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Displaying records 1 through 20 (26 total).

Oliver K, Frawley A, Garland E. HPV vaccination: Population approaches for improving rates. Hum Vaccin Immunother. 2016;12(6):1589-1593. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): Feedback, Educational Material, Patient Reminder/Invitation
Intervention Description: "We used a PubMed search to identify studies that assessed interventions that looked at provider assessment and feedback, provider reminders, client reminder and recall, and clinic based education programs."
Primary Outcomes: N/A
Conclusion: There is evidence to support the application of the Community Preventive Services Task Force recommendations specifically to HPV vaccination both for client reminder and recall programs and for provider assessment and feedback interventions. Multiple targeted approaches will be needed to substantially impact HPV vaccine rates.
Study Design: Systematic Review
Significant Findings: No
Setting: Not specified
Data Source: PubMed Database
Sample Size: 13 studies
Age Range: Not specified

Alfonzo E, Andersson Ellstrom A, Nemes S, Strander B. Effect of fee on cervical cancer screening – ScreenFee, a Swedish population-based randomized trial. PLoS One. 2016;11(3):e0150888 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Enabling Services
Intervention Description: Individually randomised controlled trial. All 3 124 women in three low-resource areas in Gothenburg, due for screening during the study period, were randomised to receive an offer of a free test or the standard invitation stating the regular fee of 100 SEK (≈11 €). The study was conducted during the first six months of 2013. Attendance was defined as a registered Pap smear within 90 days from the date the invitation was sent out.
Primary Outcomes: Percentage of women with a registered Pap smear within 90 days of sending the invitation
Conclusion: Abolishment of a modest screening fee in socially disadvantaged urban districts with low coverage, after previous multiple systematic interventions, does not increase attendance in the short term. Other interventions might be more important for increasing attendance in low socio-economic status areas.
Study Design: RCT
Significant Findings: No
Setting: Sweden
Target Audience: Women with no Pap smear reported in the past 3 or 5 years
Data Source: Process Registry of the Swedish National Screening Registry
Sample Size: Total (N=3,124) Intervention (n=1,562); Control (n=1,562)
Age Range: 23-63

Jibaja-Weiss ML, Volk RJ, Kingery P, Smith QW, Holcomb JD. Tailored messages for breast and cervical cancer screening of low-income and minority women using medical records data. Patient Educ Couns. 2003;50(2):123- 132. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: This randomized controlled trial examined whether a personalized form (PF) letter containing generic cancer information and a personalized tailored (PT) letter containing minimally tailored individualized risk factor information based on medical records data affected breast and cervical cancer screening among 1574 urban low-income and minority women.
Primary Outcomes: Percentage of women with a registered Pap smear within 12 months of study group assignment
Conclusion: Personalized tailored letters that contain individualized cancer risk factor information may decrease the likelihood of receiving cancer screening among medically underserved low-income and minority women, but personalized form letters that contain generic cancer information may improve these rates in this disadvantaged population.
Study Design: RCT
Significant Findings: Yes
Setting: Two urban community health centers in Houston, TX
Target Audience: African American, Mexican American, and non-Hispanic white women who were registered at participating health centers
Data Source: Database provided by woman’s primary care provider
Sample Size: Total (N=1,574) Analysis (n=1,483) Intervention Group 1 (n=524); Intervention Group 2 (n=460); Control (n=499)
Age Range: 18-64

Jibaja-Weiss ML, Volk RJ, Smith QW, Holcomb JD, Kingery P. Differential effects of messages for breast and cervical cancer screening. J Health Care Poor Underserved. 2005; 16(1):42-52. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: The 1,574 women participating in the randomized controlled trial were assigned to one of three groups: (1) PF letter, (2) PT letter, (3) control (no letter).
Primary Outcomes: Percentage of women with a registered Pap smear within 12 months of study group assignment
Study Design: RCT
Significant Findings: Yes
Setting: Two urban community health centers in Houston, TX
Target Audience: African American, Mexican American, and non-Hispanic white women who were registered at participating health centers
Data Source: Database provided by woman’s primary care provider
Sample Size: Total (N=1,574) Analysis (n=1,483) Intervention Group 1 (n=524); Intervention Group 2 (n=460); Control (n=499)
Age Range: 18-65

Johnston GM, Boyd CJ, MacIsaac MA, Rhodes JW, Grimshaw RN. Effectiveness of letters to Cape Breton women who have not had a recent Pap smear. Chronic Dis Can. 2003;24(2-3):49-56. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: Letters were sent to 15,691 unscreened and 6,995 under-screened women from Cape Breton Island encouraging them to obtain a Pap test. Controls were 61,510 unscreened women and 32,996 under- screened women in mainland Nova Scotia who were not sent letters.
Primary Outcomes: Odds of receiving a Pap smear within 6 months of the letter mailing date
Conclusion: Being previously unscreened, rather than under-screened, was associated with higher rates of abnormalities (OR = 1.62), indicating greater need for early detection and treatment to prevent invasive cancer. While one-time letters to women improved the Pap smear screening rates, multiple, continuous interventions are needed to make a more substantive improvement in these rates.
Study Design: RCT
Significant Findings: Yes
Setting: Cape Breton Island and Mainland Nova Scotia
Target Audience: Women who were either unscreened (no Pap smear recorded from January 1988- letter mailing date) or underscreened (at least one Pap smear recorded between January 1988- January 1995 but none recorded from January 1995-letter mailing date)
Data Source: Provincial Cytology Registry
Sample Size: Total (N=360,587) Analysis (n=113,426) Intervention (n=21,601); Control (n=91,825) Additional control group (n=1,218)
Age Range: ≥18

Morrell S, Taylor R, Zeckendorf S, Niciak A, Wain G, Ross J. How much does a reminder letter increase cervical screening among under-screened women in NSW? Aust N Z J Public Health. 2005;29(1):78-84. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: Ninety thousand under-screened women were randomised to be mailed a 48-month reminder letter to have a Pap test (n=60,000), or not to be mailed a letter (n=30,000). Differences in Pap test rates were assessed by Kaplan-Meier survival analysis, by chi2 tests of significance between Pap test rates in letter versus no-letter groups, and by proportional hazards regression modelling of predictors of a Pap test with letter versus no-letter as the main study variable. T-tests were conducted on mean time to Pap test to assess whether time to Pap test was significantly different between the intervention and control groups.
Primary Outcomes: Pap test rates at the 90-day follow-up
Conclusion: Being sent a reminder letter is associated with higher Pap testing rates in under-screened women.
Study Design: RCT
Significant Findings: Yes
Setting: New South Wales
Target Audience: Women who had not had a Pap test in 4 years or more
Data Source: New South Wales Pap Test Register
Sample Size: Total (N=90,247) Intervention (n=60,189); Control (n=30,058) Analysis (n=89,699) Intervention (n=59,780); Control (n=29,919)
Age Range: 20-69

Paskett ED, McLaughlin JM, Lehman AM, Katz MI, Tatum CM, Oliveri JM. Evaluating the efficacy of lay health advisors for increasing risk-appropriate Pap test screening: a randomized controlled trial among Ohio Appalachian women. Cancer Epidemiol Biomarkers Prev. 2011;20(5):835-43. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Home Visits
Intervention Description: Evaluate the efficacy of a lay health advisor (LHA) intervention for improving Pap testing rates, to reduce cervical cancer, among women in need of screening.
Primary Outcomes: Odds of having received a Pap test at study completion
Conclusion: LHA interventions show promise for improving screening behaviors among non-adherent women from underserved populations.
Study Design: RCT
Significant Findings: No
Setting: Fourteen Ohio Appalachian clinics
Target Audience: Women living in Ohio Appalachia, who were not pregnant, and who were in need of a Pap test based on riskappropriate guidelines
Data Source: Medical record review and self-report
Sample Size: Total (N=286) Analysis Medical Record Review (n=270) Intervention (n=139); Control (n=131) Self-Report (n=233) Intervention (n=115); Control (n=118)
Age Range: ≥18

Vogt TM, Glass A, Glasgow RE, La Chance PA, Lichtenstein E. The safety net: a cost-effective approach to improving breast and cervical cancer screening. J Womens Health. 2003;12(8):789-98. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Enabling Services, Designated Clinic/Extended Hours, PROVIDER/PRACTICE
Intervention Description: (1). to assess the cost-effectiveness of three interventions to deliver breast and cervical cancer screening to women unscreened for >or=3 years and (2). to determine the relation of an invasive cervical cancer diagnosis to the interval since the last true screening test.
Primary Outcomes: Percentage of women with a registered Pap smear at 12 weeks after the first intervention contact
Conclusion: Letter reminder, followed by a telephone appointment call, was the most cost-effective approach to screening rarely screened women. Lack of accurate information on prior hysterectomy adds substantial unnecessary costs to a screening reminder program.
Study Design: RCT
Significant Findings: Yes
Setting: Portland, OR metropolitan area
Target Audience: Women who were members of Northwest Kaiser Permanente (NWKP) for at least 3 years, with no history of cervical cancer or hysterectomy, who had not received a Pap smear in the same 3 years they had been members of NWKP
Data Source: Radiology and cytology database
Sample Size: Total (N=1,200) Intervention Group 1 (n=288); Intervention Group 2 (n=308); Intervention Group 3 (n=303); Control (n=301)
Age Range: 18-70

Decker KM, Turner D, Demers AA, Martens PJ, Lambert P, Chateau D. Evaluating the effectiveness of cervical cancer screening invitation letters. J Womens Health. 2013;22(8):687-93. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Educational Material, PROVIDER/PRACTICE, Designated Clinic/Extended Hours
Intervention Description: Evaluate the effectiveness of an invitation letter on cervical screening participation among unscreened women 30 to 69 years of age.
Primary Outcomes: Odds of receiving a Pap smear in the 6 months following the intervention
Conclusion: Sending invitation letters increased cervical screening participation but because the overall effect was small, additional strategies that remove barriers to screening for unscreened women are also necessary.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: Manitoba
Target Audience: Women who had no Pap smear reported since 2001 and had been registered in the screening registry for at least 5 years (as of June 2010), with no history of gynecological cancer or hysterectomy, and who were covered by provincial health care insurance
Data Source: Cervical cancer screening registry
Sample Size: Total (N=31,452) Intervention (n=17,068); Control (n=14,384)
Age Range: 30-69

Jensen H, Svanholm H, Stovring H, Bro F. A primary healthcare-based intervention to improve a Danish cervical cancer screening programme: a cluster randomised controlled trial. J Epidemiol Community Health. 2009;63(7):510-5. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: A targeted invitation to women not participating for the last 5 years in cervical screening was evaluated to determine whether it would decrease the number of these women. Increasing general practitioners' attention to the screening programme for cervical cancer was also evaluated to determine whether it would increase participation.
Primary Outcomes: Odds of receiving a Pap smear during the intervention
Conclusion: It is possible to decrease the proportion of non-attenders and increase the coverage rate in a screening programme for cervical cancer using a special targeted invitation to non-attenders combined with a visit to GPs.
Study Design: Cluster RCT
Significant Findings: Yes
Setting: General practices (GPs) in the county of Aarhus
Target Audience: Women who had not had a Pap smear in the last 5 years GPs in Aarhus
Data Source: Database that included women’s Pap smear information, regardless of where she had received the screening
Sample Size: Total (N=117,129) Intervention (n=57,946); Control (n=59,183)
Age Range: 23-59

Byrnes P, McGoldrick C, Crawford M, Peers M. Cervical screening in general practice - strategies for improving participation. Aust Fam Physician. 2007;36(3):183-4, 192. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, PROVIDER/PRACTICE, Provider Audit/Practice Audit, Nurse/Nurse Practitioner
Intervention Description: To assess the effects on cervical screening rates in one small general practice based on uptake and the benefits of multiple strategies.
Primary Outcomes: Rate of registered Pap smears at the end of the 18-month audit
Conclusion: Strategies are feasible and associated with a considerable increase in screening rates. Patients can choose to have their test performed by a nurse in general practice. This study suggests that each strategy's improvement in uptake is independently additive.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: General practice in Bundaberg, Queensland
Target Audience: Women attending the practice living within Bundaberg
Data Source: Chart review
Sample Size: Baseline (n=1,540) Follow-up (n=1,431)
Age Range: 18-69

Dorrington MS, Herceg A, Douglas K, Tongs J, Bookallil M. Increasing Pap smear rates at an urban Aboriginal Community Controlled Health Service through translational research and continuous quality improvement. Aust J Prim Health. 2015;21(4):417-22. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Educational Material, PROVIDER/PRACTICE, Provider Reminder/Recall Systems, Quality Improvement/Practice-Wide Intervention, Designated Clinic/Extended Hours, Female Provider, Needs Assessment, PATIENT_CONSUMER, HOSPITAL
Intervention Description: Translational research (TR) and continuous quality improvement (CQI) processes used to identify and address barriers and facilitators to Pap smear screening within an urban Aboriginal Community Controlled Health Service (ACCHS).
Primary Outcomes: Pap smears per year conducted by Aboriginal Community Controlled Health Service
Conclusion: he use of TR with CQI appears to be an effective and acceptable way to affect Pap smear screening. This model is transferrable to other settings and other health issues.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: An urban Aboriginal Community Controlled Health Service (ACCHS)
Target Audience: All women within eligible age range
Data Source: Electronic medical records
Sample Size: Total (N=213)
Age Range: 18-70

Kaczorowski J, Hearps SJ, Lohfield L, et al. Effect of provider and patient reminders, deployment of nurse practitioners, and financial incentives on cervical and breast cancer screening rates. Can Fam Physician. 2013;59(6):e282-9. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Educational Material, PROVIDER/PRACTICE, Provider Reminder/Recall Systems, Financial Incentives, Nurse/Nurse Practitioner
Intervention Description: Before-and-after comparisons of the time-appropriate delivery rates of cervical and breast cancer screening using the automated and NP-augmented strategies of the P-PROMPT reminder and recall system.
Primary Outcomes: Rate of Pap smear delivery, defined as the number of women in each practice that were up-to-date with screening divided by all eligible women
Conclusion: The use of provider and patient reminders and pay-for-performance incentives resulted in increases in the uptake of Pap tests and mammograms among eligible primary care patients over a 1-year period in family practices in Ontario.
Study Design: Total (N=246) Analysis (n=232) N=physicians
Significant Findings: Yes
Setting: Eight primary care network practices and 16 family health network practices in southwestern Ontario
Target Audience: Practicing physicians from the participating primary care network and family health network groups
Data Source: CytoBase (consortium of main laboratories in Ontario), combined with rosters of eligible patients
Age Range: N/A

Tavasoli SM, Pefoyo AJ, Hader J, Lee A, Kupets R. Impact of invitation and reminder letters on cervical cancer screening participation rates in an organized screening program. Prev Med. 2016;88:230-6. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: Explore the impact of invitation and reminder letters on cervical cancer screening participation among eligible Ontario women 30 to 69 years of age.
Primary Outcomes: Percentage of women with a registered Pap test at the 9-month follow-up
Conclusion: The invitation and reminder letter strategy increased cervical cancer screening participation.
Study Design: QE: pretest-posttest
Significant Findings: Yes
Setting: Ontario
Target Audience: Women who had not had a Pap test in the previous 36 months
Data Source: Cytobase and the Ontario Health Insurance Plan’s Claims History Databases
Sample Size: Total (N=273,534) 2014 (n=135,770); 2013 (n=137,764) Analysis (n=27,269) 2014 (n=16,196)6 ; 2013(n=11,073)
Age Range: 30-69

de Jonge E, Cloes E, Op de Beeck L, et al. A quasi-randomized trial on the effectiveness of an invitation letter to improve participation in a setting of opportunistic screening for cervical cancer. Eur J Cancer Prev. 2008;17(3):238-42. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation
Intervention Description: To assess the effect of an invitation letter on the level of participation in a setting of mainly opportunistic screening for cervical cancer and to do a cost analysis of this intervention.
Primary Outcomes: Percentage of women with a registered Pap smear in the year following the intervention
Conclusion: Within an opportunistic cervical cancer screening setting, the effect of a registry-based invitational programme to nonattenders increases the participation further, and at no extra cost compared with an invitational programme to all screen-eligible women irrespective of their screening status.
Study Design: QE: pretest-posttest non-equivalent control group
Significant Findings: Yes
Setting: Limburg
Target Audience: Women in the Limburg Cancer Registry who had no Pap smear reported in the past 30 months
Data Source: Limburg Cancer Registry
Sample Size: Intervention (n=43,523); Control (n=44,131) Intervention Group A (women 25-41) (n=17,224)
Age Range: 25-54

Patel DA, Zochowski M, Peterman S, Dempsey AF, Ernst S, Dalton VK. Human papillomavirus vaccine intent and uptake among female college students. J Am Coll Health. 2012;60(2):151-161. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT/CONSUMER, Patient Reminder/Invitation, Educational Material, Other Person-to-Person Education
Intervention Description: To examine human papillomavirus (HPV) vaccine intent and the effect of an educational intervention on vaccine uptake among female college students.
Primary Outcomes: Percentage of women who received at least one dose of the HPV vaccine within 6 months of enrollment in the study. If dates of vaccination were unavailable, participants were mailed a brief questionnaire, telephoned, and e-mailed regarding their recent vaccination history.
Conclusion: Interventions to increase HPV vaccine uptake in college students should address HPV-related beliefs and broader barriers to vaccination.
Study Design: RCT
Significant Findings: No
Setting: University Health Service Gynecology Clinic at the University of Michigan
Target Audience: Full- or part-time female students visiting the clinic for a routine physical and had not received the first dose of the HPV vaccine series
Data Source: University of Michigan University Health Services medical records; self-report via a mailed survey, telephone interview, or email (if dates of vaccination were unavailable)
Sample Size: Total (n=256)4  Intervention (n=128)  Control (n=128)
Age Range: 18-26

Community Preventive Services Task Force. Task Force Finding and Rationale Statement. Increasing Cancer Screening: Multiple Components. 2016. https://www.thecommunityguide.org/sites/default/files/assets/Cancer- Screening-Multicomponent-Interventions.pdf. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): Feedback, Patient Reminder/Invitation, Educational Material, Incentives
Intervention Description: Multicomponent interventions to promote colorectal cancer screening combine two or more intervention approaches reviewed by the Community Preventive Services Task Force (CPSTF). Combinations may include the following. • Two or more intervention approaches from the following strategies: o Interventions to increase community demand: client reminders, client incentives, small media, mass media, group education, one-on-one education o Interventions to increase community access: reducing structural barriers, reducing client out-of-pocket costs o Interventions to increase provider delivery of screening services: provider assessment and feedback, provider incentives, provider reminders • Two or more intervention approaches to reduce different structural barriers Multicomponent interventions to increase cancer screening may be coordinated through healthcare systems, delivered in community settings, or both.
Primary Outcomes: N/a
Conclusion: The Community Preventive Services Task Force finds that multicomponent interventions to increase screening for colorectal cancers are cost-effective.
Study Design: Systematic Review
Significant Findings: Yes
Setting: N/A
Data Source: N/a
Sample Size: 88 studies
Age Range: N/A

The President’s Cancer Panel. Accelerating HPV Vaccine uptake: Urgency for Action to Prevent Cancer. A Report to the President of the United States from the President’s Cancer Panel. National Cancer Institute. https://deainfo.nci.nih.gov/advisory/pcp/annualReports/HPV/PDF/PCP_Annual_Report_2012-2013.pdf. Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): Access, Patient Reminder/Invitation, Other Education
Intervention Description: The President’s Cancer Panel. Accelerating HPV Vaccine uptake: Urgency for Action to Prevent Cancer. A Report to the President of the United States from the President’s Cancer Panel. National Cancer Institute. https://deainfo.nci.nih.gov/advisory/pcp/annualReports/HPV/PDF/PCP_Annual_Report_2012-2013.pdf.
Primary Outcomes: N/A
Conclusion: HPV infections cause nearly 26,000 cases of cancer in the U.S. and more than 600,000 cases worldwide each year. Two safe, effective vaccines can prevent infections with HPV types most commonly associated with cancer. In the United States, these vaccines have been recommended by ACIP for adolescent girls since 2006 and for adolescent boys since 2011.* However, HPV vaccine uptake lags behind that of other adolescent vaccines, leaving millions of young people vulnerable to infection with this cancer-causing virus. Increasing HPV vaccine uptake in the United States should be a public health priority. Successes in other countries and in parts of the United States indicate that this goal is achievable. Targeted interventions are needed to ensure timely progress. In this report, the Panel outlined a multipronged strategy for accelerating U.S. HPV vaccine uptake. All stakeholders in the National Cancer Program should work together and with stakeholders focused on vaccines to promote and facilitate HPV vaccination as an urgent national priority. Key to increasing HPV vaccination in the U.S. is reducing missed clinical opportunities. If all providers strongly recommend HPV vaccines to age-eligible patients, including those receiving other vaccines, uptake of HPV vaccines should increase dramatically. Systems changes should be made, as necessary, to support this recommendation. Also, parents and adolescents should be provided with information about HPV-associated diseases and vaccines so they can make informed decisions. In addition, they should be able to obtain vaccines at convenient locations and from a wider range of providers, including pharmacists. Although the Panel’s charge is focused on the U.S. National Cancer Program, the Panel recognizes the role of the United States in supporting cancer control efforts in other parts of the world, particularly lowand middle-income countries. Moreover, especially in the case of infectious diseases, what happens in one country may influence the health of another. HPV vaccines have the potential to reduce the significant burden of cervical cancer and other HPV-associated cancers in these countries. The United States should continue to collaborate with global partners and find ways to support development of HPV vaccine programs around the world. Continued research on HPV-associated cancers and HPV vaccines is needed to ensure that messages regarding vaccination are effective and that current vaccines are used optimally. Evidence that one or two doses are effective likely would result in major increases in HPV vaccine uptake. Next-generation vaccines that offer broader protection and/or logistical advantages should be pursued. Research is needed to determine how best to integrate HPV vaccination and cervical cancer screening. The Panel is committed to achieving the vision of increased HPV vaccine uptake. In that spirit, the Panel suggests that a credible organization, such as NVAC, be given responsibility for monitoring the status of uptake and implementation of these recommendations. That accountability, in combination with the Panel’s commitment to monitor implementation of recommendations outlined in this report, will increase the likelihood that the report and its recommendations will become agents for change. The ultimate goal is reduction, or even elimination, of preventable HPV-associated cancers in the United States and around the world. This is a goal around which all major cancer and vaccine-related organizations should rally. It is achievable and within our reach.
Study Design: N/A
Significant Findings: N/A
Setting: The United States
Data Source: N/A
Sample Size: N/A
Age Range: N/A

Kiran, T., Davie, S., Moineddin, R., & Lofters, A. (2018). Mailed Letter Versus Phone Call to Increase Uptake of Cancer Screening: A Pragmatic, Randomized Trial. Journal of the American Board of Family Medicine : JABFM, 31(6), 857–868. https://doi.org/10.3122/jabfm.2018.06.170369 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT_CONSUMER, Patient Reminder/Invitation
Intervention Description: We conducted a pragmatic randomized trial comparing outreach by mailed letter or personalized phone call for patients overdue for cervical, breast, or colorectal cancer screening. The study was conducted at 6 clinics within an academic primary care organization in Toronto, Canada. Our primary outcome was an uptake of at least 1 screening test for which the patient was overdue. Our primary analysis was an intention-to-treat, unadjusted comparison of proportions, using a χ2 test. We also compared costs per additional patient screened. All analyses were stratified by sex.
Conclusion: Phone calls were more effective than mailed letters at increasing uptake for cervical, breast, and colorectal cancer screening among women. However, phone calls were more expensive than letters. Primary care practices should consider integrating phone call reminders into their practice, possibly as part of a targeted or staged approach to outreach for cancer screening.
Significant Findings: yes
Setting: Academic primary care
Target Audience: Women 21+ eligible to receive cervical cancer and other preventive screening

Firmino-Machado, J., Varela, S., Mendes, R., Moreira, A., Lunet, N., & SCAN-Cervical Cancer collaborators (2018). Stepwise strategy to improve cervical cancer screening adherence (SCAN-Cervical Cancer) - Automated text messages, phone calls and reminders: Population based randomized controlled trial. Preventive medicine, 114, 123–133. https://doi.org/10.1016/j.ypmed.2018.06.004 Access Abstract

NPM: 1: Well-Woman Visit
Intervention Components (click on component to see a list of all articles that use that intervention): PATIENT_CONSUMER, Patient Reminder/Invitation
Intervention Description: A randomized (1:1) controlled trial was conducted among 13 Portuguese primary care units, recruiting women aged 25 to 49 years, eligible for cervical cancer screening, with an available mobile phone number. In the intervention group, participants were invited for cervical cancer screening through automated/customized text messages and phone calls, followed by text message reminders. Participants in the control group were invited through a written letter (standard of care). The primary outcome was the proportion of women adherent to screening up to 45 days after invitation and the secondary outcome was defined as the adherence proportion after invitation based only on text messages and reminders.
Conclusion: In conclusion, an invitation to cervical cancer screening using automated text messages/phone calls and reminders increases the adherence to cervical cancer screening. Such a low-cost and operator-independent strategy of invitation may contribute to the sustainability of organized screening programs.
Significant Findings: yes
Setting: Primary care settings in Portugal
Target Audience: Women ages 25-49

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This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number U02MC31613, MCH Advanced Education Policy, $3.5 M. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.