Motivators of Inappropriate Ovarian Cancer Screening: A Survey of Women and Their Clinicians.

摘要: Abstract Background This study examined why women and doctors screen for ovarian cancer (OC) contrary to guidelines. Methods Surveys, based on the Theoretical Domains Framework, were sent in Kathleen Cuningham Foundation Consortium Research into Familial Breast Cancer family physicians gynecologists who organized their screening. Results Of 1264 women, 832 (65.8%) responded. In past 2 years, 126 (15.1%) had screened. Most of these (n = 101, 80.2%) would continue even if doctor told them it is ineffective. For key OC screening motivators operated domains social role goals (staying healthy family, 93.9%), emotion reinforcement (peace mind, 93.1%), beliefs about capabilities (tests are easy have, 91.9%). 531 clinicians 252 (47.5%) responded; a minority (family 45.8%, 16.7%) thought was useful. gynecologists, main environmental context (lack other options, 27.6%), (patient peace 17.2%; difficulty discontinuing screening, 13.8%). physicians,, strongest influence (women ask tests, 20.7%), (a chance tests will detect early, 16.4%), 13.8%), (no 11.2%). Conclusion Reasons mostly patient driven. Clinician knowledge practice discordant. Motivators encompass several domains, which could be targeted interventions reduce inappropriate screening.