Evidence map›Paper›PMID 36921953›Full record

ArticleBMJ open2023

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.

Claudia Gascoyne, Kate Broun, Belinda Morley, Kerryann Wyatt, Eleonora Feletto, Sarah J Durkin

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. The Co-Design of an Evidence-Based Health Education Strategy to Improve Bowel Cancer Awareness and Screening in a Remote Tasmanian Community: Lessons Learned.Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals · 2025
    Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Claudia GascoyneCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, Australia.ORCID 0000-0002-1241-4062
Kate BrounPrevention Division, Cancer Council Victoria, Melbourne, Victoria, Australia.
Belinda MorleyCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, Australia.
Kerryann WyattCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, Australia.
Eleonora FelettoCancer Research Division, Cancer Council New South Wales, Woolloomooloo, New South Wales, Australia.ORCID 0000-0001-6192-4694
Sarah J DurkinCentre for Behavioural Research in Cancer, Cancer Council Victoria, Melbourne, Victoria, Australia sarah.durkin@cancervic.org.au.ORCID 0000-0002-2795-6454
Cancer Council Victoria · AUThe University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis 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.

designAdjusted 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.

settingAustralia.

participantsAll 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.

interventionsA multiwave national integrated media campaign to promote participation in the NBCSP.

main outcome measuresiFOBT 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).

resultsThe 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.

conclusionsThe 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.

Indexed as

Colorectal NeoplasmsAgedAustraliaEarly Detection of CancerFemaleHumansIntestinesMaleMass ScreeningMiddle AgedOccult BloodAdult oncologyPREVENTIVE MEDICINEPUBLIC HEALTH

Identifiers

PMID36921953
PMCPMC10030563
OpenAlexW4324387209

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.