Use of a non-participant reminder and social marketing leaflet to improve uptake of Bowel Scope Screening in England: a three arm Randomised Controlled Trial
PHE ePoster Library. Kerrison R. Sep 13, 2016; 138016; 158
Mr. Rob Kerrison
Mr. Rob Kerrison
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Abstract
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Abstract Background: Uptake in the English Bowel Scope screening programme is below the European target for acceptable participation. The aim of this study was to test the impact of two non-participant reminder strategies to improve uptake.Methods: Eligible subjects were men and women in London who had not attended a BSS appointment within 12 months of their initial invitation. Eligible subjects were randomised (1:1:1) to receive either no reminder (control), a '12 months' reminder' and standard information booklet (TMR-SIB), or a 12 months' reminder and 'social marketing leaflet' designed to address barriers to uptake (TMR-SML). The primary outcome of the study was the proportion of individuals screened within each group 12 weeks after the delivery of the reminder.Results: 1,383 men and women were randomised and analysed as allocated (n=461 per trial arm). Uptake was 0.2%, 10.4%, and 15.2% in the control, TMR-SIB & TMR-SML groups respectively. Individuals in the TMR-SIB (OR=53.4, 95%CIs=7.8 to 391.9, p<0.001) and TMR-TBL (OR=89.0, 95%CIs=12.3 to 645.4, p<0.01) groups were significantly more likely to attend screening than individuals in the control group. Individuals in the TMR-SML group were also significantly more likely to attend screening than individuals in the TMR-SIB group (OR=1.69, 95%CIs=1.13 to 2.52, p=0.01). The adenoma detection rate among screened adults was 7.6%, which is comparable to the rate of prompt attenders.Conclusions: Reminders targeting previous non-participants can improve uptake and increase the number of precancerous lesions detected by the programme. Information designed to target barriers to screening can add significantly to this strategy.
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