A pilot randomized controlled trial of telephone intervention to increase Breast Cancer Screening uptake in socially deprived areas in Scotland (TELBRECS)

TY - JOUR

T1 - A pilot randomized controlled trial of telephone intervention to increase Breast Cancer Screening uptake in socially deprived areas in Scotland (TELBRECS)

AU - Chambers, Julie A.

AU - Gracie, Kerry

AU - Millar, Rosemary

AU - Cavanagh, Julie

AU - Archibald, Debbie

AU - Cook, Alan

AU - O’Carroll, Ronan E.

N1 - This research was funded by a grant from the UK National Health Service, Tayside

PY - 2016/9

Y1 - 2016/9

N2 - Objectives: To determine whether a brief telephone support intervention could increase breast cancer screening uptake among lower socio-demographic women in Scotland, via eliciting and addressing barriers to screening attendance.Methods: In a pilot randomized controlled trial, participants receiving a reminder letter for a missed screening appointment (February-June 2014) were randomized to four arms: No telephone call (control), Simple telephone reminder (TEL), Telephone support (TEL-SUPP), or Telephone support plus anticipated regret (TEL-SUPP-AR). Primary outcomes were making an appointment and attending breast screening. Results: Of 856 women randomized and analysed on intention-to-treat basis, compared with controls, more women in the telephone intervention groups made an appointment (control: 8.8%, TEL: 20.3%, TEL-SUPP: 14.1%; TEL-SUPP-AR: 16.8%, χ2(3)=12.0, p=.007) and attended breast screening (control: 6.9%, TEL: 16.5%, TEL-SUPP: 11.3%; TEL-SUPP-AR: 13.1%, χ2(3)=9.8, p=.020). Of 559 women randomized to the three telephone groups, 404 were successfully contacted and 247 participated in the intervention. Intervention participants (ie. per protocol analysis) were more likely to make (17% versus 10%, χ2(1)=7.0, p=.008) and attend (13% versus 7%, χ2(1)=5.5, p=.019) an appointment than non-participants, but there were no differences in attendance between the three telephone groups. Conclusions: A simple telephone reminder doubled attendance at breast screening in women from lower socio-demographic areas who had not attended their initial appointment, compared with a reminder letter only (odds ratio 2.12, 95% CI (1.2, 3.8)). However, contacting women proved problematic and there was no additional effect of telephone support or anticipated regret.

AB - Objectives: To determine whether a brief telephone support intervention could increase breast cancer screening uptake among lower socio-demographic women in Scotland, via eliciting and addressing barriers to screening attendance.Methods: In a pilot randomized controlled trial, participants receiving a reminder letter for a missed screening appointment (February-June 2014) were randomized to four arms: No telephone call (control), Simple telephone reminder (TEL), Telephone support (TEL-SUPP), or Telephone support plus anticipated regret (TEL-SUPP-AR). Primary outcomes were making an appointment and attending breast screening. Results: Of 856 women randomized and analysed on intention-to-treat basis, compared with controls, more women in the telephone intervention groups made an appointment (control: 8.8%, TEL: 20.3%, TEL-SUPP: 14.1%; TEL-SUPP-AR: 16.8%, χ2(3)=12.0, p=.007) and attended breast screening (control: 6.9%, TEL: 16.5%, TEL-SUPP: 11.3%; TEL-SUPP-AR: 13.1%, χ2(3)=9.8, p=.020). Of 559 women randomized to the three telephone groups, 404 were successfully contacted and 247 participated in the intervention. Intervention participants (ie. per protocol analysis) were more likely to make (17% versus 10%, χ2(1)=7.0, p=.008) and attend (13% versus 7%, χ2(1)=5.5, p=.019) an appointment than non-participants, but there were no differences in attendance between the three telephone groups. Conclusions: A simple telephone reminder doubled attendance at breast screening in women from lower socio-demographic areas who had not attended their initial appointment, compared with a reminder letter only (odds ratio 2.12, 95% CI (1.2, 3.8)). However, contacting women proved problematic and there was no additional effect of telephone support or anticipated regret.

KW - Anticipated regret

KW - Barriers to breast screening

KW - Breast cancer

KW - Screening

KW - Telephone reminder

U2 - 10.1177/0969141315608212

DO - 10.1177/0969141315608212

M3 - Article

C2 - 26566950

AN - SCOPUS:84986626722

SN - 0969-1413

VL - 23

SP - 141

EP - 149

JO - Journal of Medical Screening

JF - Journal of Medical Screening

IS - 3

ER -