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Evaluation of the Call for a Kit intervention to increase bowel cancer screening uptake in Lancashire, England

Research output: Contribution to Journal/MagazineJournal articlepeer-review

  • Sandro T Stoffel
  • Lesley McGregor
  • Yasemin Hirst
  • Sahida Hanif
  • Lorraine Morris
  • Christian von Wagner
<mark>Journal publication date</mark>1/09/2022
<mark>Journal</mark>Journal of medical screening
Issue number3
Number of pages6
Pages (from-to)166-171
Publication StatusPublished
Early online date12/04/22
<mark>Original language</mark>English


OBJECTIVE: To evaluate the 'Call for a Kit' health promotion intervention that was initiated in Lancashire, England to improve bowel cancer screening uptake.

METHODS: Within the intervention, screening non-responders are called and invited to attend a consultation with a health promotion team member at their primary care practice. In this audit, we analysed the proportion of those contacted who attended the in-person clinic versus those who received a phone consultation, the number returning a test kit from in-person versus phone consultations, and the extent to which test kit return was moderated by sociodemographic characteristics.

RESULTS: In 2019, 68 practices participated in the intervention which led to 10,772 individuals being contacted; 2464 accepted the invitation to an in-person consultation, of whom 1943 attended. A further 1065 agreed to and attended a consultation over the phone. The 3008 consultations resulted in 2890 test kits being ordered, of which 1608 (55.6%) were returned. The intervention therefore yielded a 14.9% response rate in the total cohort; 71.5% of test kits came from individuals attending the in-person consultation. Women and those registered with a practice in socioeconomically deprived areas were less likely to return the test kit. Individuals with a black, mixed or a non-Indian/Pakistani Asian ethnic background were significantly more likely to accept the offer of an in-person consultation and return the test kit.

CONCLUSION: Our analysis demonstrated the strong likelihood of people returning a test kit after an in-person appointment but also the usefulness of using phone consultations as a safety net for people unable or unwilling to attend in-person clinics.