How sharp can a screening tool be? A qualitative study of patients' experience of completing a bowel cancer screening questionnaire.
BACKGROUND
There is evidence to suggest that the Patient Consultation Questionnaire (PCQ) is a reliable tool to predict symptomatic left-sided colorectal cancer. While previous research has examined the sensitivity and specificity of the PCQ as a tool, it has not addressed patients' perspectives.


OBJECTIVE
To examine qualitatively patients' perspectives on ease of use of the PCQ, and their attitude to completing it.


METHODS
The target population were patients in North Wales between 55 and 85 years with colorectal symptoms who had completed the PCQ. A sample of six was randomly selected. The approach was qualitative, using semi-structured, in-depth cognitive interviews, which were recorded and transcribed before content and thematic analysis.


RESULTS
The study found some areas of concern in relation to the PCQ's design and presentation, concerning such issues as the use of medical jargon or ambiguous wording, and the use of questions to which patients may not have an answer. It also found that patients responded to the form as something more than a screening tool, treating it variously as way of speeding up diagnosis and treatment, an opportunity to 'play the system', and a way of bypassing embarrassing encounters.


CONCLUSIONS
Although major problems were not identified, the minor issues observed in the PCQ's design and presentation may reduce accuracy and patient satisfaction. A greater understanding of patients' perception of the role and function of the PCQ may help clinicians to interpret responses to the form more accurately.
Pugh
Wendy
W
North Wales, North West Wales NHS Trust.
Porter
Alison M
AM
D000368:Aged; D000369:Aged, 80 and over; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000523:psychology*; D055088:Early Detection of Cancer / Q000295:instrumentation* / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D057220:Health Literacy; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D011795:Surveys and Questionnaires; D014852:Wales