DEVELOPMENT OF COLORECTAL CANCER SCREENING MODEL IN NONG KI DISTRICT, BURIRAM PROVINCE: RESEARCH AND DEVELOPMENT.
Keywords:
Colorectal Cancer Screening, Research and Development, Community Participation, Primary Health Care System, Screening ModelAbstract
This research aimed to: 1) examine the current situation and analyze colorectal cancer screening systems, 2) develop a participatory management system for colorectal cancer screening, and 3) evaluate the effectiveness of the developed screening model. This study employed a research and development methodology incorporating community participation frameworks. The sample consisted of 297 peoples aged 50-70 years. Research instruments included questionnaires, in-depth interview guides, and focus group discussion protocols. Quantitative data were analyzed using descriptive and inferential statistics, while qualitative data underwent content analysis with descriptive narrative reporting.
The results revealed that: After implementing the model, the FIT TEST screening rate increased from 35.6% to 72.5%, the colonoscopy rate among those with positive FIT TEST results increased from 60.2% to 88.7%, and the proportion of colorectal cancer patients diagnosed at an early stage increased from 42.3% to 83.2%. The findings from this research is an effective colorectal cancer screening model that can be applied in other areas with similar contexts to increase screening rates and early cancer diagnosis.
References
Rawla, P., Sunkara, T., & Barsouk, A. (2019). Epidemiology of colorectal cancer: Incidence, mortality, survival, and risk factors. Gastroenterology Review, 14(2), 89-103. https://doi.org/10.5114/pg.2019.83422
Onyoh, E. F., Hsu, W. F., Chang, L. C., Lee, Y. C., Wu, M. S., & Chiu, H. M. (2019). The rise of colorectal cancer in Asia: Epidemiology, screening, and management. Current Gastroenterology Reports, 21(8), 36. https://doi.org/10.1007/s11894-019-0703-8
Sripa, P., Leelawat, K., & Leelawat, S. (2018). Screening and surveillance of colorectal cancer in Thailand. Thai Journal of Surgery, 39(4), 140-146. [in Thai]
Wilairatana, S., Ratcharoen, S., & Sunthornyothin, S. (2022). Knowledge, attitudes, and barriers toward colorectal cancer screening among Thai adults aged 50-75 years. Journal of Health Research, 36(5), 946-957. https://doi.org/10.1108/JHR-03-2021-0139 [in Thai]
Sithisarankul, P., & Trinet, P. (2020). Community-based cancer screening model in rural Thai communities: A pilot study in Buriram Province. Journal of Health Systems Research, 14(2), 182-194. [in Thai]
Chaisa, P., & Sanprasit, T. (2022). Colorectal cancer screening management model in rural Thailand. Journal of Public Health Management and Practice, 28(2), E387-E395. [in Thai]
Kim, J., Wang, H., Young, L., Michaud, T. L., Siahpush, M., Farazi, P. A., & Chen, L. W. (2018). An examination of multi-level factors influencing colorectal cancer screening in primary care settings: A mixed-methods study. Journal of Public Health Management and Practice, 24(1), 59-68. https://doi.org/10.1097/PHH.0000000000000536
Schreuders, E. H., Ruco, A., Rabeneck, L., Schoen, R. E., Sung, J. J., Young, G. P., & Kuipers, E. J. (2015). Colorectal cancer screening: A global overview of existing programmes. Gut, 64(10), 1637-1649. https://doi.org/10.1136/gutjnl-2014-309086
World Health Organization. (2018). Strengthening health systems for universal health coverage and sustainable development. Bulletin of the World Health Organization, 96(9), 591-664. https://doi.org/10.2471/BLT.18.217471
Coronado, G. D., Schneider, J. L., Green, B. B., Coury, J. K., Lowe, J. K., Petrik, A. F., & Baldwin, L. M. (2020). Implementation of a mailed FIT TEST program to increase colorectal cancer screening in a rural community clinic setting. Preventive Medicine, 133, 106004. https://doi.org/10.1016/j.ypmed.2020.106004
Baker, D. W., Brown, T., Buchanan, D. R., Weil, J., Balsley, K., Ranalli, L., Wolf, M. S., Needleman, S., & Wang, C. (2017). Comparative effectiveness of a multifaceted intervention to improve adherence to annual colorectal cancer screening in community health centers: A randomized clinical trial. JAMA Internal Medicine, 177(8), 1212-1220. https://doi.org/10.1001/jamainternmed.2017.1908
Maxwell, A. E., Hannon, P. A., Escoffery, C., Vu, T., Kohn, M., Vernon, S. W., & DeGroff, A. (2016). Colorectal cancer screening promotion and provision: A review of the literature. Cancer Epidemiology, 46, 151-161. https://doi.org/10.1016/j.canep.2016.07.002

