Community-based multiple screening for metabolic syndrome by innovative theory: A longitudinal study

Angela Shin Yu Lien, Sherry Yueh Hsia Chiu, Sam Li Sheng Chen, Jean Ching Yuan Fann, Amy Ming Fang Yen, Mei Chang Yeh, Meei Fang Lou, Kuo Chin Huang, Wayne Huey Herng Sheu, Hsiu Hsi Chen, Bih Shya Gau

Research output: Contribution to journalArticlepeer-review


The purpose of this research is to elucidate whether metabolic syndrome affects the rate of adoption of a new multiple cancer screening programme, based on the Diffusion of Innovation theory. The time to attend the screening programme, conducted in Keelung, Taiwan, within 10 years was assessed by innovativeness (innovators, early adaptors, early majority, late majority and laggard) using data from 79,303 residents, with the information on metabolic syndrome accrued from routine adult health check-ups. The median time of adopting the programme and the relative rates of early adoption by metabolic syndrome and its severity score were estimated. The results show that the estimated times to adopt the programme ranged from 3 months for innovators to 10 years for the laggard. The rate of early adoption was 34% higher for participants without metabolic syndrome than for those with the disease, and the gradient relationship of disease severity was noted. The adjusted median time to adopt innovativeness was 0.82 years earlier for participants who were disease-free than those with the disease. Meanwhile, the adjusted median time was wider by up to 2.25 years for those with severe disease. The study suggests that innovation should prioritise the potential risk of the metabolic syndrome population.

Original languageEnglish
Pages (from-to)303-312
Number of pages10
JournalPublic Health Nursing
Issue number1
Publication statusPublished - Jan 2022

ASJC Scopus subject areas

  • General Nursing
  • Public Health, Environmental and Occupational Health


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