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| Ranking |
Evidence-Based Practice |
| Description |
Small media include videos and printed materials such as letters, brochures, and newsletters. These materials can be used to inform and motivate people to be screened for cancer. They can provide information tailored to specific individuals or targeted to general audiences.
The Community Preventive Services Task Force recommends interventions that use small media based on strong evidence of their effectiveness in increasing:
• Breast cancer screening by mammography
• Cervical cancer screening by Pap test
• Colorectal cancer screening by fecal occult blood test (FOBT) |
| Results / Accomplishments |
Results from the Systematic Reviews:
Breast Cancer:
Nineteen studies qualified for the systematic review, two were excluded from the final analysis.
• Proportion of study participants completing screening by mammography: median increase of 7.0 percentage points (21 study arms)
• Interventions were effective when tailored: 7.0 percentage point median increase (7 study arms)
• Interventions also were effective when untailored: 5.3 percentage point median increase (14 study arms)
• Reviewed studies were conducted in both rural and urban communities and among different racial, ethnic, and socioeconomic groups.
Cervical Cancer:
• Twelve studies (including 15 study arms) qualified for the systematic review.
Proportion of study participants completing screening by Pap test: median increase of 4.5 percentage points (12 study arms)
• Tailoring was either less effective or, at best, no more effective than untailored interventions. Questions remain about the value of tailoring small media interventions to increase cervical cancer screening rates. (2 studies)
• Reviewed studies were conducted in both rural and urban communities and among different racial, ethnic, and socioeconomic groups.
Colorectal Cancer:
Seven studies (including 9 study arms) qualified for the systematic review (one included a tailored intervention).
• Proportion of study participants completing screening by FOBT: median increase of 12.7 percentage points (8 study arms)
• None of the qualifying studies addressed flexible sigmoidoscopy, colonoscopy, or double contrast barium enema screening, so the findings may not apply to these.
• Reviewed studies were conducted among different racial, ethnic, and socioeconomic groups. |
| Categories |
Health / Cancer
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| Source |
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention |
| Location |
Country: USA |
| Primary Contact |
communityguide@cdc.gov
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| For more details |
http://www.thecommunityguide.org/index.html
http://www.thecommunityguide.org/cancer/screeni...
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| Target Audience |
Adults |
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