From the Bench to Public Health
Abstract
Background Early detection of colorectal cancer (CRC) using fecal occult blood test (FOBT) reduces mortality, yet screening adherence remains low. Purpose Enhancing FOBT adherence in a field experiment, using Implementation Intentions (II) technique. Design Participants were randomly assigned to a standard care group or to II experimental group. Setting/participants A test kit was mailed to 29,833 HMO-insured members in two waves in 2011. Inclusion criteria eligible persons aged 50-74 who underwent the test the year before. A sample of 2200 participants was interviewed over the telephone for possible cognitive and background moderators. Intervention Leaflet attached to the test kit containing an "if-then" condition and planning instructions of when, where, and how. Main outcome measure Test performance at 2 and 6 months following mailing of the test kit, retrieved from HMO's computerized database (2011-2012). Results Adherence in the experimental group ranged 1.2%-6.6% higher than in the control group. Within 6 months of kits' mailing, test uptake for the two waves was 71.4% and 67.9% for experiment and control, respectively (χ(2)=40.58, p=0.0001). The difference remained significant after controlling for age, gender, marital status, and wave (OR=1.17, 95% CI=1.11, 1.23, p Conclusions II technique is useful in increasing adherence to CRC screening, even in a mailed form rather than a face-to-face experimental situation. Mailed II is an inexpensive and effective method, applic…
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When an 'if-then' leaflet addressing common barriers and offering practical assistance was included with a CRC test kit, adherence in the experimental group was 1.2%-6.6% higher than in the control group, reaching 71.4% (vs. 67.9%) in the last six month wave.
“When an 'if-then' leaflet addressing common barriers and offering practical assistance was included with a CRC test kit, adherence in the experimental group was 1.2%-6.6%higher than in the control group, reaching 71.4% (vs.67.9%) in the last six month wave [56].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [56]
Cites
Implementation intentions: Strong effects of simple plans.
Gollwitzer, P. M. (1999) · American Psychologist · doi:10.1037/0003-066x.54.7.493 · Cited by 5,478 · see citing works
Implementation intentions and goal achievement: a meta-analysis of effects and processes
Gollwitzer, P. M., & Sheeran, P. (2006) · Advances in Experimental Social Psychology · doi:10.1016/s0065-2601(06)38002-1 · Cited by 3,236 · see citing works
Adriaanse, M. A., Vinkers, C. D. W., De Ridder, D. T. D., Hox, J. J., & De Wit, J. B. F. (2011) · Appetite · doi:10.1016/j.appet.2010.10.012 · Cited by 455 · see citing works
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Tsipa, A., O’Connor, D. B., Branley-Bell, D., Day, F., Hall, L. H., Sykes-Muskett, B., Wilding, S., Taylor, N., & Conner, M. (2021) · Health Psychology Review · doi:10.1080/17437199.2020.1760726 · Cited by 46 · see citing works
Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review
Palsola, M., Likki, T., Snijders, V., Corbex, M., Lasierra, L., & Curtis, B. (2026) · Glasnik javnog zdravlja · doi:10.5937/serbjph2601086p
- Authors
- Neter, E., Stein, N., Barnett-Griness, O., Rennert, G., & Hagoel, L.
- Affiliations
- Ruppin Academic Center (IL)
- Carmel Medical Center (IL)
- Technion – Israel Institute of Technology (IL)
- Corresponding author
- Neter, Efrat
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2014-03
- Volume
- 46
- Issue
- 3
- Pages
- 273-280
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W2043389697
- Cited by
- 90
- References
- 3
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 2 · 2023: 3 · 2022: 3 · 2021: 3 · 2020: 54 · 2019: 3 · 2018: 4 · 2017: 1 · 2016: 5 · 2015: 7 · 2014: 2
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Preventive Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
- Health Sciences › Health Professions › General Health Professions › Health Policy Implementation Science
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- colorectal cancer screening, fecal occult blood test, screening adherence, implementation intentions, if-then planning, health behavior change, health maintenance organizations, public health interventions
- MeSH terms
- Aged, Health Maintenance Organizations, Humans, Male, Mass Screening, Middle Aged, Occult Blood, Patient Compliance, Postal Service, Public Health, Colorectal Neoplasms, Early Detection of Cancer
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