OBJECTIVE: The objective of this study was to evaluate the effectiveness of an invitation letter on cervical screening participation among unscreened women 30 to 69 years of age. METHODS: A cluster randomized trial design was used in which unscreened women (n=31,452) were randomized by the forward sortation area (FSA) of their postal code to an intervention group that was sent an invitation letter (n=17,068) or a group that was not sent an invitation letter (n=14,384). RESULTS: Six months after the letters were mailed, 1,010 women in the intervention group (5.92%) and 441 women in the control group (3.06%) had a Pap test. After adjusting for variables that have previously shown to influence screening participation, women who were sent an invitation letter were significantly more likely to have had a Pap test in the next 6 months compared with women who were not sent an invitation letter (odds ratio [OR]=2.60, 95% confidence interval [CI] 2.09-3.35, p<0.001). Overall, the effectiveness of the invitation letter improved with increasing age (p=0.02). CONCLUSIONS: 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.
RCT Entities:
OBJECTIVE: The objective of this study was to evaluate the effectiveness of an invitation letter on cervical screening participation among unscreened women 30 to 69 years of age. METHODS: A cluster randomized trial design was used in which unscreened women (n=31,452) were randomized by the forward sortation area (FSA) of their postal code to an intervention group that was sent an invitation letter (n=17,068) or a group that was not sent an invitation letter (n=14,384). RESULTS: Six months after the letters were mailed, 1,010 women in the intervention group (5.92%) and 441 women in the control group (3.06%) had a Pap test. After adjusting for variables that have previously shown to influence screening participation, women who were sent an invitation letter were significantly more likely to have had a Pap test in the next 6 months compared with women who were not sent an invitation letter (odds ratio [OR]=2.60, 95% confidence interval [CI] 2.09-3.35, p<0.001). Overall, the effectiveness of the invitation letter improved with increasing age (p=0.02). CONCLUSIONS: 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.
Authors: F Jalili; C O'Conaill; K Templeton; R Lotocki; G Fischer; L Manning; K Cormier; K Decker Journal: Curr Oncol Date: 2019-06-01 Impact factor: 3.677
Authors: Jonah Musa; Chad J Achenbach; Linda C O'Dwyer; Charlesnika T Evans; Megan McHugh; Lifang Hou; Melissa A Simon; Robert L Murphy; Neil Jordan Journal: PLoS One Date: 2017-09-05 Impact factor: 3.240
Authors: Kathy L MacLaughlin; Maya E Kessler; Ravikumar Komandur Elayavilli; Branden C Hickey; Marianne R Scheitel; Kavishwar B Wagholikar; Hongfang Liu; Walter K Kremers; Rajeev Chaudhry Journal: J Womens Health (Larchmt) Date: 2018-01-03 Impact factor: 2.681