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| Ranking |
Evidence-Based Practice |
| Description |
One-on-one education delivers information to individuals about indications for, benefits of, and ways to overcome barriers to cancer screening with the goal of informing, encouraging, and motivating them to seek recommended screening. These messages are delivered by healthcare workers or other health professionals, lay health advisors, or volunteers, and are conducted by telephone or in person in medical, community, worksite, or household settings.
These messages can be untailored to address the overall target population or tailored with the intent to reach one specific person, based on characteristics unique to that person, related to the outcome of interest, and derived from an individual assessment. One-on-one education is often accompanied by supporting materials delivered via small media (e.g., brochures), and may also involve client reminders.
The Community Preventive Services Task Force recommends the use of one-on-one education to increase screening for breast and cervical cancers on the basis of strong evidence of effectiveness. The Task Force also recommends the use of one-on-one education to increase colorectal cancer screening with fecal occult blood testing (FOBT) based on sufficient evidence of effectiveness. |
| Results / Accomplishments |
Results From The Systematic Reviews:
Breast Cancer:
Combined evidence from both the original and the updated review showed the following.
• Tailored interventions showed a median increase of 9.7 percentage points (IQI: 6.5 to15.2 percentage points; 30 study arms).
• Untailored interventions showed a median increase of 6.3 percentage points (IQI: 2.0 to11.4 percentage points; 9 study arms).
• In studies reporting socio-economic status (SES), one-on-one education programs targeted to lower income women showed greater effects than programs that did not target low income women (10.4 percentage points [IQI: 9.4 to 15.1 percentage points]; 14 study arms versus 8.8 percentage points [IQI 2.0 to 14.4 percentage points]; 26 study arms).
• The incremental effect of one-on-one education when added to other types of interventions was a median increase of 6.1 percentage points (IQI: 2.0 to 11.0; 15 study arms)
Cervical Cancer:
Five studies, with 8 study arms, were included in the original systematic review. No additional studies were identified during this update.
• Completed Pap tests: median increase of 8.1 percentage points (IQI: 5.7 to 17.3 percentage points; 8 study arms)
Colorectal Cancer:
Combined evidence from the original and updated reviews included 7 studies with 12 study arms.
• Screening by FOBT: median increase of 19.1 percentage points (IQI: 12.9 to 25.1 percentage points; 10 study arms).
• Screening by a colonoscopy: range from 0 to 11 percentage points increase (2 study arms).
• Screening by flexible sigmoidoscopy: no change reported (1 study arm).
• Screening by any methods: range from 1 to 11 percentage points increase (2 study arms).
• Tailored interventions showed increase ranging from 1 to 20.1 percentage points (2 studies)
• Untailored interventions showed a median increase of 20.7 percentage points (IQI: 13.8 to 25.8 percentage points; 3 studies with 8 study arms) |
| 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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