Exploring motivations and barriers in prostate cancer screening: lessons from a volunteer-based MRI screening study

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00209805%3A_____%2F25%3A00080515" target="_blank" >RIV/00209805:_____/25:00080515 - isvavai.cz</a>

Výsledek na webu

<a href="https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1646494/full" target="_blank" >https://www.frontiersin.org/journals/public-health/articles/10.3389/fpubh.2025.1646494/full</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.3389/fpubh.2025.1646494" target="_blank" >10.3389/fpubh.2025.1646494</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Exploring motivations and barriers in prostate cancer screening: lessons from a volunteer-based MRI screening study

Popis výsledku v původním jazyce

Background: Prostate cancer remains a significant public health challenge, an early detection with prostate-specific antigen (PSA) testing and biparametric MRI (bpMRI) can improve outcomes. However, participation hinges on motivational, psychological, and logistical factors. This study examines the motivational profile of men in the ProstaPilot study to guide strategies to increase uptake of state-of-the-art prostate cancer screening programs.Methods: The ProstaPilot study enrolled 423 men who underwent both PSA testing and bpMRI of the prostate. Positive results (PSA GREATER-THAN OR EQUAL TO 3 μg/L or PI-RADS 4-5 lesions) were referred for further urological examination and biopsy. Using an exploratory correlational design, 360 participants completed a detailed questionnaire. Motivational factors were extracted via Principal Component Analysis (PCA) with Oblimin rotation. Perceptions of prostate cancer risk, severity, and prevention were rated on 1-10 scales (10 = most positive).Results: PCA identified four motivational factors explaining 55.6% of variance: (1) concerns about screening (e.g., unnecessary surgery, loss of control); (2) perceived benefits of early detection; (3) social motivation (e.g., contributing to research, role modeling); and (4) barriers (e.g., logistics, embarrassment). Over half (51.1%) had not considered screening before ProstaPilot; others decided over varying timeframes. Participants showed high awareness of prostate cancer and valued early detection, rating screening effectiveness 9.55 +- 0.98 and trust in healthcare professionals 9.6 +- 1.0. Social/familial influences were moderate. Satisfaction was high: likelihood to recommend 9.45 +- 1.22; confidence in continuing participation 9.9 +- 0.39.Conclusion: Highly motivated participants were marked by strong knowledge of prostate cancer screening, trust in healthcare providers, supportive social context, and high personal commitment. These findings support personalized, socially supportive, educational strategies to increase uptake of state-of-the-art screening.

Název v anglickém jazyce

Exploring motivations and barriers in prostate cancer screening: lessons from a volunteer-based MRI screening study

Popis výsledku anglicky

Background: Prostate cancer remains a significant public health challenge, an early detection with prostate-specific antigen (PSA) testing and biparametric MRI (bpMRI) can improve outcomes. However, participation hinges on motivational, psychological, and logistical factors. This study examines the motivational profile of men in the ProstaPilot study to guide strategies to increase uptake of state-of-the-art prostate cancer screening programs.Methods: The ProstaPilot study enrolled 423 men who underwent both PSA testing and bpMRI of the prostate. Positive results (PSA GREATER-THAN OR EQUAL TO 3 μg/L or PI-RADS 4-5 lesions) were referred for further urological examination and biopsy. Using an exploratory correlational design, 360 participants completed a detailed questionnaire. Motivational factors were extracted via Principal Component Analysis (PCA) with Oblimin rotation. Perceptions of prostate cancer risk, severity, and prevention were rated on 1-10 scales (10 = most positive).Results: PCA identified four motivational factors explaining 55.6% of variance: (1) concerns about screening (e.g., unnecessary surgery, loss of control); (2) perceived benefits of early detection; (3) social motivation (e.g., contributing to research, role modeling); and (4) barriers (e.g., logistics, embarrassment). Over half (51.1%) had not considered screening before ProstaPilot; others decided over varying timeframes. Participants showed high awareness of prostate cancer and valued early detection, rating screening effectiveness 9.55 +- 0.98 and trust in healthcare professionals 9.6 +- 1.0. Social/familial influences were moderate. Satisfaction was high: likelihood to recommend 9.45 +- 1.22; confidence in continuing participation 9.9 +- 0.39.Conclusion: Highly motivated participants were marked by strong knowledge of prostate cancer screening, trust in healthcare providers, supportive social context, and high personal commitment. These findings support personalized, socially supportive, educational strategies to increase uptake of state-of-the-art screening.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30204 - Oncology

Projekt

<a href="/cs/project/NU22-09-00539" target="_blank" >NU22-09-00539: ProstaPilot. Screening karcinomu prostaty pomocí magnetické rezonance se zkráceným protokolem</a><br>

Návaznosti

P - Projekt vyzkumu a vyvoje financovany z verejnych zdroju (s odkazem do CEP)<br>I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2025

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

Frontiers in Public Health

ISSN

—

e-ISSN

2296-2565

Svazek periodika

13

Číslo periodika v rámci svazku

November 2025

Stát vydavatele periodika

CH - Švýcarská konfederace

Počet stran výsledku

13

Strana od-do

1646494

Kód UT WoS článku

001627206300001

EID výsledku v databázi Scopus

2-s2.0-105023593298