Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia
| العنوان: | Testing behavioral interventions to optimize participation in a population-based colorectal cancer screening program in Catalonia |
|---|---|
| المؤلفون: | Jose Espinosa, Noémie Travier, Núria Milà, S. Stoffel, Victor Moreno, Llúcia Benito, Carmen Vidal, Gemma Binefa, Montse Garcia |
| المساهمون: | Universitat de Barcelona |
| المصدر: | Dipòsit Digital de la UB Universidad de Barcelona Recercat. Dipósit de la Recerca de Catalunya instname |
| بيانات النشر: | Elsevier, 2018. |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Rational emotive behavior therapy, Catalonia, Epidemiology, Medical screening, Reminder Systems, Population, education, Pharmacy, Population based, 01 natural sciences, 03 medical and health sciences, 0302 clinical medicine, Càncer colorectal, Intervention (counseling), medicine, Humans, Mass Screening, 030212 general & internal medicine, Behavioral interventions, Postal Service, 0101 mathematics, Early intervention (Education), Early Detection of Cancer, Atenció precoç, Aged, education.field_of_study, business.industry, Crc screening, 010102 general mathematics, Significant difference, Public Health, Environmental and Occupational Health, Teràpia racional emotiva conductual, Catalunya, Middle Aged, Colorectal cancer, Cribratge, Colorectal cancer screening, Spain, Family medicine, Occult Blood, Female, Patient Participation, business, Colorectal Neoplasms |
| الوصف: | The aim of the study was to measure the effect of three cost-neutral behavioral interventions on participation compared to the standard invitation letter in a population-based colorectal cancer screening program in 2014. For that purpose, a four-arm randomized field trial was conducted among 5077 individuals aged 50 to 69 years. Over an 8-week period, each week was randomly allocated to the intervention or the control conditions. Individuals assigned to the intervention conditions additionally received a prompt to write down the date to pick up the screening test in a pharmacy. Two of the three intervention groups also included an additional paragraph in the invitation letter on either: 1) the high proportion of individuals participating regularly (social norms condition) or 2) the importance of regular participation (benefit condition). We measured screening participation before and after receiving a reminder letter six weeks after the screening invitation. An overall 8.0 percentage point increase in CRC screening was achieved as a direct result of receiving a reminder letter; however none of the intervention strategies influenced participation. The only significant difference was found for newly invited individuals. There, participation rates decreased from 34.9% to 24.2% when the invitation mailing mentioned the importance of regular participation (OR: 0.60; 95% CI: 0.38–0.95). While none of the intervention strategies improved participation rates we found that praising the benefit of regular screening may discourage individuals who have never been invited before as the continuous behavior may be perceived as a large request. Nevertheless, the reminder letter boosted participation rates independently of the intervention assigned. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::eef642413af6c5e8fa0ef7d1674e5fe6Test http://hdl.handle.net/2445/128909Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....eef642413af6c5e8fa0ef7d1674e5fe6 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |