The effect on compliance of a health education leaflet in colorectal cancer screening in general practice in central England.

Hart, Andrew; Barone, Teresa; Inglis, Alastair; Griffin, Lauren; Tallon, Carole A; Mayberry, J F

doi:10.1136/jech.51.2.187

Cited by 47 publications

(48 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Reports on rates of re-participation in the literature are scarce and inconsistent, and vary depending on country and whether the data comes from randomised controlled trials, feasibility studies or full programs (Jansen, 1984;Kewenter et al, 1988;Hardcastle et al, 1996;Hart et al, 1997;Faivre et al, 1999;Mandel et al, 1999;Jorgenson et al, 2002;Weller et al, 2007;Lindholm et al, 2008;Steele et al, 2009). Some studies failed to invite firstround non-participants in subsequent rounds (Kronborg et al, 1989) although our results show that this would be unwise in organised programs because such people may become Late Entrants.…”

Section: Discussioncontrasting

confidence: 48%

Predictors of Re-participation in Faecal Occult Blood Test-Based Screening for Colorectal Cancer

Cole¹,

Gregory²,

Whibley³

et al. 2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

Background: There is little information on longitudinal patterns of participation in faecal occult blood test (FOBT) based colorectal cancer (CRC) screening or on demographic or behavioural factors associated with participation in re-screening. The lack of an agreed system for describing participatory behaviour over multiple rounds also hampers our ability to report, understand and make use of observed associations. Our aims were to develop a system for describing patterns of participatory behaviour in FOBT-based CRC screening programs and to identify factors associated with particular behavioural patterns. Methods: A descriptive framework was developed and applied to a data extract of screening invitation outcomes over two rounds of the NBCSP. The proportion of invitees in each behaviour category was determined and associations between behaviour patterns and demographic and program factors were identified using multivariate analyses. Results: We considered ReParticipants, Dropouts, Late Entrants and Never Participants to be the most appropriate labels for the four possible observed participatory categories after two invitation rounds. The screening participation rate of the South Australian cohort of the NBCSP remained stable over two rounds at 51%, with second round Dropouts (10.3%) being balanced by Late Entrants (10.5%). Non-Participants comprised 38.7% of invitees. Relative to Re-Participants, Dropouts were older, more likely to be female, of lower SES, had changed their place of residence between offers had a positive test result in the first round. Late Entrants tended to be in the youngest age band. Conclusions: Specific demographic characteristics are associated with behavioural sub-groups defined by responses to 2 offers of CRC screening. Targeted group-specific strategies could reduce dropout behaviour or encourage those who declined the first invitation to participate in the second round. It will be important to keep first round participants engaged in order to maximise the benefit of a CRC screening program.

show abstract

Section: Discussioncontrasting

confidence: 48%

Predictors of Re-participation in Faecal Occult Blood Test-Based Screening for Colorectal Cancer

Cole¹,

Gregory²,

Whibley³

et al. 2012

Asian Pacific Journal of Cancer Prevention

View full text Add to dashboard Cite

show abstract

“…Information leaflets represent a valuable tool in addition to the invitation letter:97 113 114 a recent trial conducted within the UK screening programme showed that an enhanced procedural leaflet was associated with a 6% absolute increase in CRC screening uptake, which was maintained when combined with a screening endorsement letter signed by the GP 92…”

Section: Resultsmentioning

confidence: 99%

Optimising colorectal cancer screening acceptance: a review

Senore¹,

Inadomi

Segnan

et al. 2015

Gut

102

100

View full text Add to dashboard Cite

The study aims to review available evidence concerning effective interventions to increase colorectal cancer (CRC) screening acceptance. We performed a literature search of randomised trials designed to increase individuals' use of CRC screening on PubMed, Embase, Cochrane Database of Systematic Reviews and Database of Abstracts of Reviews of Effects. Small (≤ 100 subjects per arm) studies and those reporting results of interventions implemented before publication of the large faecal occult blood test trials were excluded. Interventions were categorised following the Continuum of Cancer Care and the PRECEDE-PROCEED models and studies were grouped by screening model (opportunistic vs organised). Multifactor interventions targeting multiple levels of care and considering factors outside the individual clinician control, represent the most effective strategy to enhance CRC screening acceptance. Removing financial barriers, implementing methods allowing a systematic contact of the whole target population, using personal invitation letters, preferably signed by the reference care provider, and reminders mailed to all non-attendees are highly effective in enhancing CRC screening acceptance. Physician reminders may support the diffusion of screening, but they can be effective only for individuals who have access to and make use of healthcare services. Educational interventions for patients and providers are effective, but the implementation of organisational measures may be necessary to favour their impact. Available evidence indicates that organised programmes allow to achieve an extensive coverage and to enhance equity of access, while maximising the health impact of screening. They provide at the same time an infrastructure allowing to achieve a more favourable cost-effectiveness profile of potentially effective strategies, which would not be sustainable in opportunistic settings.

show abstract

“…38 -41 Studies conducted in the context of population-based screening programs in Great Britain or the Netherlands showed that FOBTs, educational materials, and a letter signed by the patient's physician resulted in screening rates ranging from 55% to 65%. [42][43][44] Randomized controlled trials in practices where a mailed FOBT was used gave rates of returned FOBTs of 27% to 48%, 45 33% to 48%, 38 29% to 36%, 46 and 60%. 47 Although the telephone call was designed to assess patient barriers and move patients through the stages of change, 32 our telephone call did not increase screening rates.…”

Section: Discussionmentioning

confidence: 99%

A Randomized Controlled Trial to Improve Colon Cancer Screening in Rural Family Medicine: An Iowa Research Network (IRENE) Study

Levy

Daly

et al. 2013

The Journal of the American Board of Family Medicine

View full text Add to dashboard Cite

Background: Many adults have not been screened for colon cancer, a potentially preventable cause of death.Methods: This was a randomized controlled trial conducted between December 2008 and April 2011 to improve CRC screening in 16 rural family physician offices. Subjects due for CRC screening were randomized within each practice to 1 of 4 groups: (1) usual care; (2) physician chart reminder; (3) physician chart reminder, mailed education, CRC reminder magnet, and fecal immunochemical test (FIT) (mailed education/ FIT); or (4) all the preceding plus a structured telephone call to the patient from project staff to provide education, assess interest in screening, explain the screening tests, and address barriers (mailed education/FIT plus phone call). The main outcome was completion of any CRC screening.Results: This study enrolled 743 patients. CRC screening was completed by 17.8% in the usual care group, 20.5% in the chart reminder group, 56.5% in the mailed education/FIT group, and 57.2% in the mailed education/FIT plus phone call group. We found no effect from the chart reminder compared with usual care (odds ratio [OR], 1.2; 95% confidence interval [CI], 0.7-2.0); and a beneficial effect from the mailed education/FIT (OR, 6.0; 95% CI, 3.7-9.6) and the mailed education/FIT plus phone call (OR, 6.2; 95% CI, 3.8 -9.9). Both FIT and colonoscopy rates increased significantly in both mailed education groups.Conclusion: CRC screening rates increased significantly among patients who were overdue for screening after they received mailed educational materials and a FIT. The addition of a phone call did not further increase screening rates. (J Am Board Fam Med 2013;26:486 -497.)

show abstract

The effect on compliance of a health education leaflet in colorectal cancer screening in general practice in central England.

Cited by 47 publications

References 16 publications

Predictors of Re-participation in Faecal Occult Blood Test-Based Screening for Colorectal Cancer

Predictors of Re-participation in Faecal Occult Blood Test-Based Screening for Colorectal Cancer

Optimising colorectal cancer screening acceptance: a review

A Randomized Controlled Trial to Improve Colon Cancer Screening in Rural Family Medicine: An Iowa Research Network (IRENE) Study

Contact Info

Product

Resources

About