ArticleResearchInterventions to promote colorectal cancer screening: An integrative review
Section snippets
Procedure
We conducted computer-based searches of several literature databases—PubMed, CINAHL, and Medline/Ovid—using the following keywords: colon cancer screening, colorectal cancer screening, interventions, and randomized trials. More than 500 articles were identified, of which 33 met criteria for inclusion in this review. Inclusion criteria were: (1) At least one outcome variable must have focused on CRC screening behavior; (2) at least one intervention designed to increase CRC screening test
Interventions to Promote Fecal Occult Blood Testing
Of the 10 randomized trials of interventions to promote FOBT, 9 were published since 2000 (Table 5, available online). One study focused on a predominantly male population12 and 6 included minority populations; 4 focused on African-American samples13, 14, 15, 16 and 2 on Asian/Pacific Islanders.17, 18 Two studies were conducted outside of the United States. Recruitment settings varied across studies, with 6 trials conducted in primary care settings, 2 with community-based samples, and 2 in
Discussion
We sought to update the behavioral intervention literature on CRC screening since 1997. In the decade from 1997 to 2007, significant progress was made in developing innovative and effective interventions to promote CRC screening. Although early studies focused on individual CRC screening tests, such as FOBT or FS separately, more recent studies have addressed the complexity of CRC screening by examining completion of multiple test options, including colonoscopy. The inclusion of colonoscopy as
Acknowledgments
We gratefully acknowledge Phyllis Dexter, PhD, RN, Kimberly Mitchell, PhD, RN, Michelle Symms Juan, MS, RN, Laura Ladd Vodola, BSN, and Darlene Deer for their review and assistance with this manuscript.
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