Effectiveness of Interventions to Increase Screening for Breast, Cervical, and Colorectal Cancers Nine Updated Systematic Reviews for the Guide to Community Preventive Services

被引：376

作者：

Sabatino, Susan A. ^{[1
]}

Lawrence, Briana ^{[4
]}

Elder, Randy ^{[2
]}

Mercer, Shawna L. ^{[2
]}

Wilson, Katherine M. ^{[2
]}

DeVinney, Barbara

Melillo, Stephanie

Carvalho, Michelle ^{[3
]}

Taplin, Stephen ^{[5
]}

Bastani, Roshan ^{[6
]}

Rimer, Barbara K. ^{[7
]}

Vernon, Sally W. ^{[4
]}

Melvin, Cathy Lee ^{[8
]}

Taylor, Vicky ^{[9
]}

Fernandez, Maria ^{[4
]}

Glanz, Karen ^{[10
,11
]}

机构：

[1] Emory Univ, Div Canc PreventionandControl, Natl Ctr Chron Dis Prevent & Hlth Promot, CDC, Atlanta, GA 30341 USA

[2] Emory Univ, Community Guide Branch, Epidemiol Anal Program Off, Atlanta, GA 30341 USA

[3] Emory Univ, Off Surveillance Epidemiol & Lab Serv, CDC, Rollins Sch Publ Hlth, Atlanta, GA 30341 USA

[4] Univ Texas Houston, Sch Publ Hlth, Div Hlth Promot & Behav Sci, Houston, TX USA

[5] NCI, Div Canc Control & Populat Sci, NIH, Bethesda, MD 20892 USA

[6] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA 90024 USA

[7] Univ N Carolina, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA

[8] Med Univ S Carolina, Charleston, SC 29425 USA

[9] Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, Seattle, WA 98104 USA

[10] Univ Penn, Dept Biostat & Epidemiol, Perelman Sch Med, Philadelphia, PA 19104 USA

[11] Univ Penn, Dept Biobehav Hlth Sci, Sch Nursing, Philadelphia, PA USA

来源：

AMERICAN JOURNAL OF PREVENTIVE MEDICINE | 2012年 / 43卷 / 01期

关键词：

RANDOMIZED CONTROLLED-TRIAL; AFRICAN-AMERICAN WOMEN; TELEPHONE COUNSELING INTERVENTION; HEALTH MAINTENANCE ORGANIZATION; CLIENT-DIRECTED INTERVENTIONS; PRIMARY-CARE PRACTICES; OCCULT BLOOD-TEST; MAMMOGRAPHY USE; UNITED-STATES; TAILORED INTERVENTIONS;

D O I：

10.1016/j.amepre.2012.04.009

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Context: Screening reduces mortality from breast, cervical, and colorectal cancers. The Guide to Community Preventive Services previously conducted systematic reviews on the effectiveness of 11 interventions to increase screening for these cancers. This article presents results of updated systematic reviews for nine of these interventions. Evidence acquisition: Five databases were searched for studies published during January 2004-October 2008. Studies had to (1) be a primary investigation of one or more intervention category; (2) be conducted in a country with a high-income economy; (3) provide information on at least one cancer screening outcome of interest; and (4) include screening use prior to intervention implementation or a concurrent group unexposed to the intervention category of interest. Forty-five studies were included in the reviews. Evidence synthesis: Recommendations were added for one-on-one education to increase screening with fecal occult blood testing (FOBT) and group education to increase mammography screening. Strength of evidence for client reminder interventions to increase FOBT screening was upgraded from sufficient to strong. Previous findings and recommendations for reducing out-of-pocket costs (breast cancer screening); provider assessment and feedback (breast, cervical, and FOBT screening); one-on-one education and client reminders (breast and cervical cancer screening); and reducing structural barriers (breast cancer and FOBT screening) were reaffirmed or unchanged. Evidence remains insufficient to determine effectiveness for the remaining screening tests and intervention categories. Conclusions: Findings indicate new and reaffirmed interventions effective in promoting recommended cancer screening, including colorectal cancer screening. Findings can be used in community and healthcare settings to promote recommended care. Important research gaps also are described. (Am J Prev Med 2012;43(1):97-118) (C) 2012 Published by Elsevier Inc. on behalf of American Journal of Preventive Medicine

引用

页码：97 / 118

页数：22

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