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The systematic reviews by the Guide to Community
Preventive Services (Community Guide) of selected
population-based interventions designed to improve
early detection and control of cancer focused
on strategies to improve the delivery of screening
for breast, cervical, and colorectal cancer
in community and healthcare settings.
These strategies address barriers to screening
such as client-related barriers (e.g., knowledge
or attitude), access barriers, or provider and
healthcare system barriers. Within each of these
larger strategies the Task Force considered
specific interventions.
Recognizing independent factors associated
with each screening test, reviews focused on
outcomes specific to each of the three cancer
sites considered in these reviews. Therefore,
a particular intervention may be recommended
to increase screening for one type of cancer
while there may be insufficient evidence to
determine the effectiveness of the intervention
in increasing screening for other types of cancer.
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Legend:
Task
Force Findings |
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Recommended |
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Insufficient Evidence |
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Recommend Against |
| Program Legend: |
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Sample Evidence-Based Program(s).
This symbol represents a web link
to example programs representing the type
of intervention reviewed. |
| Recommendations for
Client-oriented Cancer Screening Interventions |
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Breast |
Cervical |
Colorectal |
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Client reminders |
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Client incentives (with reminders)
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Client incentives (alone) |
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Multicomponent including mass media
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Small media |
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Mass media (alone) |
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Group education |
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One-on-one education
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Reducing structural barriers
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Reducing out-of-pocket costs
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| Recommendations for
Provider-oriented Cancer Screening Interventions |
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Breast |
Cervical |
Colorectal |
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Provider assessment and feedback |
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Provider incentives |
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Provider reminders/recalls |
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Recommendations and detailed findings
will be published in the American Journal
of Preventive Medicine and on the
Guide to Community Preventive Services
website (www.thecommunityguide.org/cancer). |
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