Effectiveness of three interventions to improve participation in colorectal cancer screening
López-Torres-Hidalgo, Jesús; Rabanales-Sotos, Joseba; Simarro-Herráez, María José; López-Torres-López, Jaime; Campos-Rosa, Monchi; López-Verdejo, M Ángeles.
Rev. esp. enferm. dig
; 108(6): 315-322, jun. 2016. tab, graf
Artigo
em Inglês
| IBECS (Espanha) | ID: ibc-153423
Background and
objective:
Participation in colorectal cancer (CRC) screening varies widely among different countries and different socio-demographic groups. Our objective was to assess the effectiveness of three primary-care interventions to increase CRC screening participation among persons over the age of 50 years and to identify the health and socio-demographic-related factors that determine greater participation.Methods:
We conducted a randomized experimental study with only one post-test control group. A total of 1,690 subjects were randomly distributed into four groups written briefing; telephone briefing; an invitation to attend a group meeting; and no briefing. Subjects were evaluated 2 years post-intervention, with the outcome variable being participation in CRC screening.Results:
A total of 1,129 subjects were interviewed. Within the groups, homogeneity was tested in terms of socio-demographic characteristics and health-related variables. The proportion of subjects who participated in screening was 15.4% in the written nformation group (95% confidence interval [CI] 11.2-19.7); 28.8% in the telephone information group (95% CI 23.6-33.9); 8.1% in the face-to-face information group (95% CI 4.5-11.7); and 5.9% in the control group (95% CI 2.9-9.0), with this difference proving statistically significant (p < 0.001). Logistic regression showed that only interventions based on written or telephone briefing were effective. Apart from type of intervention, number of reported health problems and place of residence remained in the regression model.Conclusions:
Both written and telephone information can serve to improve participation in CRC screening. This preventive activity could be optimized by means of simple interventions coming within the scope of primary health-care professionals (AU)
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Assuntos
Humanos Masculino Feminino Pessoa de Meia-Idade Idoso Avaliação de Eficácia-Efetividade de Intervenções Neoplasias Colorretais/epidemiologia Neoplasias Colorretais/prevenção & controle Diagnóstico Precoce Atenção Primária à Saúde/métodos Atenção Primária à Saúde/tendências 28599 Modelos Logísticos Estudos de Casos e Controles Avaliação de Processos e Resultados em Cuidados de Saúde/normas Avaliação de Processos e Resultados em Cuidados de Saúde
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