{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,11]],"date-time":"2026-10-11T00:55:57Z","timestamp":1791680157002,"version":"4.3.4"},"reference-count":27,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"NHS England Cancer Programme Team"},{"DOI":"10.13039\/501100000272","name":"national institute for health and care research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000272","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Med Insights Gastroenterol"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Colon capsule endoscopy (CCE) was introduced by NHS England at scale during the COVID-19 pandemic to support colorectal diagnostics recovery. However, little was known about the patient experience of CCE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To explore the experiences of CCE during the NHS England pilot, to better understand what a patient-centered service for the future should look like.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>A qualitative study to explore the patient and clinician experiences of CCE.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      Focus group discussions (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200925 participants) and semi-structured interviews (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u20097), selected purposively on the basis of maximum variation, generated qualitative material exploring patient understanding, preferences and experiences. To place their experiences in context, we conducted asynchronous focus group discussions with clinicians (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      \u2009=\u200916). Analysis was thematic.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Most patients valued CCE\u2019s convenience and would repeat it, although for some their experiences would deter them from having the procedure again. Anxieties included fear when swallowing the capsule; concerns about it becoming stuck and\/or whether the recording was working; what to do when the capsule was inside them; and worries about the novelty of the treatment. Women expressed greater discomfort, pain and anxieties during bowel preparation and the procedure than men. Participants highlighted the need for a more balanced description of the procedure than indicated in information leaflets and videos. They particularly felt the possibility of further investigations could be better explained. Healthcare professionals may underestimate patient concerns.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CCE has the potential to expand colorectal diagnostic capacity but requires patients to be well informed and supported throughout the process. Gender differences in experiences of CCE are notable and could be partially addressed by providing more specific information, consistent with women\u2019s experiences.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26317745261433689","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T10:59:48Z","timestamp":1774436388000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Patient experiences of colon capsule endoscopy: a qualitative study"],"prefix":"10.1177","volume":"19","author":[{"given":"Laura","family":"Jefferson","sequence":"first","affiliation":[{"name":"University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Holly","family":"Essex","sequence":"additional","affiliation":[{"name":"University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1070-8670","authenticated-orcid":false,"given":"Karl","family":"Atkin","sequence":"additional","affiliation":[{"name":"University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Dale","sequence":"additional","affiliation":[{"name":"University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Bloor","sequence":"additional","affiliation":[{"name":"University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Haritakis","sequence":"additional","affiliation":[{"name":"York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3068-5015","authenticated-orcid":false,"given":"James","family":"Turvill","sequence":"additional","affiliation":[{"name":"York and Scarborough Teaching Hospitals NHS Foundation Trust, Wigginton Road, York, YO31 8HE, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"NHS England. Clinical guide for triaging patients with lower gastrointestinal symptoms. NHS England https:\/\/www.nice.org.uk\/media\/default\/about\/covid-19\/specialty-guides\/triaging-patients-with-lower-gi-symptoms.pdf 2020."},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/gutjnl-2020-321650"},{"key":"e_1_3_4_4_2","unstructured":"National Institute for Health and Care Excellence. Suspected cancer: recognition and referral. National Institute for Health and Care Excellence https:\/\/www.nice.org.uk\/guidance\/ng12 2021."},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2011.04.010"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41395-018-0398-8"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1080\/0284186X.2019.1581372"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-021-02081-0"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/apt.70046"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2020-101538"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16029"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.2196\/45181"},{"key":"e_1_3_4_13_2","unstructured":"NHS England. Harnessing innovation in cancer care: Pillcam Colon Capsule Endosopy https:\/\/www.england.nhs.uk\/cancer\/harnessing-innovation-in-cancer-care\/ 2021."},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgast-2025-001944"},{"key":"e_1_3_4_15_2","unstructured":"JAG Endoscopy Training System: Colon Capsule Endoscopy Training Position Statement. https:\/\/www.thejag.org.uk\/Downloads\/JAG\/JAG%20certification\/Colon%20Capsule%20certification%20-%20JAG%20position%20statement%20-%20%20Jan%202022.pdf 2022."},{"key":"e_1_3_4_16_2","unstructured":"What is the Institute for Minimally Invasive Gastroenterology (IMIGe)? https:\/\/imige.co.uk\/"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0031-1291717"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-06737-1"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1525-1497.2006.00540.x"},{"key":"e_1_3_4_21_2","first-page":"45","article-title":"The health belief model","volume":"4","author":"Champion VL","year":"2008","unstructured":"Champion VL, Skinner CS. The health belief model. In: Glanz K, Rimer BK, Viswanath K, editors. Health Behavior and Health Education: Theory, Research, and Practice, 2008, vol. 4, pp. 45\u201365.","journal-title":"Health Behavior and Health Education: Theory, Research, and Practice"},{"key":"e_1_3_4_22_2","doi-asserted-by":"crossref","unstructured":"Gordon AR Calzo JP Eiduson R et al. Asynchronous online focus groups for health research: case study and lessons learned. Int J Qualitative Methods 2021; 20. https:\/\/doi.org\/10.1177\/1609406921990489","DOI":"10.1177\/1609406921990489"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1037\/qup0000196"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/flgastro-2015-100574"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/0969141320923381"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-071391"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-025-02431-4"},{"key":"e_1_3_4_28_2","first-page":"1","article-title":"\u201cYou don\u2019t know what to expect\u201d: unmet needs in patient experience of capsule endoscopy","author":"Dobson C","year":"2025","unstructured":"Dobson C, Haworth E, Sharp L, et al. \u201cYou don\u2019t know what to expect\u201d: unmet needs in patient experience of capsule endoscopy. 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