Journal article
Patients' Difficulties with Five Different Fecal Immunochemical Tests
Journal of the American Board of Family Medicine, Vol.37(6), pp.1014-1026
11/2024
DOI: 10.3122/jabfm.2023.230469R1
PMID: 40118555
Abstract
At least 26 different fecal immunochemical tests (FITs) are available for use in the US. Liquid vial and card collection devices are available.
1) assess participant's difficulties with and preferences for types of FITs; 2) assess whether errors in FIT collection were associated with FIT collection difficulty; 3) identify factors associated with difficulty with FIT stool collection.
Prospective individuals scheduled for a colonoscopy were invited to participate in a study comparing test characteristics of 5 FITs. A product questionnaire asked participants about ease of collection and difficulties.
2,148 participants; mean age 63 years; 63% females, 83% Whites, and 19% Hispanics. 1265 (61%) preferred use of a liquid vial versus 181 (9%) the card. 49% had no difficulty with Hemoccult ICT, and 66 to 70% had no difficulty with the liquid vials. Difficulties with Hemoccult ICT included: being messy (21%), collection window too small (19%), and getting sample on stick (8%). Difficulties with the liquid vials included difficulty probing or scraping the stool (5% to 8%) and unclear directions (3%). In a multivariable model, the perceived difficulty in FIT collection was significantly higher for Hemoccult ICT compared with OC-Auto Micro (adjusted odds ratio [AOR], 4.05), and it was significantly high for those with a FIT error (AOR, 3.90).
Participants strongly preferred a liquid vial compared with a card. Perceived difficulty was significantly associated with FIT errors and with FIT brand. Medical offices providing FITs should ensure that patients understand the task of FIT collection, so that errors are minimized.
Details
- Title: Subtitle
- Patients' Difficulties with Five Different Fecal Immunochemical Tests
- Creators
- Jeanette M Daly - University of IowaYinghui Xu - University of IowaBarcey T Levy - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Journal of the American Board of Family Medicine, Vol.37(6), pp.1014-1026
- Publisher
- AMER BOARD FAMILY MEDICINE
- DOI
- 10.3122/jabfm.2023.230469R1
- PMID
- 40118555
- ISSN
- 1558-7118
- eISSN
- 1558-7118
- Grant note
- National Institutes of Health, National Cancer Institute: R01 CA215034, P30 CA086862 National Center For Advancing Translational Sciences of the National Institutes of Health: UL1TR002537
Research reported in this publication was supported by the National Institutes of Health, National Cancer Institute R01 CA215034 (BT Levy, PI), the National Center For Advancing Translational Sciences of the National Institutes of Health under Award Number UL1TR002537 (P Winokur, PI), and the National Institutes of Health, National Cancer Institute P30 CA086862 (G Weiner, PI). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- Language
- English
- Date published
- 11/2024
- Academic Unit
- Epidemiology; Family and Community Medicine
- Record Identifier
- 9984801843102771
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