Files and links (2)
Implementation Strategies for Interventions Aiming to Increase Participation in Mail-Out Bowel Cancer Screening Programs2.20 MB
Published VersionCC BY V4.0, Open Access
Journal article
Implementation Strategies for Interventions Aiming to Increase Participation in Mail-Out Bowel Cancer Screening Programs: A Realist Review
Frontiers in Oncology, Vol.10, pp.1-14
2020
PMID: 33117681
Abstract
Background:
Bowel cancer is the third most commonly diagnosed cancer and the third most common cause of cancer-related death, with 1,849,518 new cases of bowel diagnosed and 880,792 deaths reported globally in 2018 alone. Survival can be improved through early detection via national mail-out bowel cancer screening programs; however, participation remains low in many countries. Behavior change is therefore required to increase participation. This realist review aims to (a) identify the behavior change techniques (BCTs) used in each intervention, (b) understand the mechanisms of action (MoAs) responsible for the BCT effectiveness, and (c) apply a behavior change model to inform how MoAs can be combined to increase screening participation.
Methods:
We systematically reviewed the literature for interventions aiming to increase participation in mail-out bowel cancer screening. We used a four-stage realist synthesis approach whereby (1) interventions were extracted from each study; (2) BCTs applied in each intervention were identified and coded using the BCT Taxonomy-v1; (3) the Theory and Techniques Tool was used to link BCTs to their MoA; and (4) BCTs and MoAs were categorized according to their effectiveness and what Health Action Process Approach (HAPA) stage of change they would affect.
Results:
We identified 68 intervention trials using 26 unique BCTs and 13 MoAs to increase participation. Sixteen BCTs and 10 MoAs were identified within the interventions that successfully increased participation rates. Interventions targeting both stages of the HAPA model had a higher success rate (80%) than those targeting one stage of change (51%). When targeting only one stage, interventions targeting the volitional stage had a higher success rate (71%) than interventions targeting only the motivational stage of change (26%).
Conclusion:
Importantly, this review identified a suite of BCTs and MoAs effective for increasing participation in mail-out bowel cancer screening programs. With increased participation in bowel cancer screening leading to improved survival, our findings are key to informing the improvement of policy and interventions that aim to increase screening using specific strategies at key stages of health decision-making.
Details
- Title
- Implementation Strategies for Interventions Aiming to Increase Participation in Mail-Out Bowel Cancer Screening Programs: A Realist Review
- Authors
- Larry Myers (Corresponding Author) - University of Southern QueenslandBelinda Goodwin - Cancer Council QueenslandNicholas Ralph - Cancer Council QueenslandOscar Castro - University of Southern QueenslandSonja March - University of Southern Queensland
- Publication details
- Frontiers in Oncology, Vol.10, pp.1-14
- Publisher
- Frontiers Research Foundation
- Date published
- 2020
- DOI
- 10.3389/fonc.2020.543732
- ISSN
- 2234-943X
- PMID
- 33117681
- Copyright note
- Copyright © 2020Myers, Goodwin, Ralph, Castro andMarch. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
- Data Availability
- Publicly available datasets were analyzed in this study. This data can be found here: https://www.frontiersin.org/articles/10.3389/fonc. 2020.543732/full#supplementary-material
- Grant note
- We would like to acknowledge that this research was supported by an Australian Government Research Training Programme (RTP) Scholarship and Cancer Council Queensland.
- Organisation Unit
- School of Health
- Language
- English
- Record Identifier
- 991087497602621
- Output Type
- Journal article
Metrics
51 File views/ downloads
15 Record Views
InCites Highlights
These are selected metrics from InCites Benchmarking & Analytics tool, related to this output
- Collaboration types
- Domestic collaboration
- Web Of Science research areas
- Oncology
UN Sustainable Development Goals (SDGs)
This output has contributed to the advancement of the following goals:
Source: InCites