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Testing the effectiveness of a general practice intervention to improve uptake of colorectal cancer screening- a randomised controlled trial164.91 kB
Published VersionCC BY-NC-ND V4.0, Open Access
Journal article
Testing the effectiveness of a general practice intervention to improve uptake of colorectal cancer screening: a randomised controlled trial
Australia and New Zealand Journal of Public Health, Vol.43(5), pp.464-469
2019
PMID: 31268211
Abstract
Objective: 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.
Methods: 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.
Results: 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).
Conclusions: 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.
Details
- Title
- Testing the effectiveness of a general practice intervention to improve uptake of colorectal cancer screening: a randomised controlled trial
- Authors
- Natalie Dodd (Corresponding Author) - University of Newcastle AustraliaMariko Carey (Author) - University of Newcastle AustraliaElise Mansfield (Author) - University of Newcastle AustraliaChristopher Oldmeadow (Author) - Hunter Medical Research InstituteTiffany-Jane Evans (Author) - Hunter Medical Research Institute
- Publication details
- Australia and New Zealand Journal of Public Health, Vol.43(5), pp.464-469
- Publisher
- Wiley-Blackwell Publishing Asia
- Date published
- 2019
- DOI
- 10.1111/1753-6405.12913
- ISSN
- 1753-6405; 1326-0200
- PMID
- 31268211
- Copyright note
- This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.
- Organisation Unit
- University of the Sunshine Coast, Queensland; School of Nursing, Midwifery and Paramedicine - Legacy; School of Health - Paramedicine
- Language
- English
- Record Identifier
- 99603205502621
- Output Type
- Journal article
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