Client-Directed Interventions to Increase Community Demand for Breast, Cervical, and Colorectal Cancer Screening. A Systematic Review

Roy C. Baron, Barbara K. Rimer, Rosalind A. Breslow, Ralph J. Coates, Jon Kerner, Stephanie Melillo, Nancy Habarta, Geetika P. Kalra, Sajal Chattopadhyay, Katherine M. Wilson, Nancy C. Lee, Patricia Dolan Mullen, Steven Scott Coughlin, Peter A. Briss

Research output: Contribution to journalReview article

145 Citations (Scopus)

Abstract

Most major medical organizations recommend routine screening for breast, cervical, and colorectal cancers. Screening can lead to early detection of these cancers, resulting in reduced mortality. Yet not all people who should be screened are screened, either regularly or, in some cases, ever. This report presents the results of systematic reviews of effectiveness, applicability, economic efficiency, barriers to implementation, and other harms or benefits of interventions designed to increase screening for breast, cervical, and colorectal cancers by increasing community demand for these services. Evidence from these reviews indicates that screening for breast cancer (mammography) and cervical cancer (Pap test) has been effectively increased by use of client reminders, small media, and one-on-one education. Screening for colorectal cancer by fecal occult blood test has been increased effectively by use of client reminders and small media. Additional research is needed to determine whether client incentives, group education, and mass media are effective in increasing use of any of the three screening tests; whether one-on-one education increases screening for colorectal cancer; and whether any demand-enhancing interventions are effective in increasing the use of other colorectal cancer screening procedures (i.e., flexible sigmoidoscopy, colonoscopy, double contrast barium enema). Specific areas for further research are also suggested in this report.

Original languageEnglish (US)
JournalAmerican Journal of Preventive Medicine
Volume35
Issue number1 SUPPL.
DOIs
StatePublished - Jul 1 2008
Externally publishedYes

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Early Detection of Cancer
Uterine Cervical Neoplasms
Colorectal Neoplasms
Breast Neoplasms
Education
Papanicolaou Test
Sigmoidoscopy
Occult Blood
Mass Media
Social Welfare
Hematologic Tests
Mammography
Colonoscopy
Research
Motivation
Economics
Organizations
Mortality

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Client-Directed Interventions to Increase Community Demand for Breast, Cervical, and Colorectal Cancer Screening. A Systematic Review. / Baron, Roy C.; Rimer, Barbara K.; Breslow, Rosalind A.; Coates, Ralph J.; Kerner, Jon; Melillo, Stephanie; Habarta, Nancy; Kalra, Geetika P.; Chattopadhyay, Sajal; Wilson, Katherine M.; Lee, Nancy C.; Mullen, Patricia Dolan; Coughlin, Steven Scott; Briss, Peter A.

In: American Journal of Preventive Medicine, Vol. 35, No. 1 SUPPL., 01.07.2008.

Research output: Contribution to journalReview article

Baron, RC, Rimer, BK, Breslow, RA, Coates, RJ, Kerner, J, Melillo, S, Habarta, N, Kalra, GP, Chattopadhyay, S, Wilson, KM, Lee, NC, Mullen, PD, Coughlin, SS & Briss, PA 2008, 'Client-Directed Interventions to Increase Community Demand for Breast, Cervical, and Colorectal Cancer Screening. A Systematic Review', American Journal of Preventive Medicine, vol. 35, no. 1 SUPPL.. https://doi.org/10.1016/j.amepre.2008.04.002
Baron, Roy C. ; Rimer, Barbara K. ; Breslow, Rosalind A. ; Coates, Ralph J. ; Kerner, Jon ; Melillo, Stephanie ; Habarta, Nancy ; Kalra, Geetika P. ; Chattopadhyay, Sajal ; Wilson, Katherine M. ; Lee, Nancy C. ; Mullen, Patricia Dolan ; Coughlin, Steven Scott ; Briss, Peter A. / Client-Directed Interventions to Increase Community Demand for Breast, Cervical, and Colorectal Cancer Screening. A Systematic Review. In: American Journal of Preventive Medicine. 2008 ; Vol. 35, No. 1 SUPPL.
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