Health Process Proposal

It appears that in the initial motivation phase of the health action process an individual develops the intention to act, whereas, risk perception in itself, and is insufficient for an individual to form an intention (De Vries et al., 2005; Schwartz, 2001). Risk perception is considered a distant factor in the motivation phase, as the perceived severity in health threats also includes ones personal vulnerability and thoughts associated with consequences and competencies. Therefore, suggesting that outcome expectancies and perceived self-efficacy working together contribute significantly to the development of intention to change (Schwartz, 2001). The health process approach suggests that health-related behavior is reduced to the motivation

All eligible participants would be recruited through social media/ support group websites pertaining to genetic high-risk CRC members, over a four month period. Upon approval from support group websites, all participants recruited will receive an invitational letter explaining the purpose of the study and assured of complete anonymity. Inclusion of criteria for participants would include diagnosis of primary hereditary CRC with the inclusion of LS, written consent to participate in the study and to provide contact details to contact all FDRs. Inclusion criteria for FDRs participants selected according to following criteria (a) between the ages of 18 and 49 years of age (b) from families with at least one direct relative (FDR) of colorectal cancer patients, (c) No personal history of CRC or polyps, (d) no signs of abnormal bowel symptoms e.g. constipation, diarrhea, or a change in bowel habits, bleeding, or weight loss or weight gain. Participants would not be excluded based on their gender, geographic location, or other demographic

The I-Change Model examines human behavior as a result of their intentions, therefore determining motivating factors, information factors, awareness factors, predisposing factors, and intentional state factors (De Vries et al., 2005). Using the I-Change Model makes it feasible to investigate a wide spectrum of possible determinants and assists in identifying the most important determinants. Participants would be offered to be sent a questionnaire and to return the questionnaire by fax, e-mail, or mail or answer survey questions through a secure