TY - JOUR
T1 - Client-Directed Interventions to Increase Community Demand for Breast, Cervical, and Colorectal Cancer Screening. A Systematic Review
AU - Baron, Roy C.
AU - Rimer, Barbara K.
AU - Breslow, Rosalind A.
AU - Coates, Ralph J.
AU - Kerner, Jon
AU - Melillo, Stephanie
AU - Habarta, Nancy
AU - Kalra, Geetika P.
AU - Chattopadhyay, Sajal
AU - Wilson, Katherine M.
AU - Lee, Nancy C.
AU - Mullen, Patricia Dolan
AU - Coughlin, Steven Scott
AU - Briss, Peter A.
PY - 2008/7
Y1 - 2008/7
N2 - Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community demand for these services. Evidence from these reviews indicates that screening for breast cancer (mammography) and cervical cancer (Pap test) has been effectively increased by use of client reminders, small media, and one-on-one education. Screening for colorectal cancer by fecal occult blood test has been increased effectively by use of client reminders and small media. Additional research is needed to determine whether client incentives, group education, and mass media are effective in increasing use of any of the three screening tests; whether one-on-one education increases screening for colorectal cancer; and whether any demand-enhancing interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report.
AB - Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community demand for these services. Evidence from these reviews indicates that screening for breast cancer (mammography) and cervical cancer (Pap test) has been effectively increased by use of client reminders, small media, and one-on-one education. Screening for colorectal cancer by fecal occult blood test has been increased effectively by use of client reminders and small media. Additional research is needed to determine whether client incentives, group education, and mass media are effective in increasing use of any of the three screening tests; whether one-on-one education increases screening for colorectal cancer; and whether any demand-enhancing interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report.
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U2 - 10.1016/j.amepre.2008.04.002
DO - 10.1016/j.amepre.2008.04.002
M3 - Review article
C2 - 18541187
AN - SCOPUS:44649173043
SN - 0749-3797
VL - 35
SP - S34-S55
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 1 SUPPL.
ER -