My Follow Up

• Research type

  Research Study

• Full title

  My Follow Up - Patient Preference study in Colorectal Adenoma Follow Up Study

• IRAS ID

  187746

• Contact name

  Paula Tighe

• Contact email

  p.tighe@qub.ac.uk

• Duration of Study in the UK

  1 years, 1 months, 3 days

• Research summary

  A potential tipping point between benefit and risking harm in the use of colonoscopy in some groups of patients has been shown,(van Hees et al., 2014,) as such colonoscopy surveillance may not benefit everyone it is currently offered to. Experience from screening programmes gives a greater understanding of colorectal adenoma, and risk after polypectomy is considered much less worrying than initially thought, (Ransohoff, 2005.) Newer tests can offer a more flexible and less invasive follow up.
  Reducing sedentary behaviour is considered important for the prevention of colorectal cancer,(Cong et al., 2014). Studies have shown that weight reduction can decrease the risk of adenoma after as little as one year, and UK estimates on cancer preventability point towards 12% of colorectal cancers being prevented by increased physical activity, 14% by the avoidance of excess weight, and 34% by changes in diet and alcohol intake,( Yamaji et al., 2008, WCRF International, 2013).
  We know that lifestyle habits are not formed in a vacuum and taking up recommendations goes beyond only personal responsibility, and requires a broad range of multilevel strategies, including policy and environmental changes. In person-centred healthcare, whether, in what form, and with what weight, ‘information’ (such as the diet and lifestyle recommendations) is included as a criterion of decision quality is a matter for the person involved, to decide in the light of their own values, preferences, and time and resource constraints. An informed decision requires patients to consider information about all the options and their consequences with reference to their personal values, and make a choice based on a trade-off of these evaluations. The study uses a discrete choice experiment technique to elicit stakeholders’ preferences through the use of hypothetical care bundles, to understand how patients trade off their risks and may value changes to future follow up.

• REC name

  Wales REC 6

• REC reference

  15/WA/0374

• Date of REC Opinion

  6 Oct 2015

• REC opinion

  Favourable Opinion