Clinical and psychosocial variables associated with behavioral intentions to undergo surveillance endoscopy

摘要: Many patients with Barrett’s esophagus do not adhere to guideline-recommended endoscopic surveillance. Among patient factors related cancer prevention behaviors, patients’ stated behavioral intention is a strong predictor of behavior performance. Little known about the associated having pursue surveillance endoscopy. This study explores association clinical and psychosocial variables endoscopy among Esophagus no or low-grade dysplasia. Potential subjects were screened using electronic medical records regional Veterans Affairs Medical Center pathologically confirmed registry. Eligible participants recruited by mailer phone call completed questionnaire measure six distinct factors, their undergo endoscopy, various demographic variables. Univariate multivariate linear regression identified relation each One-hundred one consented returned surveys. The analytical sample for this consists 94% surveys complete responses items. Three domains statistically significant predictors in both univariate adjusted analysis (salience/coherence β = 0.59, 95% CI = 0.45-0.76, P <0.01; self-efficacy β = 0.30, CI = 0.10-0.51, social influence β = 0.20, CI = 0.08-0.33, <0.01). In only salience/coherence (β = 0.65, CI = 0.42-0.88, <0.01) remained intention. established validity scale intentions Results demonstrate importance assessing self-efficacy, influences, bottom-line belief value when evaluating patient’s likelihood completing