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The effect of test kit provision, and individual and family education on the uptake rates of fecal occult blood test in an Asian population: a randomized controlled trial

Journal Article


Abstract


  • INTRODUCTION: Screening for colorectal cancer (CRC) using

    Faecal Occult Blood Test (FOBT) has not reached sufficient levels in

    Singapore. This study aims to investigate whether FOBT homedelivery and individual education or combined with family education increases FOBT uptake rates.

    METHODS: This is a randomised-controlled intervention study of

    Singaporean residents aged 50 years and above. The study was conducted over 2100 household units in May 2012 till May

    2013.Eligible individuals in randomly selected households were

    screened and one member was randomly selected and allocated to

    one of the four arms: Group A (individual and family education,

    FOBT kits provided), Group B (individual education only, FOBT

    kits provided) and group C (no education, FOBT kits provided) and

    Group D (no education or FOBT kits provided). The primary outcome measure was FOBT return rates which was defined as the proportion of all those in each group who returned at least one

    completed FOBT kit to Singapore Cancer Society (SCS) within three

    months of interview.

    RESULTS: Overall response rate was 74.7%. The FOBT return

    rates for Group A, B, C and D were 24.5%, 25.3% 10.7% and

    2.2%, respectively. Respondents who were provided education and

    home-delivered FOBT kits were 15 times more likely to return

    FOBT kits (Group A: OR ¼ 15.0 [3.4–66.2]; Group B: OR ¼ 15.5

    [3.5–68.8]) and those provided with home-delivered FOBT without

    education were five times more likely to return FOBT kits (Group

    C: OR ¼ 5.8 [1.2–28.3]) than those without education and FOBT

    kits (Group D). There was no significant difference in return of

    FOBT kits whether education was provided to subject with or without a family member.

    CONCLUSIONS: Home-delivery of FOBT kits increased FOBT

    return rates and individual education combined with home-delivered

    FOBT increased FOBT return rates even further. However, additional combination with family education did not increase FOBT

    rates further.

UOW Authors


  •   Ha, Tam
  •   Yong, Sook Kwin. (external author)
  •   Kamberakis, K (external author)
  •   Yeoh, K W. (external author)
  •   Koh, C H. G. (external author)

Publication Date


  • 2015

Citation


  • Ha, T. C., Yong, S. Kwin., Kamberakis, K., Yeoh, K. W. & Koh, C. H. G. (2015). The effect of test kit provision, and individual and family education on the uptake rates of fecal occult blood test in an Asian population: a randomized controlled trial. International Journal of Epidemiology, 44 (Suppl_1), i209.

Start Page


  • i209

Volume


  • 44

Issue


  • Suppl_1

Place Of Publication


  • United Kingdom

Abstract


  • INTRODUCTION: Screening for colorectal cancer (CRC) using

    Faecal Occult Blood Test (FOBT) has not reached sufficient levels in

    Singapore. This study aims to investigate whether FOBT homedelivery and individual education or combined with family education increases FOBT uptake rates.

    METHODS: This is a randomised-controlled intervention study of

    Singaporean residents aged 50 years and above. The study was conducted over 2100 household units in May 2012 till May

    2013.Eligible individuals in randomly selected households were

    screened and one member was randomly selected and allocated to

    one of the four arms: Group A (individual and family education,

    FOBT kits provided), Group B (individual education only, FOBT

    kits provided) and group C (no education, FOBT kits provided) and

    Group D (no education or FOBT kits provided). The primary outcome measure was FOBT return rates which was defined as the proportion of all those in each group who returned at least one

    completed FOBT kit to Singapore Cancer Society (SCS) within three

    months of interview.

    RESULTS: Overall response rate was 74.7%. The FOBT return

    rates for Group A, B, C and D were 24.5%, 25.3% 10.7% and

    2.2%, respectively. Respondents who were provided education and

    home-delivered FOBT kits were 15 times more likely to return

    FOBT kits (Group A: OR ¼ 15.0 [3.4–66.2]; Group B: OR ¼ 15.5

    [3.5–68.8]) and those provided with home-delivered FOBT without

    education were five times more likely to return FOBT kits (Group

    C: OR ¼ 5.8 [1.2–28.3]) than those without education and FOBT

    kits (Group D). There was no significant difference in return of

    FOBT kits whether education was provided to subject with or without a family member.

    CONCLUSIONS: Home-delivery of FOBT kits increased FOBT

    return rates and individual education combined with home-delivered

    FOBT increased FOBT return rates even further. However, additional combination with family education did not increase FOBT

    rates further.

UOW Authors


  •   Ha, Tam
  •   Yong, Sook Kwin. (external author)
  •   Kamberakis, K (external author)
  •   Yeoh, K W. (external author)
  •   Koh, C H. G. (external author)

Publication Date


  • 2015

Citation


  • Ha, T. C., Yong, S. Kwin., Kamberakis, K., Yeoh, K. W. & Koh, C. H. G. (2015). The effect of test kit provision, and individual and family education on the uptake rates of fecal occult blood test in an Asian population: a randomized controlled trial. International Journal of Epidemiology, 44 (Suppl_1), i209.

Start Page


  • i209

Volume


  • 44

Issue


  • Suppl_1

Place Of Publication


  • United Kingdom