1. Evaluation of the Call for a Kit intervention to increase bowel cancer screening uptake in Lancashire, England.
- Author
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Stoffel, Sandro T, McGregor, Lesley, Hirst, Yasemin, Hanif, Sahida, Morris, Lorraine, and von Wagner, Christian
- Subjects
AUDITING ,MINORITIES ,CONFIDENCE intervals ,MULTIVARIATE analysis ,EARLY detection of cancer ,COLORECTAL cancer ,DESCRIPTIVE statistics ,SOCIODEMOGRAPHIC factors ,FECAL occult blood tests ,ETHNIC groups ,LOGISTIC regression analysis ,DATA analysis software ,ODDS ratio ,HEALTH promotion ,LONGITUDINAL method - Abstract
Objective: To evaluate the 'Call for a Kit' health promotion intervention that was initiated in Lancashire, England to improve bowel cancer screening uptake. Methods: Within the intervention, screening non-responders are called and invited to attend a consultation with a health promotion team member at their primary care practice. In this audit, we analysed the proportion of those contacted who attended the in-person clinic versus those who received a phone consultation, the number returning a test kit from in-person versus phone consultations, and the extent to which test kit return was moderated by sociodemographic characteristics. Results: In 2019, 68 practices participated in the intervention which led to 10,772 individuals being contacted; 2464 accepted the invitation to an in-person consultation, of whom 1943 attended. A further 1065 agreed to and attended a consultation over the phone. The 3008 consultations resulted in 2890 test kits being ordered, of which 1608 (55.6%) were returned. The intervention therefore yielded a 14.9% response rate in the total cohort; 71.5% of test kits came from individuals attending the in-person consultation. Women and those registered with a practice in socioeconomically deprived areas were less likely to return the test kit. Individuals with a black, mixed or a non-Indian/Pakistani Asian ethnic background were significantly more likely to accept the offer of an in-person consultation and return the test kit. Conclusion: Our analysis demonstrated the strong likelihood of people returning a test kit after an in-person appointment but also the usefulness of using phone consultations as a safety net for people unable or unwilling to attend in-person clinics. [ABSTRACT FROM AUTHOR]
- Published
- 2022
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