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UNDER-SCREENING OF AVERAGE-RISK GROUPS (LOW AWARENESS (Language barrier…
UNDER-SCREENING OF AVERAGE-RISK GROUPS
LOW AWARENESS
Language barrier
Relevant to CALD especially
Brochure and kit are all in English
Website is in English, other languages option not immediately obvious
Educational/knowledge barriers
Lack of engagement with sources of info
Schools
GP clinics
Family/friends with awareness
Taboo topic in some cultures
Misconceptions about bowel cancer and the screening process
Cancer = death, so fearful of diagnosis and screening
The test infringes on personal privacy
Misunderstanding susceptibility
Not aware of severity/prevalence of bowel cancer
Statistics may come as a shock
Assumption that not having family history = safe
Assumption that not having lifestyle risk factors = safe
Cultural barrier
Taboo
Fatalistic attitude
'God's will'
Sense of shame
LOW UPTAKE
Accessibility of the test kit
Practical
Test is high maintenance
Two samples required
Sample needs to be kept cool
Refrigeration
Post office, not post box
Dropped off late in the day
The consent form is HUGE
Psychological
Disgust factor
It's poop
Cultural barriers
Laziness/ignorance is bliss
People, especially if working, are time-poor
Less of an issue with retired population
Poor communication
Micro
Poor communication at GP clinic
GP fails to personalise discussion
No follow-up appointment
Macro
Goes through Medicare/Dept of Veteran Affairs
Problems with out-of-date addresses, etc
Digital more interactive solution
Management at every step
Where does the data come from?
Text reminders
Poor promotion
Video tutorial is very long
Highest barrier to update occurs before first test
OTHER
Digitalised medical records