Increasing Uptake Of Screening For Women's Cancers: A Systematic Review Of Interventions To Increase Attendance At First Invitation.

In 30 seconds

This systematic review examined UK studies of interventions to increase attendance at first invitation for breast and/or cervical cancer screening. Of 6,713 articles identified, eight quantitative studies met the inclusion criteria, collectively representing 40,326 participants. The review found limited evidence, of moderate scientific quality, that timed appointments, SMS and postal prompts, and self-sampling can increase screening uptake. It also highlighted the need for further research into first-time invitees’ needs and the mechanisms through which these strategies may work.

Key findings

• Eight quantitative studies were included, representing a collective population of n = 40,326.
• Evidence of moderate scientific quality suggested timed appointments, SMS, postal prompts, and self-sampling could increase uptake.

Why it matters

Attendance at first invitation is a point at which screening uptake is low across UK cancer screening programmes. The review identifies several approaches with some supporting evidence, while making clear that the evidence base is limited. Understanding how first-time invitees respond to these strategies may help inform the design and evaluation of efforts to improve participation.

What to keep in mind

The evidence base was limited to eight quantitative UK studies, and the review characterised the evidence as limited.