{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T23:30:07Z","timestamp":1784158207365,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","license":[{"start":{"date-parts":[[2024,8,30]],"date-time":"2024-08-30T00:00:00Z","timestamp":1724976000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001169","name":"Cancer Council Tasmania","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001169","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Identify barriers and enablers for remote Tasmanians participating in bowel cancer screening through the National Bowel Cancer Screening Program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>A small remote Tasmanian community.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Tasmanian remote community members aged 50\u2009years and over.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A qualitative study conducted 16 semi\u2010structured interviews. Two researchers conducted in\u2010person and telephone interviews. Questions were directed by an interview guide developed using the Theoretical Domains Framework for behaviour change and Behaviour Change Wheel. Two researchers analysed data using directed content analysis with a flexible inductive approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four themes related to barriers and enablers to completing the National Bowel Cancer Screening Program screening kit in remote Tasmania. Themes included the subject of screening, physical screening kit, the process and outcome of the kit. Several barrier and enabler sub\u2010themes overlapped or were linked, as many enablers mitigated barriers. For example, social influences, awareness level, steps in completing screening, and planning and timing to screen. Social support and discussing screening with others were key enablers, whereas lack of these were barriers. For remote communities, taking the kit to the post office was a barrier from often knowing the post officer. A bowel bus providing screening and information support services may reduce the travel burden of follow\u2010up diagnostic tests and support low\u2010literacy individuals to screen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Barriers and enablers exist within each stage of the screening process, from what influences an individual decision to screen, through to the outcome. To improve screening rates in rural\/remote Tasmania, barriers and enablers to screening must be considered.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.13181","type":"journal-article","created":{"date-parts":[[2024,8,31]],"date-time":"2024-08-31T04:38:55Z","timestamp":1725079135000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Barriers and enablers to bowel cancer screening participation in remote Tasmania: A qualitative study using the theoretical domains framework"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3014-2929","authenticated-orcid":false,"given":"Nicola","family":"Gadd","sequence":"first","affiliation":[{"name":"Centre for Rural Health, School of Health Sciences University of Tasmania  Launceston Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1385-0755","authenticated-orcid":false,"given":"Simone","family":"Lee","sequence":"additional","affiliation":[{"name":"Centre for Rural Health, School of Health Sciences University of Tasmania  Launceston Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Hughes","sequence":"additional","affiliation":[{"name":"Centre for Rural Health, School of Health Sciences University of Tasmania  Launceston Tasmania Australia"},{"name":"School of Psychological Sciences University of Tasmania  Launceston Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew J.","family":"Sharman","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of Tasmania  Launceston Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5116-9947","authenticated-orcid":false,"given":"Ha","family":"Hoang","sequence":"additional","affiliation":[{"name":"Centre for Rural Health, School of Health Sciences University of Tasmania  Launceston Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0265-1953","authenticated-orcid":false,"given":"Kehinde","family":"Obamiro","sequence":"additional","affiliation":[{"name":"Centre for Rural Health, School of Health Sciences University of Tasmania  Launceston Tasmania Australia"},{"name":"Central Queensland Centre for Rural and Remote Health James Cook University  Emerald Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,8,30]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Cancer Council.Cancer statistics in Tasmania updated.2022Available from:https:\/\/www.cancer.org.au\/cancer\u2010information\/what\u2010is\u2010cancer\/facts\u2010and\u2010figures\/tasAccessed 6 Sep 2022."},{"key":"e_1_2_13_3_1","unstructured":"Australian Institute of Health and Welfare.National bowel cancer screening program monitoring report 20242024. 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