Review Article

Public Awareness of Colorectal Cancer Screening: Knowledge, Attitudes, and Interventions for Increasing Screening Uptake

Table 1

Randomized controlled trials using patient reminders as interventional strategy.

Author (yr)AimInterventionParticipants ( )Participation, (%)Follow-up (months)

Church et al. (2004) [17] Any screening test after interventionGroup 1: mailed FOBT and educational brochure125513.2*12
Group 2: same as Group 1 and phone call reminder14.1
Group 3: just mailed FOBT7.8

Segnan et al. (2005) [18] Screening FS or FOBT after interventionGroup 1: mailed invitation to biennial FOBT, FOBT, instructions, educational leaflet, 2 reminder letters266823024
Group 2: biennial FOBT delivered by the PCP or screening facility28
Group 3: same as Group 1 and invitation to choose between FOBT and once only FS27
Group 4: same as Group 1 and mailed invitation to FS28
Group 5: same as Group 1 and invitation to FS followed by biennial FOBT 28

Denberg et al. (2006) [19] Screening colonoscopy after interventionGroup 1: mailed educational brochure with reminder after primary care visit78170.7*4
Group 2: usual care59

Myers et al. (2007) [20] FOBT screening after intervention Group 1: mailed letter, information booklet, FOBT, reminder letter154646*24
Group 2: same as Group 1 and tailored message pages44
Group 3: same as Group 2 and reminder phone call48
Group 4: usual care33

Chan and Vernon (2008) [21] FOBT screening after interventionGroup 1 (home e-mail access): e-mailed reminders, FOBT, last screening results, and link for additional information972618
Group 2 (home e-mail access): usual care23
Group 3 (public library access): same as Group 10
Group 4 (public library access): same as Group 2 33

Sequist et al. (2009) [22] Any screening test after interventionGroup 1: educational pamphlet, mailed FOBT with a stamped return envelope, telephone number to schedule colonoscopy or flexible sigmoidoscopy, and mailed reminder2186044*15
Group 2: usual care38.1

Lee et al. (2009) [23] FOBT screening after interventionGroup 1: mailed educational reminder and FOBT77564.4*6
Group 2: usual care48.4

Sequist et al. (2011) [24] Any screening test after interventionGroup 1: electronic reminders, educational information, and link for additional information110315.84
Group 2: usual care13.1

Cameron et al. (2011) [25] Any screening test after interventionGroup 1: reminder letter, educational brochure, educational digital video disc, and phone call reminder62818.2*6
Group 2: usual care12.1

Coronado et al. (2011) [26] Screening FOBT after interventionGroup 1: usual care5012*9
Group 2: mailed FOBT and instructions26
Group 3: same as Group 2, phone call reminder and home visit by trained community members addressing strategies for CRC screening and definition of CRC31

Doorenbos et al. (2011) [27] Any screening test after interventionGroup 1: reminders and e-mailed calendar with messages of CRC screening56334.115
Group 2: calendar without any messages4.4

Leffler et al. (2011) [28] Screening colonoscopy after interventionGroup 1: automated reminder system (3 reminders)83033.5*6
Group 2: usual care17.8

groups increased CRC screening rates compared with the usual care.