The DOI matches its Crossref record; 88 of the 88 references it cites were found in a registry or an index.
Interventions That Increase Use of Adult Immunization and Cancer Screening Services: A Meta-Analysis
Abstract
Purpose The relative effectiveness of the diverse approaches used to promote preventive care activities, such as cancer screening and adult immunization, is unknown. Despite many high-quality published studies, practices and policymakers attempting to improve preventive care have little definitive information on which to base decisions. Thus, we quantitatively assessed the relative effectiveness of previously studied approaches for improving adherence to adult immunization and cancer screening guidelines. Data sources MEDLINE, the Cochrane Effective Practice and Organization of Care Review Group register, previous systematic reviews, and the Medicare Health Care Quality Improvement Project database. Study selection Controlled clinical trials that assessed interventions to increase use of immunizations for influenza and pneumococcal pneumonia and screening for colon, breast, and cervical cancer in adults. Data extraction Two reviewers independently extracted data on characteristics and outcomes from unmasked articles. Intervention components to increase use of services were classified as reminder, feedback, education, financial incentive, legislative action, organizational change, or mass media campaign. Data synthesis Of 552 abstracts and articles, 108 met the inclusion criteria. To assess the effect of intervention components, meta-regression models were developed for immunizations and each cancer screening service by using 81 studies with a usual care or control group. The…
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In the citing paper
“Educational interventions for the general population have consistently been at least moderately effective [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“Reminders have also been effective [42], but more for previously compliant attenders than for non-attenders [35].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“Invitations in different forms have increased cancer screening (e.g., letters, text messages, phone calls) [42,51,52].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“Organisational changes that make screening attendance more convenient (e.g., redesigning service provision and settings) have been consistently among the most effective components in increasing cancer screening [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“Personalised or GP-signed letters were more effective than generic reminders in a meta-analysis of attendance for all cancer screenings [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“A positive impact was observed also in countries without national screening programmes [28,42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“In countries without free screening, reducing or eliminating co-payments has been effective [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“However, the providers' lack of knowledge about correct practice or their performance alone does not explain most cases of poor quality care [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“Establishing separate screening clinics can have a strong positive impact on CC screening based on a meta-analysis [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
In the citing paper
“Nursing or clerical staff identifying patients who need screening and arranging a physician visit, or delivering the screening themselves, has been effective [42].”
From Improving cancer screening uptake: A behavioural and cultural insights perspective and rapid review (2026) · cites this paper as [42]
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Metadata
- Authors
- Stone, E. G., Morton, S. C., Hulscher, M. E., Maglione, M. A., Roth, E. A., Grimshaw, J. M., Mittman, B. S., Rubenstein, L. V., Rubenstein, L. Z., & Shekelle, P. G.
- Affiliations
- Cedars-Sinai Medical Center (US)
- From the Southern California Evidence-Based Practice Center (which includes the RAND Health Division), Santa Monica, Cedars–Sinai Medical Center and the Greater Los Angeles Veterans Administration Health Care System, Los Angeles, and Center for the Study of Health Care Provider Behavior, Sepulveda, California; the University of Nijmegen, Centre for Quality of Care Research, Nijmegen, the Netherlands; and the University of Aberdeen, Health Services Research Unit, Aberdeen, Scotland, United Kingdom.
- ORCID
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 2002-05-07
- Volume
- 136
- Issue
- 9
- Pages
- 641-651
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W1550604682
- Cited by
- 613
- References
- 88
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 4 · 2023: 11 · 2022: 12 · 2021: 13 · 2020: 8 · 2019: 19 · 2018: 11 · 2017: 18 · 2016: 27 · 2015: 23 · 2014: 22 · 2013: 31 · 2012: 43
- FWCI
- 6.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Radboud Repository (Radboud University) (publishedVersion)
- Radboud Repository (Radboud University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Social Sciences › Health › Vaccine Coverage and Hesitancy
- Keywords
- adult vaccination, cancer screening, preventive medicine, intervention effectiveness, organizational change, financial incentives, patient reminders, patient education, feedback, influenza vaccination, pneumococcal vaccination, colon cancer screening, breast cancer screening, cervical cancer screening, health care organization
- MeSH terms
- Adult, Feedback, Humans, Mass Media, Mass Screening, Neoplasms, Organizational Objectives, Patient Education as Topic, Preventive Health Services, Regression Analysis, Reimbursement, Incentive, Vaccination, Reminder Systems
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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