Dataset Information

Encouraging compliance with bowel and cervical cancer screening using behavioural nudges

ABSTRACT: Background and study aims Screening programmes have become widespread in developed countries, but how to improve uptake is an understudied area especially in deprived regions. This study aims to test whether it is possible to increase attendance rates for cervical and bowel screening in the deprived area of East and West Marsh, Grimsby, North East Lincolnshire by sending a behaviourally-informed reminder letter from GP practices to non-attenders and by entering people into a lottery, if they get screened. Who can participate? All patients of the recruited GP patients can participate if they are eligible for the relevant screening programmes (cervical or bowel cancer). Participants must have not booked and attended a previous screening appointment in the previous twelve months after being sent a letter. What does the study involve? Participants will be randomly assigned to one of three groups - either the control group, the letter group and the lottery and letter group. The control group will not receive any intervention. The letter group will receive a behaviourally informed letter. The lottery and letter group will receive the same letter, and will be offered the chance to win a lottery if they get screened. GP practices will then report back about who attended screenings following the study.

DISEASE(S): Compliance With Mass Cancer Screening Programmes

PROVIDER: 2426365 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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Project description:Background and study aims Colorectal cancer (CRC, also known as bowel cancer) is the fourth most common cancer and the second leading cause of cancer related deaths in England. Screening the at risk population for CRC by way of biennial faecal occult blood testing (FOBt) reduces CRC deaths by detecting CRC early, at a time when it is easier to treat. In England, the National Health Service (NHS) runs an organised population-based CRC screening programme (Bowel Cancer Screening Programme, BCSP), which offers biennial screening via guaiac-based faecal occult blood testing (gFOBt) to any men and women aged 60-74. With 54% overall uptake, CRC screening has the lowest uptake rate amongst all of the organised National Cancer Screening Programmes (Breast and Cervical Cancer Screening) in England. As such, there is an important need for interventions to promote uptake of FOBt in the capital to reduce inequalities in uptake. Increasing evidence demonstrates that General Practitioner (GP) endorsement promotes CRC screening uptake and there is a growing interest in the use text-message reminders to increase participation in cancer screening. The present study aims to investigate the effectiveness of a primary care based text-message reminder to promote CRC screening uptake in London. Who can participate? Adults aged between 60 to 75 who are eligible for bowel cancer screening. What does the study involve? Participants are randomly allocated to one of two groups. Participants are sent an invitation letter with screening information booklet by their local Hub. They then receive the gFOBt kit and instructions 8-10 days letter. They are asked to collect samples of three separate bowel motions and send the completed kit back to the hub. A letter is sent after four weeks of non-response. Those allocated to the first group receive a text message reminder to send their kit back. Those in the second group receive the standard screening materials. Uptake in both groups will be measured at 18 weeks and compared for statistically significant differences.

Dataset Information

Encouraging compliance with bowel and cervical cancer screening using behavioural nudges

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