Neoplasms

Skin and Connective Tissue Diseases

All Conditions

Breast Neoplasms

Breast Diseases

Skin Diseases

Written material related to screening sent to the invitee in two languages.

Written material related to screening sent to the invitee in Norwegian only.

The screening invitation letter, the information leaflet, the reminder letter and the result letter will be sent in two languages; an official language in the country where the invitee is born, and Norwegian.

Mother tongue and Norwegian

Paula Berstad, PhD

The investigators aim to test whether inviting immigrants to breast cancer screening with a letter in their mother tongue in addition to the standard letter in Norwegian changes screening uptake in these immigrant groups, compared with a comparable group who receive the invitation in Norwegian only,

Women in selected immigrant groups according to birth country will be invited to screening and randomized in a 1:1 ratio to receive the screening invitation and information material 1) in the major official native language in the country the invitee is born in addition to Norwegian (intervention group), or 2) only Norwegian (control). The 13 selected countries of origin are Poland, the Philippines, Pakistan, Somalia and Arabic speaking countries (Iraq, Syria, Morocco, Lebanon, Algeria, Egypt, Palestine, Sudan and Tunisia). The five intervention languages will thus be Polish, English, Urdu, Somali and Arabic.

Participants are randomized to receive the invitation in the major official native language in the country the participant is born and Norwegian, or in Norwegian only, consecutively when it is their turn to be invited to screening.

The screening invitees randomized to the control group are not informed about this study. They receive "care as usual", the screening invitation letter in Norwegian language.

Increasing Access to Breast Cancer Screening Among Immigrants

A Randomized Trial to Increase Access to Breast Cancer Screening by Invitation Language Among Immigrants in Norway

Attendance in breast cancer screening programme (yes/no)

Oslo University Hospital

Researcher

Digestive System Diseases

Adenoma

Colorectal Neoplasms

Gastrointestinal Diseases

Neoplasms, Glandular and Epithelial

Neoplasms by Histologic Type

Intervention: Procedure : Implementation of routine Advanced Notification Letter included in Standard Invitation procedure

Advanced Notification Letter will be implemented in invitation procedure and send two weeks before Standard Invitation (Standard Invitation will be send six weeks before planned screening colonoscopy)

Intervention: Behavioral : No included Advanced Notification Letter Sending Standard Invitation six weeks before planned screening colonoscopy

Advance Notification Letter will be send two weeks before Standard Invitation for screening colonoscopy

Implementation of ANL

Sending Standard Invitation only six weeks before planned screening colonoscopy

No included ANL

Karolina Janikowska, MD, MSc

Karolina Janikowska, MD,MSc

Jaroslaw Regula, MD, PhD

Bartlomiej Kocot

Participation in a primary screening colonoscopy programs remains low. Advanced notification letter has been shown to increase participation in colorectal cancer screening with fecal occult blood testing and to be cost effective compared to standard invitation. It is unknown whether advanced notification letter increases participation rate in primary colonoscopy screening program.

We hypothesize that an Advance Notification Letter will have significant influence on participation in screening colonoscopy, comparing to standard invitation procedure and will thus result in higher efficiency of the program.

This randomized controlled study aims to compare the participation rate in screening colonoscopy in response to advanced notification plus standard invitation letter and standard invitation letter alone.

Material and methods: 6800 individuals aged 55-64 years will be drawn from the Population Registry and randomly assigned in a 1:1 ratio to the group invited for screening colonoscopy with advanced notification letter (send two weeks before standard invitation) plus standard invitation (send six weeks before planned screening colonoscopy) or to standard invitation only (send six weeks before planned screening colonoscopy). The sample size was calculated to detect 3% difference in participation rate between the groups (25% vs 28%) with 80% power.

Effect of an Advanced Notification Letter on Screening Colonoscopy Participation

Participation in Screening Colonoscopy in Response to an Advanced Notification Letter Plus Standard Invitation Versus Standard Invitation Only - a Population-based Randomized Controlled Trial

Total cost of including Advanced notification letter into the standard invitation procedure of this study group.

A percentage of invitees who undergo the screening colonoscopy. The sample size was calculated to detect 3% difference in participation rate between the groups (25% vs 28%) with 80% power.

Estimation of the invitees' response rate to Standard Invitation and Advanced Notification Letter followed by Standard Invitation, before receiving Reminding Letter.

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization
Increasing Access to Breast Cancer Screening Among Immigrants	NCT04672265	Cancer Screenin...	Mother tongue a...	48 Years - 73 Years	Oslo University Hospital
Effect of an Advanced Notification Letter on Screening Colonoscopy Participation	NCT02188927	Colorectal Canc... Adenoma Rectal Cancer	Implementation ... No included ANL	55 Years - 64 Years	Maria Sklodowska-Curie National Research Institute of Oncology
Effect of an Advanced Notification Letter on Screening Colonoscopy Participation	NCT02188927	Colorectal Canc... Adenoma Rectal Cancer	Implementation ... No included ANL	55 Years - 64 Years	Maria Sklodowska-Curie National Research Institute of Oncology

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