression was used to analyse quantitative data. Thematic analysis was used to assess qualitative transcripts.
The survey had 260 responders, and it found that satisfaction with FIT was high (88.7%). Compared with test satisfaction, the proportion of responders satisfied with their GP consultation and how they received their results was lower (74.4% and 76.2%, respectively). Multivariate analysis showed that increased area-level deprivation and not receiving an explanation of the purpose of the test were associated with lower satisfaction with the GP consultation (both
-values <0.05), while increased area-level deprivation and not receiving results from the GP were associated with lower satisfaction with receiving results (both
-values <0.05). Interviews with responders (
= 20) helped explain the quantitative results. They revealed that 'not knowing the purpose of the test' caused 'anxiety' and 'confusion', which led to dissatisfaction. 'Not receiving results from GP' was considered 'unacceptable', as this left patients with a 'niggling doubt' and lack of diagnosis or assurance that they did not have cancer.
Patient satisfaction with symptomatic FIT is high. Efforts to improve satisfaction should focus on ensuring that patients understand the purpose of the test and always receive their test results.</description><identifier>ISSN: 0960-1643</identifier><identifier>EISSN: 1478-5242</identifier><identifier>DOI: 10.3399/BJGP.2022.0241</identifier><identifier>PMID: 36702594</identifier><language>eng</language><publisher>England: Royal College of General Practitioners</publisher><subject>Adult ; Colorectal cancer ; Colorectal Neoplasms - diagnosis ; Early Detection of Cancer - methods ; England ; Feces - chemistry ; Hemoglobins - analysis ; Humans ; Medical diagnosis ; Medical screening ; Mixed methods research ; Occult Blood ; Patient Outcome Assessment ; Patient Satisfaction ; Patients ; Quality of care ; Sensitivity and Specificity</subject><ispartof>British journal of general practice, 2023-02, Vol.73 (727), p.e104-e114</ispartof><rights>The Authors.</rights><rights>Copyright Royal College of General Practitioners Feb 2023</rights><rights>The Authors 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c418t-dba2dde15ed6a64172d2b6173815063f0eea47d453683c05e02086154f943aaf3</citedby><cites>FETCH-LOGICAL-c418t-dba2dde15ed6a64172d2b6173815063f0eea47d453683c05e02086154f943aaf3</cites><orcidid>0000-0003-3137-2870 ; 0000-0003-4901-7922 ; 0000-0002-8900-749X ; 0000-0002-7971-0691</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9888563/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9888563/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36702594$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gil, Natalie</creatorcontrib><creatorcontrib>Su, Helen</creatorcontrib><creatorcontrib>Kaur, Kirandeep</creatorcontrib><creatorcontrib>Barnett, Michael</creatorcontrib><creatorcontrib>Murray, Anna</creatorcontrib><creatorcontrib>Duffy, Stephen</creatorcontrib><creatorcontrib>von Wagner, Christian</creatorcontrib><creatorcontrib>Kerrison, Robert S</creatorcontrib><title>Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation</title><title>British journal of general practice</title><addtitle>Br J Gen Pract</addtitle><description>Recent evidence suggests that faecal immunochemical testing (FIT) can rule out colorectal cancer (CRC) in symptomatic adults. To date, there has been little research exploring experiences of FIT for this population.
To explore patient experience and satisfaction with FIT in an 'early adopter' site in England.
Explanatory sequential mixed-methods approach combining mailed quantitative surveys with semi-structured telephone interviews.
Multivariate logistic regression was used to analyse quantitative data. Thematic analysis was used to assess qualitative transcripts.
The survey had 260 responders, and it found that satisfaction with FIT was high (88.7%). Compared with test satisfaction, the proportion of responders satisfied with their GP consultation and how they received their results was lower (74.4% and 76.2%, respectively). Multivariate analysis showed that increased area-level deprivation and not receiving an explanation of the purpose of the test were associated with lower satisfaction with the GP consultation (both
-values <0.05), while increased area-level deprivation and not receiving results from the GP were associated with lower satisfaction with receiving results (both
-values <0.05). Interviews with responders (
= 20) helped explain the quantitative results. They revealed that 'not knowing the purpose of the test' caused 'anxiety' and 'confusion', which led to dissatisfaction. 'Not receiving results from GP' was considered 'unacceptable', as this left patients with a 'niggling doubt' and lack of diagnosis or assurance that they did not have cancer.
Patient satisfaction with symptomatic FIT is high. Efforts to improve satisfaction should focus on ensuring that patients understand the purpose of the test and always receive their test results.</description><subject>Adult</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - diagnosis</subject><subject>Early Detection of Cancer - methods</subject><subject>England</subject><subject>Feces - chemistry</subject><subject>Hemoglobins - analysis</subject><subject>Humans</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Mixed methods research</subject><subject>Occult Blood</subject><subject>Patient Outcome Assessment</subject><subject>Patient Satisfaction</subject><subject>Patients</subject><subject>Quality of care</subject><subject>Sensitivity and Specificity</subject><issn>0960-1643</issn><issn>1478-5242</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU9v1DAQxS0EotuFK0dkiQuXLP4XJ-GAVKpSQJXoAc6W1550XcXxYjul-wX43Ni0VMDJ9szPb-bpIfSCkg3nw_Dm_efzyw0jjG0IE_QRWlHR9U3LBHuMVmSQpKFS8CN0nNI1KZik5Ck64rIjrB3ECv281NnBnDHc7iGWmwGsZ4tTKadRm-zCjH-4vMPp4Pc5-FI3eNRg9ISd98sczA68q88MKbv56m0RqHKTnnUO8YATfF_KCFcQ727BNh7yLtiE4UZPi64jnqEno54SPL8_1-jbh7Ovpx-biy_nn05PLhojaJ8bu9XMWqAtWKmloB2zbCtpx3vaEslHAqBFZ0XLZc8NaYEw0kvainEQXOuRr9G7O939svVgTVkr6knto_M6HlTQTv3bmd1OXYUbNfR930peBF7fC8RQXKWsvEsGpmIWwpIU6zpCGSW_0Vf_oddhiXOxVynOeVc3X6PNHWViSCnC-LAMJapGrGrEqkasasTlw8u_LTzgfzLlvwBIJKWv</recordid><startdate>20230201</startdate><enddate>20230201</enddate><creator>Gil, Natalie</creator><creator>Su, Helen</creator><creator>Kaur, Kirandeep</creator><creator>Barnett, Michael</creator><creator>Murray, Anna</creator><creator>Duffy, Stephen</creator><creator>von Wagner, Christian</creator><creator>Kerrison, Robert S</creator><general>Royal College of General Practitioners</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-3137-2870</orcidid><orcidid>https://orcid.org/0000-0003-4901-7922</orcidid><orcidid>https://orcid.org/0000-0002-8900-749X</orcidid><orcidid>https://orcid.org/0000-0002-7971-0691</orcidid></search><sort><creationdate>20230201</creationdate><title>Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation</title><author>Gil, Natalie ; Su, Helen ; Kaur, Kirandeep ; Barnett, Michael ; Murray, Anna ; Duffy, Stephen ; von Wagner, Christian ; Kerrison, Robert S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c418t-dba2dde15ed6a64172d2b6173815063f0eea47d453683c05e02086154f943aaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - diagnosis</topic><topic>Early Detection of Cancer - methods</topic><topic>England</topic><topic>Feces - chemistry</topic><topic>Hemoglobins - analysis</topic><topic>Humans</topic><topic>Medical diagnosis</topic><topic>Medical screening</topic><topic>Mixed methods research</topic><topic>Occult Blood</topic><topic>Patient Outcome Assessment</topic><topic>Patient Satisfaction</topic><topic>Patients</topic><topic>Quality of care</topic><topic>Sensitivity and Specificity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gil, Natalie</creatorcontrib><creatorcontrib>Su, Helen</creatorcontrib><creatorcontrib>Kaur, Kirandeep</creatorcontrib><creatorcontrib>Barnett, Michael</creatorcontrib><creatorcontrib>Murray, Anna</creatorcontrib><creatorcontrib>Duffy, Stephen</creatorcontrib><creatorcontrib>von Wagner, Christian</creatorcontrib><creatorcontrib>Kerrison, Robert S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>British journal of general practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gil, Natalie</au><au>Su, Helen</au><au>Kaur, Kirandeep</au><au>Barnett, Michael</au><au>Murray, Anna</au><au>Duffy, Stephen</au><au>von Wagner, Christian</au><au>Kerrison, Robert S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation</atitle><jtitle>British journal of general practice</jtitle><addtitle>Br J Gen Pract</addtitle><date>2023-02-01</date><risdate>2023</risdate><volume>73</volume><issue>727</issue><spage>e104</spage><epage>e114</epage><pages>e104-e114</pages><issn>0960-1643</issn><eissn>1478-5242</eissn><abstract>Recent evidence suggests that faecal immunochemical testing (FIT) can rule out colorectal cancer (CRC) in symptomatic adults. To date, there has been little research exploring experiences of FIT for this population.
To explore patient experience and satisfaction with FIT in an 'early adopter' site in England.
Explanatory sequential mixed-methods approach combining mailed quantitative surveys with semi-structured telephone interviews.
Multivariate logistic regression was used to analyse quantitative data. Thematic analysis was used to assess qualitative transcripts.
The survey had 260 responders, and it found that satisfaction with FIT was high (88.7%). Compared with test satisfaction, the proportion of responders satisfied with their GP consultation and how they received their results was lower (74.4% and 76.2%, respectively). Multivariate analysis showed that increased area-level deprivation and not receiving an explanation of the purpose of the test were associated with lower satisfaction with the GP consultation (both
-values <0.05), while increased area-level deprivation and not receiving results from the GP were associated with lower satisfaction with receiving results (both
-values <0.05). Interviews with responders (
= 20) helped explain the quantitative results. They revealed that 'not knowing the purpose of the test' caused 'anxiety' and 'confusion', which led to dissatisfaction. 'Not receiving results from GP' was considered 'unacceptable', as this left patients with a 'niggling doubt' and lack of diagnosis or assurance that they did not have cancer.
Patient satisfaction with symptomatic FIT is high. Efforts to improve satisfaction should focus on ensuring that patients understand the purpose of the test and always receive their test results.</abstract><cop>England</cop><pub>Royal College of General Practitioners</pub><pmid>36702594</pmid><doi>10.3399/BJGP.2022.0241</doi><orcidid>https://orcid.org/0000-0003-3137-2870</orcidid><orcidid>https://orcid.org/0000-0003-4901-7922</orcidid><orcidid>https://orcid.org/0000-0002-8900-749X</orcidid><orcidid>https://orcid.org/0000-0002-7971-0691</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | British journal of general practice, 2023-02, Vol.73 (727), p.e104-e114 |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection |
| subjects | Adult Colorectal cancer Colorectal Neoplasms - diagnosis Early Detection of Cancer - methods England Feces - chemistry Hemoglobins - analysis Humans Medical diagnosis Medical screening Mixed methods research Occult Blood Patient Outcome Assessment Patient Satisfaction Patients Quality of care Sensitivity and Specificity |
| title | Patient experience and satisfaction with symptomatic faecal immunochemical testing: an explanatory sequential mixed-methods evaluation |
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