Project information
Advancing Cancer Prevention through Conceptualisation, Instrument Development, and Population-Level Measurement of Screening Hesitancy and Cancer Literacy in the Czech Republic (SHACL-CZ) (SHACL-CZ)

This project addresses the persistent underutilisation of organised cancer screening programmes in the Czech Republic despite their structural accessibility and insurance coverage. It focuses on two interrelated constructs—screening hesitancy and cancer literacy—as behavioural and cognitive determinants potentially influencing participation in breast, colorectal and cervical cancer screening. The project aims to conceptualise these constructs within the Czech context and to develop and psychometrically validate standardised instruments suitable for population-level measurement. A sequential mixed-methods design will be employed, combining qualitative inquiry, expert consensus (Delphi method), and quantitative epidemiological analysis. Subsequently, nationally representative survey data will be collected to assess the prevalence and distribution of screening hesitancy and cancer literacy across demographic and regional strata. Advanced statistical modelling and segmentation techniques will be applied to identify behavioural profiles associated with lower screening uptake. The resulting validated tools and population-level evidence will support targeted communication and prevention strategies within organised screening programmes. In the longer term, the project aims to contribute to improved participation rates, earlier cancer detection, and enhanced efficiency of preventive healthcare services in the Czech Republic.