109 Perspectives on cancer screening participation Table 2. Factor arrays; rank scores per statement for each factor (continued) I-Change elements Statements Perspective I II III Intention 24. I attend the CSPs because I get invited +2 0** +1 Ability 25. I think about possible follow-up studies when deciding to participate in a CSP -1** 0** +1** Barriers 26. Participating in a CSP takes a lot of time © -2 -1 -1 27. I do not participate in a CSP because the follow-up studies cost money -4** -2* -1 28. I have faith in the tests used by the CSPs +3 +2* +3 29. None of my peers actually does participate in a CSP © -2 -2 -3 30. Due to health problems, I am not able to participate in the CSPs -1* -4** -2* 31. The examinations used in the CPS give me an unpleasant feeling -1 -2 0** ©= Consensus statement. *p<.05, **p<0.1 versus all other factors. CSP= Cancer Screening Programme, GP= General Practitioner Perspective 1 Respondents with this perspective hold a positive attitude towards screening. Having regular medical check-ups, even when feeling well, is considered important (statement 17, rank score +4) and screening attendance is seen as doing sometime positive for your personal health (23,+3). These respondents think it is important CSPs are in place (18,+2) and participate because they are invited (24,+2), the information provided is clear and useful (1,+2; 2,+1; 3,+1; 4,+1; 5,+1), and they trust the testing procedure (28,+3). They also see few disadvantages of participating. The time involved is not a problem for them (26,- 2), they are not concerned about potential follow-up testing (25,-1) and any associated costs (27,-4), and they perceive no health (30,-1), or religious objections (21,-3; 20,-2) to participation. Moreover, they do not seem particularly afraid of developing cancer (16,-1; 12,-3) and it is not a taboo topic of conversation in their family (22,-2). In the post-ranking surveys and the interviews, respondents also mainly named advantages of screening attendance. For example, one respondent (ID Z2UT) mentioned: “Early detection of a possible tumour would lead to earlier treatment, and therefore to better options for cure”. When potential disadvantages of screening were discussed in the interviews, these were stated as not being relevant enough (ID 2F17): “Once deviant cells were detected, and as a consequence I had to consult a gynaecologist. Of course, this was not pleasant, and I 4
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