Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis
Background and objective: Organised prostate cancer (PCa) testing (OPT) was introduced in Sweden to gain knowledge in preparation for a potential national PCa screening programme. This study aims to explore men’s opinions regarding the OPT invitation letters and the attitudes influencing their decis...
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Elsevier
2025-01-01
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| Series: | European Urology Open Science |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666168324014381 |
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| author | Markus Arvendell Lottie Phillips Sara Delilovic Moa Backman Enelius Karin Olsson Anetta Bolejko Olof Akre Sigrid Carlsson Anne Richter Anna Lantz |
| author_facet | Markus Arvendell Lottie Phillips Sara Delilovic Moa Backman Enelius Karin Olsson Anetta Bolejko Olof Akre Sigrid Carlsson Anne Richter Anna Lantz |
| author_sort | Markus Arvendell |
| collection | DOAJ |
| description | Background and objective: Organised prostate cancer (PCa) testing (OPT) was introduced in Sweden to gain knowledge in preparation for a potential national PCa screening programme. This study aims to explore men’s opinions regarding the OPT invitation letters and the attitudes influencing their decision to participate in or decline OPT. Methods: We conducted semi-structured telephone interviews with 30 men (nine participants and 21 non-participants) from Stockholm County who received OPT invitations. We employed an abductive thematic analysis, a reflexive process of identifying theoretical explanations of emerging patterns, to identify themes in men’s responses. Key findings and limitations: Informants found the invitation letters informative and appreciated the screening opportunity, but suggested improvements regarding conciseness and clarity about the risks and benefits of testing. Barriers to participation included lack of time or motivation, fear of discovering illness, inaccessibility, and distrust of health care or medical procedures. Facilitators included a desire to confirm or rule out PCa, and taking advantage of the available screening opportunity. Limitations include the study’s single-county focus and a potential recall bias affecting responses. Conclusions and clinical implications: Men’s attitudes towards OPT participation are multifaceted. While men appreciate screening opportunities, practical considerations as well as personal and psychological factors influence their participation decisions. To improve informed decision-making, OPT communication should be clear about the benefits and risks, and accessibility and logistical challenges should be addressed. Enhancing understanding and reducing fears are essential for refining screening practices and aligning these with men’s needs. Patient summary: Men value the option for prostate cancer screening, but face barriers such as low motivation and fear of a cancer diagnosis. Clear communication could improve their understanding of screening and encourage informed decision-making regarding participation in organised prostate cancer testing. Improved accessibility to testing could enhance participant opportunity. |
| format | Article |
| id | doaj-art-0ea56fbd2f5947b69a143ce1670afb97 |
| institution | Kabale University |
| issn | 2666-1683 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | European Urology Open Science |
| spelling | doaj-art-0ea56fbd2f5947b69a143ce1670afb972025-01-17T04:52:24ZengElsevierEuropean Urology Open Science2666-16832025-01-0171156164Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic AnalysisMarkus Arvendell0Lottie Phillips1Sara Delilovic2Moa Backman Enelius3Karin Olsson4Anetta Bolejko5Olof Akre6Sigrid Carlsson7Anne Richter8Anna Lantz9Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Urology, Södersjukhuset, Stockholm, Sweden; Corresponding author. Department of Molecular Medicine and Surgery, Karolinska Institutet, Karolinska University Hospital, Solna (L1:00), SE-171 76 Stockholm, Sweden. Tel. +46 73 809 80 23.Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden; Department of Urology, Södersjukhuset, Stockholm, SwedenCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, SwedenCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, SwedenCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, SwedenDepartment of Translational Medicine, Lund University, Malmö, Sweden; Department of Medical Imaging and Physiology, Skåne University Hospital, Malmö, SwedenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, SwedenDepartments of Surgery (Urology Service) and Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, USA; Department of Urology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Department of Translational Medicine, Division of Urological Cancers, Medical Faculty, Lund University, Lund, SwedenCentre for Epidemiology and Community Medicine, Region Stockholm, Stockholm, Sweden; Department of Learning, Informatics, Management and Ethics, Karolinska Institutet, Stockholm, SwedenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, SwedenBackground and objective: Organised prostate cancer (PCa) testing (OPT) was introduced in Sweden to gain knowledge in preparation for a potential national PCa screening programme. This study aims to explore men’s opinions regarding the OPT invitation letters and the attitudes influencing their decision to participate in or decline OPT. Methods: We conducted semi-structured telephone interviews with 30 men (nine participants and 21 non-participants) from Stockholm County who received OPT invitations. We employed an abductive thematic analysis, a reflexive process of identifying theoretical explanations of emerging patterns, to identify themes in men’s responses. Key findings and limitations: Informants found the invitation letters informative and appreciated the screening opportunity, but suggested improvements regarding conciseness and clarity about the risks and benefits of testing. Barriers to participation included lack of time or motivation, fear of discovering illness, inaccessibility, and distrust of health care or medical procedures. Facilitators included a desire to confirm or rule out PCa, and taking advantage of the available screening opportunity. Limitations include the study’s single-county focus and a potential recall bias affecting responses. Conclusions and clinical implications: Men’s attitudes towards OPT participation are multifaceted. While men appreciate screening opportunities, practical considerations as well as personal and psychological factors influence their participation decisions. To improve informed decision-making, OPT communication should be clear about the benefits and risks, and accessibility and logistical challenges should be addressed. Enhancing understanding and reducing fears are essential for refining screening practices and aligning these with men’s needs. Patient summary: Men value the option for prostate cancer screening, but face barriers such as low motivation and fear of a cancer diagnosis. Clear communication could improve their understanding of screening and encourage informed decision-making regarding participation in organised prostate cancer testing. Improved accessibility to testing could enhance participant opportunity.http://www.sciencedirect.com/science/article/pii/S2666168324014381Prostate cancerOrganised testingAttitudesAbductive thematic analysisQualitative study |
| spellingShingle | Markus Arvendell Lottie Phillips Sara Delilovic Moa Backman Enelius Karin Olsson Anetta Bolejko Olof Akre Sigrid Carlsson Anne Richter Anna Lantz Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis European Urology Open Science Prostate cancer Organised testing Attitudes Abductive thematic analysis Qualitative study |
| title | Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis |
| title_full | Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis |
| title_fullStr | Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis |
| title_full_unstemmed | Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis |
| title_short | Men’s Attitudes Towards Participation in Organised Prostate Cancer Testing: An Abductive Thematic Analysis |
| title_sort | men s attitudes towards participation in organised prostate cancer testing an abductive thematic analysis |
| topic | Prostate cancer Organised testing Attitudes Abductive thematic analysis Qualitative study |
| url | http://www.sciencedirect.com/science/article/pii/S2666168324014381 |
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