Please use this identifier to cite or link to this item: http://scholarbank.nus.edu.sg/handle/10635/145876
Title: EFFECTIVENESS OF WEB-BASED INTERVENTIONS IN INCREASING COLORECTAL CANCER SCREENING UPTAKE IN INDIVIDUALS WHO WERE NON-ADHERENT TO SCREENING GUIDELINES: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: YEO TIN MEI
Keywords: web-based, colorectal cancer screening, intention to screen
Issue Date: 21-Jun-2018
Citation: YEO TIN MEI (2018-06-21). EFFECTIVENESS OF WEB-BASED INTERVENTIONS IN INCREASING COLORECTAL CANCER SCREENING UPTAKE IN INDIVIDUALS WHO WERE NON-ADHERENT TO SCREENING GUIDELINES: A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background: The high incidence and mortality rate associated with colorectal cancer (CRC) is a pressing concern globally. Despite the proven effectiveness of CRC screening in preventing CRC and reducing mortality associated with it, screening uptake remained suboptimal. Web-based interventions have the potential to increase CRC screening uptake through the provision of CRC and CRC screening educational information. However, no existing reviews have explored its effectiveness in increasing CRC screening uptake. Aims: This review aimed to evaluate the effectiveness of web-based interventions on increasing CRC screening uptake and intention to screen, in individuals who were non-adherent to screening guidelines. It also aimed to assess the utilisation of the web-based interventions to increase CRC screening uptake. Method: Comprehensive search strategies were developed to retrieve all available studies from Cumulative Index of Nursing and Allied Health Literature (CINAHL), Embase, PsycINFO, PubMed, Scopus and The Cochrane Library. This review only included randomised controlled trials evaluating the effects of web-based interventions in increasing CRC screening uptake, against a control group (usual care or inactive). All included studies were appraised for their risk of bias, and the outcomes were appraised for their overall quality of evidence. Results: Literature search identified 1,014 non-duplicated records of which eight RCTs (10 arms) with a total of 6232 participants were included. Seven RCTs had low risk of bias. Web-based interventions were ineffective in increasing CRC screening uptake [RR=1.02, 95% confidence interval (CI) 0.94 to 1.11; p=0.60]; but effective in increasing individuals’ intention to screen [RR=1.24; 95% CI x 1.01 to 1.53, p=0.04]. Utilisation of the web-based interventions varied across the studies. Conclusion/ Implications: Since web-based interventions were effective in increasing individuals’ intention to screen, it should be incorporated into a multi-component intervention to increase CRC screening uptake. However, since the overall quality of evidence was low, more high-quality studies are required to improve the evidence surrounding the effects of web-based interventions on individuals’ intention to screen.
URI: http://scholarbank.nus.edu.sg/handle/10635/145876
Appears in Collections:Bachelor's Theses (Restricted)

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