Improving uptake of flexible sigmoidoscopy screening: a randomized trial of nonparticipant reminders in the English Screening Programme

Kerrison, Robert; McGregor, Lesley; Marshall, Sarah; Isitt, John J.; Counsell, Nicholas; Rees, Colin; Wagner, Christian von

doi:10.1055/s-0042-118452

Cited by 16 publications

(20 citation statements)

References 39 publications

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“…The current intervention was developed through a systematic multi-stage process combining theory, evidence and consultation with multiple stakeholders. Components found to improve uptake of retinopathy screening [38,43,72] and cancer screening [73][74][75][76][77][78][79][80][81][82], include audit and feedback [83], patient [73,76,77,79,[84][85][86][87][88][89][90][91] and physician [38,72] reminders, the use of trusted sources to deliver messages [37,[73][74][75] and key information leaflets [74,81,82]. Our intervention comprises these strategies.…”

Section: Discussionmentioning

confidence: 99%

Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial

Riordan

Racine

Smith

et al. 2020

Pilot Feasibility Stud

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Background: Diabetic retinopathy screening (DRS) leads to the earlier detection of retinopathy and treatment that can prevent or delay the development of diabetes-related blindness. However, uptake continues to be sub-optimal in many countries, including Ireland. Routine management of type 2 diabetes largely takes place in primary care. As such, there may be an opportunity in primary care to introduce interventions to improve DRS uptake. However, few studies test the feasibility of interventions to enhance DRS uptake in this context. Our aim is to investigate the feasibility of an implementation intervention (IDEAs (Improving Diabetes Eye screening Attendance)) delivered in general practice to improve the uptake of the national DRS programme, RetinaScreen. Methods: The IDEAs study is a cluster randomised pilot trial with an embedded process evaluation and economic evaluation. Following stratification by practice size, eight general practices (clusters) will be randomly allocated to intervention (n = 4) or wait-list control groups (n = 4). The intervention will be delivered for 6 months, after which, it will be administered to wait-list control practices. The intervention is multi-faceted and comprises provider-level components (training, audit and feedback, health care professional prompt, reimbursement) and patient-level components (GPendorsed reminder with information leaflet delivered opportunistically face-to-face, and systematically by phone and letter). Patient inclusion criteria are type 1 or type 2 diabetes and DRS programme non-attendance. A multi-method approach will be used to determine screening uptake, evaluate the trial and study procedures and examine the acceptability and feasibility of the intervention from staff and patient perspectives. Quantitative and qualitative data will be collected on intervention uptake and delivery, research processes and outcomes. Data will be collected at the practice, health professional and patient level. A partial economic evaluation will be conducted to estimate the cost of delivering the implementation intervention in general practice. Formal continuation criteria will be used to determine whether IDEAs should progress to a definitive trial.

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Section: Discussionmentioning

confidence: 99%

Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial

Riordan

Racine

Smith

et al. 2020

Pilot Feasibility Stud

View full text Add to dashboard Cite

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“…Among the screening-eligible population non-intenders form a very important subgroup as the vast majority of non-attenders of bowel scope screening never engage with their screening invitation, i.e. never respond to the initial invitation or show any sign of intention to have the test [30,31]. A final strength of this study is that experiment 2 replicated the findings of the first experiment, supporting the consistent effect of communicating descriptive social norms on screening intentions.…”

Section: Discussionmentioning

confidence: 99%

The impact of descriptive norms on motivation to participate in cancer screening – Evidence from online experiments

Wagner

Hirst

Waller

et al. 2019

Patient Education and Counseling

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Highlights Two online experiments testing descriptive social norms in cancer screening. Increasing perceived uptake is positively associated with screening intention. Providing feedback about normative beliefs does not affect perceived credibility of the uptake message. The least credible messages stating highest uptake had largest effect on intentions.

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“…Results from the first stage of the randomized controlled trial (i.e., the first reminder) demonstrated that sending nonparticipants a single self-referral reminder, 12 months after their initial invitation, significantly increased participation against usual care, and that reminders were more effective when sent with the theory-based leaflet, as opposed to the standard information booklet used by the bowel scope screening program [ 16 ]. Results from the second stage of the randomized controlled trial have not previously been examined.…”

Section: Introductionmentioning

confidence: 99%

Use of Two Self-referral Reminders and a Theory-Based Leaflet to Increase the Uptake of Flexible Sigmoidoscopy in the English Bowel Scope Screening Program: Results From a Randomized Controlled Trial in London

Kerrison

McGregor

Counsell

et al. 2018

Annals of Behavioral Medicine

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BackgroundWe previously initiated a randomized controlled trial to test the effectiveness of two self-referral reminders and a theory-based leaflet (sent 12 and 24 months after the initial invitation) to increase participation within the English Bowel Scope Screening program.PurposeThis study reports the results following the second reminder.MethodsMen and women included in the initial sample (n = 1,383) were re-assessed for eligibility 24 months after their invitation (12 months after the first reminder) and excluded if they had attended screening, moved away, or died. Eligible adults received the same treatment they were allocated 12 months previous, that is, no reminder (“control”), or a self-referral reminder with either the standard information booklet (“Reminder and Standard Information Booklet”) or theory-based leaflet designed using the Behavior Change Wheel (“Reminder and Theory-Based Leaflet”). The primary outcome was the proportion screened within each group 12 weeks after the second reminder.ResultsIn total, 1,218 (88.1%) individuals were eligible. Additional uptake following the second reminder was 0.4% (2/460), 4.8% (19/399), and 7.9% (29/366) in the control, Reminder and Standard Information Booklet, and Reminder and Theory-Based Leaflet groups, respectively. When combined with the first reminder, the overall uptake for each group was 0.7% (3/461), 14.5% (67/461), and 21.5% (99/461). Overall uptake was significantly higher in the Reminder and Standard Information Booklet and Reminder and Theory-Based Leaflet groups than in the control (odds ratio [OR] = 26.1, 95% confidence interval [CI] = 8.1–84.0, p < .001 and OR = 46.9, 95% CI = 14.7–149.9, p < .001, respectively), and significantly higher in the Reminder and Theory-Based Leaflet group than in the Reminder and Standard Information Booklet group (OR = 1.8, 95% CI = 1.3–2.6, p < .001).ConclusionA second reminder increased uptake among former nonparticipants. The added value of the theory-based leaflet highlights a potential benefit to reviewing the current information booklet.Trials Registry NumberISRCTN44293755.

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Improving uptake of flexible sigmoidoscopy screening: a randomized trial of nonparticipant reminders in the English Screening Programme

Abstract: Background and study aims Uptake of flexible sigmoidoscopy

Cited by 16 publications

References 39 publications

Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial

Feasibility of an implementation intervention to increase attendance at diabetic retinopathy screening: protocol for a cluster randomised pilot trial

The impact of descriptive norms on motivation to participate in cancer screening – Evidence from online experiments

Use of Two Self-referral Reminders and a Theory-Based Leaflet to Increase the Uptake of Flexible Sigmoidoscopy in the English Bowel Scope Screening Program: Results From a Randomized Controlled Trial in London

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