Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program
Objectives This field study evaluated a multiwave media campaign that aired in 2019 to promote participation in the Australian National Bowel Cancer Screening Program (NBCSP), which provides free biennial mailed-out immunochemical faecal occult blood test (iFOBT) kits to Australians aged 50–74 years...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-03-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/3/e065124.full |
| _version_ | 1797745064407990272 |
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| author | Sarah J Durkin Kate Broun Eleonora Feletto Claudia Gascoyne Belinda Morley Kerryann Wyatt |
| author_facet | Sarah J Durkin Kate Broun Eleonora Feletto Claudia Gascoyne Belinda Morley Kerryann Wyatt |
| author_sort | Sarah J Durkin |
| collection | DOAJ |
| description | Objectives This field study evaluated a multiwave media campaign that aired in 2019 to promote participation in the Australian National Bowel Cancer Screening Program (NBCSP), which provides free biennial mailed-out immunochemical faecal occult blood test (iFOBT) kits to Australians aged 50–74 years.Design Adjusted negative binomial regression models determined rate ratios of iFOBT kits returned during and following three campaign waves compared with 2018 (baseline). Interaction terms determined whether effects differed by gender×age group, socioeconomic status (SES) and previous participation.Setting Australia.Participants All Australians eligible for the NBCSP (men and women aged 50–74 years) who returned an iFOBT kit between 1 January 2018 and 30 October 2019.Interventions A multiwave national integrated media campaign to promote participation in the NBCSP.Main outcome measures iFOBT kit return rate and number of iFOBT kits returned during and immediately following campaign activity overall and within historically lower screening groups (men, 50–59 years old; lower SES; never participants).Results The rate of iFOBT kits returned increased significantly during all three campaign waves, with evidence of carry-over effects of the second wave coinciding with a general practitioner mail-out strategy (all p<0.001). At each wave, effects were observed among men and women in the younger (50–59 years old) age group, but were less consistent for the older age group. Each SES group and both never and previous participants had increased return rates at each wave, but increases were stronger among mid-higher SES and those who had never participated. An estimated 93 075 extra iFOBT kits were returned due to the campaign.Conclusions The campaign increased participation, especially among those who were younger and never previously screened—key groups to recruit given reparticipation rates of over 80%. Ongoing investment in national integrated media campaigns of sufficient duration and intensity can increase bowel cancer screening and ultimately save lives. |
| first_indexed | 2024-03-12T15:18:09Z |
| format | Article |
| id | doaj.art-9c5769989d1147e498e3e680d4a15315 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-03-12T15:18:09Z |
| publishDate | 2023-03-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-9c5769989d1147e498e3e680d4a153152023-08-11T10:45:07ZengBMJ Publishing GroupBMJ Open2044-60552023-03-0113310.1136/bmjopen-2022-065124Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening ProgramSarah J Durkin0Kate Broun1Eleonora Feletto2Claudia Gascoyne3Belinda Morley4Kerryann Wyatt53 Centre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, AustraliaCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, AustraliaEnvironment and Lifestyle Epidemiology Branch, International Agency for Research on Cancer (IARC/WHO), Lyon, FranceCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, AustraliaCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, AustraliaCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, AustraliaObjectives This field study evaluated a multiwave media campaign that aired in 2019 to promote participation in the Australian National Bowel Cancer Screening Program (NBCSP), which provides free biennial mailed-out immunochemical faecal occult blood test (iFOBT) kits to Australians aged 50–74 years.Design Adjusted negative binomial regression models determined rate ratios of iFOBT kits returned during and following three campaign waves compared with 2018 (baseline). Interaction terms determined whether effects differed by gender×age group, socioeconomic status (SES) and previous participation.Setting Australia.Participants All Australians eligible for the NBCSP (men and women aged 50–74 years) who returned an iFOBT kit between 1 January 2018 and 30 October 2019.Interventions A multiwave national integrated media campaign to promote participation in the NBCSP.Main outcome measures iFOBT kit return rate and number of iFOBT kits returned during and immediately following campaign activity overall and within historically lower screening groups (men, 50–59 years old; lower SES; never participants).Results The rate of iFOBT kits returned increased significantly during all three campaign waves, with evidence of carry-over effects of the second wave coinciding with a general practitioner mail-out strategy (all p<0.001). At each wave, effects were observed among men and women in the younger (50–59 years old) age group, but were less consistent for the older age group. Each SES group and both never and previous participants had increased return rates at each wave, but increases were stronger among mid-higher SES and those who had never participated. An estimated 93 075 extra iFOBT kits were returned due to the campaign.Conclusions The campaign increased participation, especially among those who were younger and never previously screened—key groups to recruit given reparticipation rates of over 80%. Ongoing investment in national integrated media campaigns of sufficient duration and intensity can increase bowel cancer screening and ultimately save lives.https://bmjopen.bmj.com/content/13/3/e065124.full |
| spellingShingle | Sarah J Durkin Kate Broun Eleonora Feletto Claudia Gascoyne Belinda Morley Kerryann Wyatt Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program BMJ Open |
| title | Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program |
| title_full | Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program |
| title_fullStr | Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program |
| title_full_unstemmed | Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program |
| title_short | Engaging lower screening groups: a field experiment to evaluate the impact of a multiwave national campaign on participation in the National Bowel Cancer Screening Program |
| title_sort | engaging lower screening groups a field experiment to evaluate the impact of a multiwave national campaign on participation in the national bowel cancer screening program |
| url | https://bmjopen.bmj.com/content/13/3/e065124.full |
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