Interventions to promote colorectal cancer screening: An integrative review
Open accessAbstract
Behavior change interventions to promote colorectal cancer (CRC) screening have targeted people in community and primary care settings, health care providers, and health systems. Randomized controlled trials provide the strongest evidence of intervention efficacy. The purpose of this integrative review was to evaluate trials of CRC screening interventions published between 1997 and 2007 and to identify knowledge gaps and future directions for research. Thirty-three randomized trials that met inclusion criteria were evaluated using a modified version of the TREND criteria. Significant intervention effects were reported in 6 of 10 trials focused on increasing fecal occult blood testing, 4 of 7 trials focused on sigmoidoscopy or colonoscopy completion, and 9 of 16 trials focused on completion of any screening test. Several effective interventions to promote CRC screening were identified. Future trials need to use theory to guide interventions, examine moderators and mediators, consistently report results, and use comparable outcome measures.
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An integrative review of interventions to promote CRC screening found six trials that combined different types of intervention features (published between 1997 and 2007) with positive effects on uptake.
“An integrative review of interventions to promote CRC screening found six trials that combined different types of intervention features (published between 1997 and 2007) with positive effects on uptake [63].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [63]
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Experimental — accuracy not yet measuredAn integrative review of interventions for colorectal cancer screening promotion found six studies combining different types of interventions (published between 1997 and 2007) with positive effects on participation.
“Интегративни преглед интервенција за промоцију скрининга на РДЦ је пронашао шест студија које су комбиновале различите врсте интервенција (објављених између 1997.и 2007.године) са позитивним ефектима на учешће [63].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [63]
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Cites
Des Jarlais, D. C., Lyles, C., Crepaz, N., & the TREND Group (2004) · American Journal of Public Health · doi:10.2105/ajph.94.3.361 · Cited by 2,817 · see citing works
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Lau, R., Stevenson, F., Ong, B. N., Dziedzic, K., Treweek, S., Eldridge, S., Everitt, H., Kennedy, A., Qureshi, N., Rogers, A., et al. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-009993 · Cited by 254 · see citing works
Personal Navigation Increases Colorectal Cancer Screening Uptake
Ritvo, P. G., Myers, R. E., Paszat, L. F., Tinmouth, J. M., McColeman, J., Mitchell, B., Serenity, M., & Rabeneck, L. (2015) · Cancer Epidemiology, Biomarkers & Prevention · doi:10.1158/1055-9965.epi-14-0744 · Cited by 59 · 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
- Rawl, S. M., Menon, U., Burness, A., & Breslau, E. S.
- Affiliations
- Indiana University – Purdue University Indianapolis (US)
- Mayo Clinic (US)
- National Cancer Institute (US)
- Venue
- Nursing Outlook
- Publisher
- Elsevier BV
- Published
- 2012-07
- Volume
- 60
- Issue
- 4
- Pages
- 172-181.e13
- ISSN
- 0029-6554 (ISSN-L)
- PMC
- PMC3366042
- OpenAlex
- W2036129061
- Cited by
- 58
- References
- 1
- Citations by year
- 2026: 2 · 2025: 4 · 2023: 2 · 2022: 1 · 2021: 3 · 2020: 4 · 2019: 8 · 2018: 5 · 2017: 1 · 2016: 6 · 2015: 7 · 2014: 7 · 2013: 6 · 2012: 2
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Nursing Outlook (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institutes of Health (Z99 CA999999)
- National Cancer Institute (Y99 CA999999)
- Topics
- Health Sciences › Medicine › Oncology › Colorectal Cancer Screening and Detection
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Keywords
- colorectal cancer screening, behaviour change interventions, fecal occult blood test, sigmoidoscopy, colonoscopy, screening completion, primary care, community-based intervention, healthcare workers, intervention efficacy, theory-based intervention
- MeSH terms
- Health Promotion, Humans, Colorectal Neoplasms, Randomized Controlled Trials as Topic, Early Detection of Cancer
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