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Appears in Collections:Psychology Journal Articles
Peer Review Status: Refereed
Title: Improving uptake of flexible sigmoidoscopy screening: a randomized trial of nonparticipant reminders in the English Screening Programme
Author(s): Kerrison, Robert S
McGregor, Lesley M
Marshall, Sarah
Isitt, John
Counsell, Nicholas
Rees, Colin J
von Wagner, Christian
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Issue Date: 2017
Citation: Kerrison RS, McGregor LM, Marshall S, Isitt J, Counsell N, Rees CJ & von Wagner C (2017) Improving uptake of flexible sigmoidoscopy screening: a randomized trial of nonparticipant reminders in the English Screening Programme. Endoscopy, 49 (1), pp. 35-43.
Abstract: Background and study aims Uptake of flexible sigmoidoscopy screening in the English Bowel Scope Screening (BSS) Programme is low. The aim of this study was to test the impact of a nonparticipant reminder and theory-based leaflet to promote uptake among former nonresponders (previously did not confirm their appointment) and nonattenders (previously confirmed their appointment but did not attend). Patients and methods Eligible adults were men and women in London who had not attended a BSS appointment within 12 months of their invitation. Individuals were randomized (1:1:1) to receive no reminder (control), a 12-month reminder plus standard information booklet (TMR-SIB), or a 12-month reminder plus bespoke theory-based leaflet (TMR-TBL) designed to address barriers to screening. The primary outcome of the study was the proportion of individuals screened within each group 12 weeks after the delivery of the reminder. Results A total of 1383 men and women were randomized and analyzed as allocated (n = 461 per trial arm). Uptake was 0.2 % (n = 1), 10.4 % (n = 48), and 15.2 % (n = 70) in the control, TMR-SIB, and TMR-TBL groups, respectively. Individuals in the TMR-SIB and TMR-TBL groups were significantly more likely to attend screening than individuals in the control group (adjusted odds ratio [OR] 53.7, 95 % confidence interval [CI] 7.4 – 391.4, P 
DOI Link: 10.1055/s-0042-118452
Rights: This article was published under a Creative Commons Attribution license (CC BY - You may freely read, download, print out and share, immediately and permanently.
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