Knowledge and beliefs of the individual | Staff motivation to adopt and implement FIT | | “I think just for this pilot, it was just difficult to have the clinic, understand exactly what we were trying to capture and. But I have to say they, after a while, they did get it you know they understood and I think it was just getting into a rhythm of the collection.” (P110) |
Meeting patient needs through the FIT intervention | | Patient awareness around importance of screening |
Self-efficacy | Clinic capacity to implement FIT | | Ensuring understanding of a person’s role in the implementation process |
Individual state of change | Meeting patient needs through the FIT intervention | | Patients felt embarrassed to carry FIT kits outside the clinic. Patients’ fear of finding out they have CRC Discomfort with sampling: perception that it is dirty or ‘playing with poop’ Patients with other pressing health challenges “Most of the patients are nervous to essentially play with their poop…They don't like doing that and they find that to be very very uncomfortable even if they were in their homes …I mean if they really hesitate to do it we can't force them so just reiterating that it is important, really has that goes into their head saying okay yes my physician wants me to complete this test so I will go ahead and do that. So, most of the time it’s really, you know, touching their bowel movements is not what they're happy to do.” (P100) |