{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T02:19:08Z","timestamp":1787797148426,"version":"build-2784847793"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T00:00:00Z","timestamp":1784073600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"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":["Health Expectations"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Understanding how individuals find bowel cancer and screening information and what influences awareness may support targeted interventions and encourage informed participation in screening programmes and support early detection. This study aimed to identify factors that influence remote community members information\u2010seeking behaviours and awareness of bowel cancer and screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A qualitative study was conducted with 16 community members aged 50\u2010years and over living in a remote Tasmanian community in Australia. Semi\u2010structured interviews were informed by the Theoretical Domains Framework and Behaviour Change Wheel. Interview questions were reviewed by three consumers with lived experience of bowel cancer and screening to improve clarity and accessibility. Interviews were analysed using qualitative content analysis with inductive and deductive coding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Information\u2011seeking was shaped by self\u2011efficacy, health literacy, personal relevance, and social influences, with trusted healthcare providers playing a central role. Awareness influenced screening decisions, while screening experiences also built awareness across the screening pathway to diagnosis. Some participants screened with an understanding of the risks and benefits, while others complied without understanding why, and some with low awareness chose not to screen. Awareness most often developed through passive information exposure, including environmental cues, screening material prompts, and social influences of routine healthcare encounters, and conversations with family, friends, and healthcare providers, rather than through active information\u2011seeking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this remote community, bowel cancer awareness was commonly shaped through passive exposure rather than deliberate searching and influenced the quality of screening decision\u2011making. Health promotion strategies that embed accessible, plain\u2011language information within everyday community and healthcare settings, and leverage trusted relationships, may better support informed and equitable participation in bowel cancer screening than approaches that rely on active information\u2011seeking.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>Consumers with a lived experience of bowel cancer and screening contributed to this study by reviewing the interview guide structure and questions prior to the researchers undertaking the interviews. This improved the plain language and the participants understanding of the questions, with the addition of an introductory script outlining the study aims and process of the interview. The final interview guide was sent to the consumers for approval prior to the first interview being conducted. These consumers did not participate in this study. Remote Tasmanian community members who were eligible or previously eligible to participate in the National Bowel Cancer Screening Program contributed to this study as participants who shared their experiences and insights into bowel cancer and screening information\u2010seeking behaviours and awareness.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/hex.70769","type":"journal-article","created":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T11:37:56Z","timestamp":1784115476000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Awareness and Information Seeking About Bowel Cancer and Screening in a Remote Australian Community: A Qualitative Study"],"prefix":"10.1111","volume":"29","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"},{"name":"School of Medicine University of Tasmania Hobart Tasmania Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1709-4926","authenticated-orcid":false,"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"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1005-4793","authenticated-orcid":false,"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":[[2026,7,15]]},"reference":[{"key":"e_1_2_13_2_1","unstructured":"Australian Institute of Health and Welfare.National Bowel Cancer Screening Program Monitoring Report2026Updated 2026. 2026 https:\/\/www.aihw.gov.au\/reports\/cancer-screening\/nbcsp-monitoring-2026\/contents\/screening-program\/outcomes."},{"key":"e_1_2_13_3_1","unstructured":"Australian Government Department of Health.Modified Monash Model Updated2021 accessed March 8 2021 https:\/\/www.health.gov.au\/health-topics\/rural-health-workforce\/classifications\/mmm."},{"key":"e_1_2_13_4_1","unstructured":"Australian Government Department of Health DaA.About the National Bowel Cancer Screening Program Updated2026 accessed June 22 2026 https:\/\/www.health.gov.au\/our-work\/national-bowel-cancer-screening-program\/about-the-national-bowel-cancer-screening-program."},{"key":"e_1_2_13_5_1","volume-title":"Rural and remote health","author":"Australian Institute of Health and Welfare"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja2.52033"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.22605\/rrh4957"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph19031497"},{"key":"e_1_2_13_9_1","unstructured":"NHMRC.Australian Guidelines to Reduce Health Risks from Drinking Alcohol. 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Tasmania Hobart;2023."},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/15398285.2022.2073709"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1753-6405.2010.00505.x"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1108\/AJIM-01-2021-0004"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00520-022-07210-3"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-007-0406-y"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.3928\/24748307-20190430-01"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-023-02266-z"},{"key":"e_1_2_13_18_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2020.1776424"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.13181"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_13_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012-017-0605-9"},{"key":"e_1_2_13_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-6-42"},{"key":"e_1_2_13_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2021.101427"},{"key":"e_1_2_13_24_1","unstructured":"Public Health Information Development Unit. Social Health Atlas of Australia: Tasmania Local Government Areas (2016 ASGS) Updated2021 accessed March 17 2021 https:\/\/phidu.torrens.edu.au\/current\/maps\/sha-aust\/lga-single-map\/tas\/atlas.html."},{"key":"e_1_2_13_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/1467-9566.13311"},{"key":"e_1_2_13_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/gps.1488"},{"key":"e_1_2_13_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_13_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjhp.12437"},{"key":"e_1_2_13_29_1","unstructured":"QRS International. 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