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Impact of the introduction of a new policy of direct faecal immunochemical home screening test provision in a national bowel screening programme, both during and outside of advertising campaigns.
Fahy, Lorraine; Fitzpatrick, Patricia; Meade, Caroline; Farrell, Hilary Coffey; O'Donoghue, Diarmuid; Mooney, Therese.
Afiliação
  • Fahy L; National Screening Service, King's Inns House, 200 Parnell Street, Dublin, D01 A3Y8, Ireland. Electronic address: Lorraine.Fahy@screeningservice.ie.
  • Fitzpatrick P; National Screening Service, King's Inns House, 200 Parnell Street, Dublin, D01 A3Y8, Ireland; UCD School of Public Health, Physiotherapy & Sports Science, University College Dublin, Belfield, Dublin 4, Ireland. Electronic address: patricia.fitzpatrick@ucd.ie.
  • Meade C; National Screening Service, King's Inns House, 200 Parnell Street, Dublin, D01 A3Y8, Ireland. Electronic address: Caroline.Meade@screeningservice.ie.
  • Farrell HC; National Screening Service, King's Inns House, 200 Parnell Street, Dublin, D01 A3Y8, Ireland. Electronic address: Hilary.Coffey@screeningservice.ie.
  • O'Donoghue D; National Screening Service, King's Inns House, 200 Parnell Street, Dublin, D01 A3Y8, Ireland. Electronic address: dodonoghue0304@gmail.com.
  • Mooney T; National Screening Service, King's Inns House, 200 Parnell Street, Dublin, D01 A3Y8, Ireland. Electronic address: Therese.Mooney@screeningservice.ie.
Cancer Epidemiol ; 69: 101844, 2020 12.
Article em En | MEDLINE | ID: mdl-33099212
ABSTRACT

BACKGROUND:

BowelScreen, The National Bowel Screening Programme in Ireland, offers free colorectal screening to persons aged 60-69 through a home Faecal Immunochemical Test (FIT) kit. 40.2% uptake in the first screening round was below the programme standard (≥50.0%). To improve uptake, an intervention saw FIT kits sent directly to previously screened clients rather than by the usual invitation process comprising a letter of invitation followed by a FIT kit if requested. The intervention proved successful and was fully implemented into the programme for subsequent clients. Despite the improved uptake it was noted over time that the unsatisfactory FIT rate was approaching the programme standard (≤3%). The aim of this study is to compare uptake by two invite methods occurring contemporaneously alongside advertising and to compare unsatisfactory rates before and after full FIT-Direct implementation.

METHODS:

Percentage uptake and 95% confidence intervals (CI) were calculated for each invite method before and after advertising and compared using two-proportion z-tests. Rate ratios and 95% CI compared the unsatisfactory FIT rate before and after full-FIT Direct implementation.

RESULTS:

Uptake was significantly higher amongst FIT-Direct compared with Usual-Invite clients during (91.0% vs 84.9%, p < 0.0001) and outside advertising (93.8% vs 85.3%, p < 0.0001). The unsatisfactory FIT rate was 2.3 times higher (95% CI 1.84-2.92, p < 0.0001) after full FIT-Direct implementation compared with before.

CONCLUSIONS:

The FIT-Direct intervention had an overall positive effect on uptake. After adjusting for advertising, uptake of FIT was higher outside advertising periods. Monitoring of the unsatisfactory rate is ongoing; a communication enhancement strategy may be required should this persist.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Detecção Precoce de Câncer / Fezes Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Cancer Epidemiol Assunto da revista: EPIDEMIOLOGIA / NEOPLASIAS Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias Colorretais / Detecção Precoce de Câncer / Fezes Tipo de estudo: Diagnostic_studies / Prognostic_studies / Screening_studies Limite: Aged / Female / Humans / Male / Middle aged País/Região como assunto: Europa Idioma: En Revista: Cancer Epidemiol Assunto da revista: EPIDEMIOLOGIA / NEOPLASIAS Ano de publicação: 2020 Tipo de documento: Article