title: Piloting the Impact of Three Interventions on Guaiac Faecal Occult Blood Test Uptake within the NHS Bowel Cancer Screening Programme.
abstract: This study evaluated the impact of three interventions on uptake of the guaiac faecal occult blood test (gFOBT) in Greater London. The interventions were designed to improve awareness and understanding of the NHS Bowel Cancer Screening Programme (BCSP) and assist stool sampling. Logistic regression analysis of BCSP London data (N = 205,541 invitees aged 60-74) compared uptake at 12 weeks between intervention groups and a control group, sent kits as usual between January-April 2013 and January-April 2014. An endorsement flyer, included with gFOBT kits, had no impact on uptake (P = 0.68). In 60-69-year-olds, there was a small but significant increase in modelled uptake amongst invitees sent both the flyer and a kit enhancement pack compared with controls (45.1% versus 43.4%, OR = 1.07, P = 0.047). In North East London, the flyer together with outdoor advertising was associated with a small but significant increase (45.6% versus 43.4%, OR = 1.09, P = 0.027). The largest increases were seen when all three interventions (flyer, pack, and advertising) were combined (49.5% versus 43.4%, OR = 1.28, P < 0.001). The increased uptake in the intervention groups was largest in "first-timers" and smaller amongst previous nonresponders and previously screened invitees.
authors.affiliation: Cancer Research UK, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
authors.forename: Becky
authors.initials: B
authors.lastname: White
authors.affiliation: Cancer Research UK, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
authors.forename: Emily
authors.initials: E
authors.lastname: Power
authors.affiliation: Cancer Research UK, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
authors.forename: Monika
authors.initials: M
authors.lastname: Ciurej
authors.affiliation: Health Behaviour Research Centre, University College London, Gower Street, London WC1E 6BT, UK.
authors.forename: Siu Hing
authors.initials: SH
authors.lastname: Lo
authors.affiliation: Cancer Research UK, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
authors.forename: Katherine
authors.initials: K
authors.lastname: Nash
authors.affiliation: Cancer Research UK, Angel Building, 407 St. John Street, London EC1V 4AD, UK.
authors.forename: Nick
authors.initials: N
authors.lastname: Ormiston-Smith
mesh_terms: D000368:Aged; D003113:Colonoscopy; D015179:Colorectal Neoplasms / Q000097:blood* / Q000473:pathology; D055088:Early Detection of Cancer; D005260:Female; D006138:Guaiac; D006801:Humans; D007422:Intestines / Q000473:pathology*; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D009780:Occult Blood
chemical_list: D006138:Guaiac