Background
Methods
Design
Data Source
Participants
Recruitment
Measures
Outcome measures
Demographic characteristics
Psychological variables
Mapping psychological items onto the COM-B (Capability, Opportunity, Motivation and Behaviour) model
Capability |
---|
‘I feel there is enough training about how to talk to patients/ customers about cancer in general’ |
‘I feel there is enough training about how to spot potential signs and symptoms of cancer’ |
‘I feel confident in making appropriate referrals for potential signs and symptoms of cancer’ |
‘I feel I have the knowledge to spot potential signs and symptoms of cancer’ |
Opportunity |
‘I feel I have the time to discuss and carry out necessary examinations to spot potential signs and symptoms of cancer |
Motivation |
‘It’s part of my role to spot potential signs and symptoms of cancer’ |
‘I believe I can positively influence my patients’ cancer outcomes’ |
Capability |
---|
‘I feel I have the skills to help people make an informed decision about participating in bowel cancer screening’ |
‘I feel I have the knowledge to help people make an informed decision about participating in Bowel cancer screening’ |
‘I feel confident helping people make an informed decision about participating in Bowel cancer screening’ |
‘There is enough training available about how I can counsel people about the benefits and risks of participating in bowel cancer screening’ |
Opportunity |
‘I feel I have the time to help people make an informed decision about participating in bowel cancer screening’ |
Motivation |
‘I would like to take a more active role in helping people make an informed decision about participating in Bowel cancer screening’ |
Missing data
Quality control
Patient and public involvement
Statistical analyses
Results
Factor analysis of COM-B items for encouraging patients to spot and respond to potential warning signs of cancer
Factor analysis of COM-B items for encouraging patients to spot and respond to potential warning signs of cancer
Sample characteristics
n (%) | |
---|---|
Sex | |
Male | 271 (67.8) |
Female | 129 (32.2) |
Ethnicity | |
White British/Irish/Other | 208 (52.0) |
Any other ethnic group | 43 (48.0) |
Region | |
England | 337 (84.2) |
Devolved nations of the UK: Northern Ireland, Scotland, Wales | 63 (15.8) |
Number of years qualified, Mean (SD) | |
Number of years (Continuous) | 19.84 (10.6) |
Age, Mean (SD) | |
Number of years (Continuous) | 43.30 (10.0) |
Analysis
Encourage people to spot and/ or respond to potential signs and symptoms of cancer
Never/Rarely (n = 69) | Occasionally/Frequently/Always (n = 331) | Adjusted OR (95%CI) | |
---|---|---|---|
Demographic factors | |||
Sex n (%) | |||
Male | 55 (20.3) | 216 (79.7) | 1.00 |
Female | 14 (10.9) | 115 (89.1) | 3.20 (1.51, 6.81)** |
Ethnicity, n (%) | |||
White British/Irish/Other | 27 (13.0) | 181 (87.0) | 1.00 |
Other + Black + Chinese | 42 (21.9) | 150 (78.1) | 0.80 (0.40, 1.58) |
Region, n (%) | |||
England | 59 (17.5) | 278 (82.5) | 1.00 |
Devolved nations of the UK: Northern Ireland, Scotland, Wales | 10 (15.9) | 53 (84.1) | 1.10 (0.43, 2.82) |
Age, Mean (SD) | |||
Years (Continuous) | 42.2 (9.9) | 43.5 (10.0) | 0.96 (0.86, 1.06) |
Number of years qualified, Mean (SD) | |||
Years (Continuous) | 18.2 (10.1) | 20.2 (10.7) | 1.08 (0.98, 1.20) |
COM-B factors, Mean (SD) | |||
Capability (4 – 20) | 9.2 (3.2) | 12.1 (3.2) | 1.06 (0.92, 1.21) |
Opportunity (1 – 5) | 2.0 (0.9) | 2.8 (1.4) | 1.72 (1.12, 2.64)* |
Motivation (2 – 10) | 5.7 (1.7) | 2.6 (1.1) | 1.76 (1.37, 2.27)*** |
R2 = 0.34 |
Help people make an informed decision about participating in screening for bowel cancer
Never/Rarely (n = 197) | Occasionally/Frequently/Always (n = 203) | Adjusted OR (95%CI) | |
---|---|---|---|
Demographic factors | |||
Sex n (%) | |||
Male | 137 (50.6 | 134 (49.4) | 1.00 |
Female | 60 (46.5) | 69 (53.5) | 1.39 (0.82, 2.35) |
Ethnicity, n (%) | |||
White British/Irish/Other | 98 (47.1) | 110 (52.9) | 1.00 |
Any other ethnicity | 99 (51.6) | 93 (48.4) | 0.90 (0.53, 1.53) |
Region, n (%) | |||
England | 167 (49.6) | 170 (50.4) | 1.00 |
Devolved nations of the UK: Northern Ireland, Scotland, Wales | 30 (47.6) | 33 (52.4) | 1.19 (0.59, 2.44) |
Age, Mean (SD) | |||
Years (Continuous) | 42.2 (9.5) | 44.4 (10.5) | 0.95 (0.86, 1.04) |
Number of years qualified, Mean (SD) | |||
Years (Continuous) | 18.1 (10.1) | 21.1 (10.9) | 1.07 (0.98, 1.17) |
COM-B factors, Mean (SD) | |||
Capability (4 – 20) | 10.0 (3.2) | 13.7 (2.8) | 1.39 (1.26, 1.52)*** |
Opportunity (1 – 5) | 2.4 (1.0) | 3.2 (1.0) | 1.44 (1.11, 1.87)** |
Motivation (1 – 5) | 3.4 (1.0) | 4.1 (0.8) | 1.45 (1.05, 2.00)* |
R2 = 0.41 |