Testing the effectiveness of a general practice intervention to improve uptake of colorectal cancer screening: a randomised controlled trial.
Aged
Australia
/ epidemiology
Colonoscopy
/ statistics & numerical data
Colorectal Neoplasms
/ diagnosis
Delivery of Health Care
Early Detection of Cancer
/ statistics & numerical data
Female
General Practice
General Practitioners
/ statistics & numerical data
Humans
Male
Mass Screening
/ organization & administration
Middle Aged
New South Wales
Occult Blood
Outcome and Process Assessment, Health Care
Patient Acceptance of Health Care
/ statistics & numerical data
Program Evaluation
Surveys and Questionnaires
colorectal cancer
early detection of cancer
faecal occult blood test
general practice
randomised controlled trial
Journal
Australian and New Zealand journal of public health
ISSN: 1753-6405
Titre abrégé: Aust N Z J Public Health
Pays: United States
ID NLM: 9611095
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
received:
01
11
2018
revised:
01
05
2019
accepted:
01
05
2019
pubmed:
4
7
2019
medline:
18
10
2019
entrez:
4
7
2019
Statut:
ppublish
Résumé
Uptake of screening through the Australian National Bowel Cancer Screening Program remains low. General practice guidelines support the general practitioners' role to offer CRC screening. This study tests the effect that an intervention including point-of-care FOBT provision, printed screening advice and GP endorsement has on self-reported FOBT uptake. A multisite, 1:1 parallel-arm, cluster-randomised controlled trial. Participants aged 50-74, at average risk of CRC and overdue for screening were recruited from four general practices in New South Wales, Australia, from September 2016 to May 2017. Self-report of FOBT up to eight weeks post baseline. A total of 336 participants consented to complete a baseline survey (64% consent rate), of which 123 were recruited into the trial (28 usual care days and 26 intervention days). Follow-up data was collected for 114 participants (65 usual care and 49 intervention). Those receiving the intervention had ten times greater odds of completing screening compared to usual care (39% vs. 6%; OR 10.24; 95%CI 2.9-36.6, p=0.0006). A multicomponent intervention delivered in general practice significantly increased self-reported FOBT uptake in those at average risk of CRC. Implications for public health: General practice interventions could serve as an important adjunct to the Australian National Bowel Cancer Screening Program to boost plateauing screening rates.
Identifiants
pubmed: 31268211
doi: 10.1111/1753-6405.12913
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
464-469Informations de copyright
© 2019 The Authors.
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