ASPO Abstracts

Authors: Adsul, P.

Category: Behavioral Science & Health Communication
Conference Year: 2020

Abstract Body:
Several evidence-based interventions (EBIs) have been previously tested with positive outcomes for improving the uptake of cancer screening behaviors among asymptomatic individuals. These interventions often have multiple components and often use several strategies for delivering the program. In order to understand what program to implement, there is a need to understand what works in what context. We reviewed existing cancer screening programs on the Research Tested Interventions Programs (RTIPs) website to identify goals, content, context, and delivery of the interventions. A total of 50 programs that promoting the uptake of cancer screening were identified on the RTIPs website. Twenty-four interventions were promoting the uptake of breast cancer screening, 22 focused on colorectal cancer, 13 focused on cervical cancer and six programs had more than one cancer site as a focus area. Two programs were developed outside the US. Among these interventions 70.8% breast cancer screening, 95% of colorectal cancer and all cervical cancer programs focused on racial/ ethnic minorities. Twenty-nine programs (58%) were designed to be delivered in a clinical settings, whereas 13 (26%) programs were designed to be delivered in community settings, 6 could also be delivered at both community and clinical settings. There were two programs designed for either workplace settings or home-based. About 56% of all programs used community-based health educators for delivering the intervention and often had varying responsibilities including delivering educational interventions, reducing structural barriers, and providing navigational services. The main target of the intervention was a clinician in only three of the interventions and two of these were based on electronic health reminders. About 14 (28%) programs used reminders in the form of mailings or telephone calls. Three of the studies were focused on improving follow-up to an abnormal screening tests. Findings suggest that most studies used multicomponent interventions and several strategies for implementation. For developers of EBIs and future adaptation, this information could provide a helpful review of interventions and strategies that have previously been successful in promoting the uptake of cancer screening behaviors.

Keywords: evidence-based interventions, cancer screening, uptake

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