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BioMed Research International - Volume 2015 2015, Article ID 871613, 5 pages -

Research Article

Centre for Research into Cancer Prevention and Screening, Cancer Division, Medical Research Institute, Level 7, Ninewells Medical School, Dundee DD1 9SY, UK

Institute for Social Marketing, University of Stirling, Stirling FK9 4LA, UK

University of Dundee, Nethergate, Dundee DD1 4HN, UK

Received 4 May 2015; Accepted 8 July 2015

Academic Editor: Fränzel van Duijnhoven

Copyright © 2015 Annie S. Anderson et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


It is estimated that 47% of colorectal cancers CRC could be prevented by appropriate lifestyles. This study aimed to identify awareness of the causes of CRC in patients who had been diagnosed with a colorectal adenoma through the Scottish Bowel Screening Programme and subsequently enrolled in an intervention trial using diet and physical activity education and behavioural change techniques BeWEL. At baseline and 12-month follow-up, participants answered an open-ended question on factors influencing CRC development. Of the 329 participants at baseline, 40 12% reported that they did not know any risk factors and 36 11% failed to identify specific factors related to diet and activity. From a potential knowledge score of 1 to 6, the mean score was 1.5 SD 1.1, range 0 to 5 with no difference between intervention and control groups. At follow-up, the intervention group had a significantly greater knowledge score and better weight loss, diet, and physical activity measures than the control group. Awareness of relevant lifestyle factors for CRC remains low in people at increased risk of the disease. Opportunities within routine NHS screening to aid the capability including knowledge of risk factors of individuals to make behavioural changes to reduce CRC risk deserve exploration.

Autor: Annie S. Anderson, Stephen Caswell, Maureen Macleod, Angela M. Craigie, Martine Stead, Robert J. C. Steele, and The BeWEL Te



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