Abstract：
OBJECTIVE: This review aimed to synthesize the available evidence on exploring various factors that affect knowledge, attitudes, and practices (KAP) in colorectal cancer (CRC) screening.
METHODS: A systematic search across five databases was performed to identify factors influencing KAP scores towards CRC screening. The PRISMA guidelines were used to conduct the literature search, and the time spanned is from March to June 2023. The search included observational studies published between January 2000 and June 2023 that met the predetermined review criteria. Data were extracted following the Joanna Briggs Institute (JBI) appraisal checklist to evaluate the quality of the articles.
RESULTS: Out of 16,904 records, 1174 articles were reviewed in full text, resulting in 43 high-quality studies included based on the JBI checklist. These studies assessed knowledge (42), attitudes (26), and practices (11) related to CRC screening. Key factors to improving KAP towards CRC screening in the general public were sociodemographic, social media influence, and physician recommendations. For healthcare professionals, factors promoting KAP included screening methods, guidelines, qualifications, and understanding of CRC screening. Educators lacked awareness of CRC symptoms and needed training to teach CRC screening and prevention. Pharmacists showed positive attitudes towards early CRC detection but had varying knowledge levels.
CONCLUSIONS: KAP towards CRC screening is suboptimal among the general public, healthcare professionals, students, educators, and pharmacists worldwide. Routine CRC screening counselling is paramount to improving screening rates. Continuous medical education and training programmes are essential for healthcare professionals to enhance their KAP towards CRC screening. Students and university teachers should be educated and trained about CRC screening to improve their knowledge and foster positive behavioural changes. These comprehensive measures are critical for establishing an effective screening programme.
METHODS: A systematic search across five databases was performed to identify factors influencing KAP scores towards CRC screening. The PRISMA guidelines were used to conduct the literature search, and the time spanned is from March to June 2023. The search included observational studies published between January 2000 and June 2023 that met the predetermined review criteria. Data were extracted following the Joanna Briggs Institute (JBI) appraisal checklist to evaluate the quality of the articles.
RESULTS: Out of 16,904 records, 1174 articles were reviewed in full text, resulting in 43 high-quality studies included based on the JBI checklist. These studies assessed knowledge (42), attitudes (26), and practices (11) related to CRC screening. Key factors to improving KAP towards CRC screening in the general public were sociodemographic, social media influence, and physician recommendations. For healthcare professionals, factors promoting KAP included screening methods, guidelines, qualifications, and understanding of CRC screening. Educators lacked awareness of CRC symptoms and needed training to teach CRC screening and prevention. Pharmacists showed positive attitudes towards early CRC detection but had varying knowledge levels.
CONCLUSIONS: KAP towards CRC screening is suboptimal among the general public, healthcare professionals, students, educators, and pharmacists worldwide. Routine CRC screening counselling is paramount to improving screening rates. Continuous medical education and training programmes are essential for healthcare professionals to enhance their KAP towards CRC screening. Students and university teachers should be educated and trained about CRC screening to improve their knowledge and foster positive behavioural changes. These comprehensive measures are critical for establishing an effective screening programme.
摘要：
目的：本综述旨在综合现有证据，探讨影响知识的各种因素，态度，和实践（KAP）在结直肠癌（CRC）筛查中的应用。
方法：对5个数据库进行系统检索，以确定影响CRC筛查KAP评分的因素。使用PRISMA指南进行文献检索，时间跨度为2023年3月至6月。搜索包括2000年1月至2023年6月发表的符合预定审查标准的观察性研究。根据JoannaBriggs研究所（JBI）评估清单提取数据，以评估文章的质量。
结果：在16,904条记录中，全文回顾了1174篇文章，根据JBI检查表，纳入了43项高质量研究。这些研究评估了知识(42)，态度（26）与CRC筛查有关的实践（11）。在公众中提高KAP对CRC筛查的关键因素是社会人口统计学，社交媒体影响力,和医生的建议。对于医疗保健专业人员，促进KAP的因素包括筛查方法，指导方针,资格,以及对CRC筛查的理解。教育者缺乏对CRC症状的认识，需要培训以教授CRC筛查和预防。药剂师对早期CRC检测表现出积极态度，但知识水平各不相同。
结论：在普通公众中，对CRC筛查的KAP并不理想，医疗保健专业人员,学生,教育工作者,全世界的药剂师。常规CRC筛查咨询对于提高筛查率至关重要。持续的医学教育和培训计划对于医疗保健专业人员提高其对CRC筛查的KAP至关重要。应该对学生和大学教师进行有关CRC筛查的教育和培训，以提高他们的知识并促进积极的行为改变。这些全面措施对于建立有效的筛查方案至关重要。
方法：对5个数据库进行系统检索，以确定影响CRC筛查KAP评分的因素。使用PRISMA指南进行文献检索，时间跨度为2023年3月至6月。搜索包括2000年1月至2023年6月发表的符合预定审查标准的观察性研究。根据JoannaBriggs研究所（JBI）评估清单提取数据，以评估文章的质量。
结果：在16,904条记录中，全文回顾了1174篇文章，根据JBI检查表，纳入了43项高质量研究。这些研究评估了知识(42)，态度（26）与CRC筛查有关的实践（11）。在公众中提高KAP对CRC筛查的关键因素是社会人口统计学，社交媒体影响力,和医生的建议。对于医疗保健专业人员，促进KAP的因素包括筛查方法，指导方针,资格,以及对CRC筛查的理解。教育者缺乏对CRC症状的认识，需要培训以教授CRC筛查和预防。药剂师对早期CRC检测表现出积极态度，但知识水平各不相同。
结论：在普通公众中，对CRC筛查的KAP并不理想，医疗保健专业人员,学生,教育工作者,全世界的药剂师。常规CRC筛查咨询对于提高筛查率至关重要。持续的医学教育和培训计划对于医疗保健专业人员提高其对CRC筛查的KAP至关重要。应该对学生和大学教师进行有关CRC筛查的教育和培训，以提高他们的知识并促进积极的行为改变。这些全面措施对于建立有效的筛查方案至关重要。
