Impact of non-clinical community-based promotional campaigns on bowel cancer screening engagement: An integrative literature review

Increasing bowel cancer screening participation: integrating population-wide, primary care and more targeted approaches

“…The impact of communityfocused promotional activities on awareness and screening behaviours can also be difficult to quantify. 24 Innovative and flexible methods need to be considered when delivering and evaluating such programs. 4.…”

Impact of a mass media campaign on participation rates in a National Bowel Cancer Screening Program: a field experiment

“…Using media education (postcards, letters) within primary care and enhancing primary care practice electronic medical records to include reminder systems can also improve screening rates 10. Outside primary care, culturally adapted group education sessions and multicomponent interventions (such as education sessions, videos and special events) have been found to increase screening rates,11 while telephone outreach modestly increases screening 12. Financial support and one-on-one education have been found to be less effective than group education 11.…”

“…Outside primary care, culturally adapted group education sessions and multicomponent interventions (such as education sessions, videos and special events) have been found to increase screening rates,11 while telephone outreach modestly increases screening 12. Financial support and one-on-one education have been found to be less effective than group education 11. As the delivery of each of these interventions relies on practitioner, community or cultural group initiatives, they are likely to have limited population reach and so are limited in their capacity to drive increases in the overall population screening rate.…”

“…There is some evidence that tailoring of mail-based interventions with FOBT invitation modestly improves screening above standard FOBT mail-out,12 while one study has shown celebrity endorsements can increase screening rates 13. The few studies that have examined the effectiveness of mass media bowel cancer screening campaigns have shown that they can increase population screening rates,11 but describe the effects as moderate and short lived. This is consistent with the pattern of effects found for mass media campaigns for other health behaviours,14 such as for smoking cessation 15…”

Effects of an entertaining, culturally targeted narrative and an appealing expert interview on the colorectal screening intentions of African American women

“…In addition to barriers to specific screening modalities (e.g., colonoscopy-associated fear and feelings of vulnerability; McLachlan, Clements, & Austoker, 2012), several barriers to CRC screening of any sort have been identified: (a) being unaware of the need for screening; (b) lacking a physician's recommendation; (c) being uninsured for health care or concerned about the cost of the test; (d) not having CRC symptoms, a family history of CRC, or a screened network member; (e) fear of what the procedure might find (Jones, Devers, Kuzel, & Wolf, 2010); (f) confusion about screening options (Jones, Vernon & Wolf, 2010); and (g) fatalism-the sense that health and disease are preordained (e.g., Crosby & Collins, 2017). Fortunately, interventions to overcome CRC screening barriers have had some success; the most effective addressed barriers at levels of community member demand and test access or provider behavior (Martini, Morris, & Preen, 2016; "Cancer Screening: Multicomponent Interventions-Colorectal Cancer," 2016).…”