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BioMed Research International
Volume 2015, Article ID 928251, 11 pages
Research Article

Piloting the Impact of Three Interventions on Guaiac Faecal Occult Blood Test Uptake within the NHS Bowel Cancer Screening Programme

1Cancer Research UK, Angel Building, 407 St. John Street, London EC1V 4AD, UK
2Health Behaviour Research Centre, University College London, Gower Street, London WC1E 6BT, UK

Received 30 March 2015; Accepted 2 June 2015

Academic Editor: Amy McQueen

Copyright © 2015 Becky White et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


This study evaluated the impact of three interventions on uptake of the guaiac faecal occult blood test (gFOBT) in Greater London. The interventions were designed to improve awareness and understanding of the NHS Bowel Cancer Screening Programme (BCSP) and assist stool sampling. Logistic regression analysis of BCSP London data ( invitees aged 60–74) compared uptake at 12 weeks between intervention groups and a control group, sent kits as usual between January-April 2013 and January-April 2014. An endorsement flyer, included with gFOBT kits, had no impact on uptake (). In 60–69-year-olds, there was a small but significant increase in modelled uptake amongst invitees sent both the flyer and a kit enhancement pack compared with controls (45.1% versus 43.4%, , ). In North East London, the flyer together with outdoor advertising was associated with a small but significant increase (45.6% versus 43.4%, , ). The largest increases were seen when all three interventions (flyer, pack, and advertising) were combined (49.5% versus 43.4%, , ). The increased uptake in the intervention groups was largest in “first-timers” and smaller amongst previous nonresponders and previously screened invitees.