Year 2016 / Volume 108 / Number 6
Original
Effectiveness of three interventions to improve participation in colorectal cancer screening

315-322

DOI: 10.17235/reed.2016.4048/2015

Jesús López-Torres Hidalgo, Joseba Rabanales Sotos, María José Simarro Herráez, Jaime López-Torres López, Monchi Campos Rosa, María Ángeles López Verdejo,

Abstract
Background and objective: Participation in colorectal cancer (CRC) screening varies widely among different countries and different socio-demographic groups. Our objective was to assess the effectiveness of three primary-care interventions to increase CRC screening participation among persons over the age of 50 years and to identify the health and socio-demographic-related factors that determine greater participation. Methods: We conducted a randomized experimental study with only one post-test control group. A total of 1,690 subjects were randomly distributed into four groups: written briefing; telephone briefing; an invitation to attend a group meeting; and no briefing. Subjects were evaluated 2 years post-intervention, with the outcome variable being participation in CRC screening. Results: A total of 1,129 subjects were interviewed. Within the groups, homogeneity was tested in terms of socio-demographic characteristics and health-related variables. The proportion of subjects who participated in screening was: 15.4% in the written information group (95% confidence interval [CI]: 11.2-19.7); 28.8% in the telephone information group (95% CI: 23.6-33.9); 8.1% in the face-to-face information group (95% CI: 4.5-11.7); and 5.9% in the control group (95% CI: 2.9-9.0), with this difference proving statistically significant (p < 0.001). Logistic regression showed that only interventions based on written or telephone briefing were effective. Apart from type of intervention, number of reported health problems and place of residence remained in the regression model. Conclusions: Both written and telephone information can serve to improve participation in CRC screening. This preventive activity could be optimized by means of simple interventions coming within the scope of primary health-care professionals.
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López-Torres Hidalgo J, Rabanales Sotos J, Simarro Herráez M, López-Torres López J, Campos Rosa M, López Verdejo M, et all. Effectiveness of three interventions to improve participation in colorectal cancer screening. 4048/2015


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Publication history

Received: 14/10/2015

Accepted: 04/04/2016

Online First: 08/04/2016

Published: 03/06/2016

Article revision time: 167 days

Article Online First time: 177 days

Article editing time: 233 days


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