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Reducing barriers to colorectal cancer screening: The impact of enhanced advance notification letters.

Improving participation in bowel cancer screening through the use of enhanced advance notification letters

Status
Not yet recruiting
Phases
Phase 3
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12607000461493
Enrollment
1800
Registered
2007-09-12
Start date
2007-09-17
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Previous research has demonstrated that the use of a simple advance notification letter preceding an invitation to participate in bowel cancer screening resulted in a significant increase in population participation compared to no advance notification of invitation. This study further explores the value of advance notification by comparing screening participation between 3 groups: 1) using an enhanced version specifically addressing known barriers (aversion for collecting faecal samples, lack of knowledge about bowel cancer, low perception of the value of screening); 2) a simple advance notification letter and 3) a control group not receiving advance notification.

Interventions

Two alternative advance notification strategies will be trialed. Intervention 1 will consist of a simple 'advance notification of an invitation to participate in screening for Colorectal Carcinoma (CRC)' letter incorporating messages introducing the concept of screening for CRC, increased risk for CRC and the value of screening to reduce risk. Intervention 2 (enhanced advance notification) will include those messages plus more complex messages to reduce known barriers (lack of knowledge about CR

Two alternative advance notification strategies will be trialed. Intervention 1 will consist of a simple 'advance notification of an invitation to participate in screening for Colorectal Carcinoma (CRC)' letter incorporating messages introducing the concept of screening for CRC, increased risk for CRC and the value of screening to reduce risk. Intervention 2 (enhanced advance notification) will include those messages plus more complex messages to reduce known barriers (lack of knowledge about CRC and its prevention, aversion for faecal sampling, low perception of the value of Fecal Occult Blood Test (FOBT) screening). The advance notification letters will be followed in 2 weeks by a standard invitation-to-screen letter. A control group will receive the standard invitation only. Invitees have 12 weeks from date of invitation-to-screen in which to participate in screening.

Sponsors

Flinders University
Lead SponsorUniversity

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
50 Years to 74 Years
Healthy volunteers
Yes

Inclusion criteria

Present on the electoral roll of the Australian Electoral Commission, and living in specified post code.

Exclusion criteria

People already participating in bowel screening research and service programs, people who have medical conditions that invalidate screening test results or preclude them from colonoscopy, all people who have had an faecal occult blood test within the last year.

Outcome results

None listed

Source: ANZCTR · Data processed: Feb 4, 2026