TY - JOUR
T1 - Effectiveness of mass and small media campaigns to improve cancer awareness and screening rates in Asia
T2 - A systematic review
AU - Schliemann, Désirée
AU - Su, Tin Tin
AU - Paramasivam, Darishiani
AU - Treanor, Charlene
AU - Dahlui, Maznah
AU - Loh, Siew Yim
AU - Donnelly, Michael
N1 - Funding Information:
Findings from this systematic review suggest that small media interventions (eg, interventions using mailed materials, text messages, and telephone calls) may be effective in improving screening uptake for breast, cervical, colorectal, and gastric cancer in Asian countries. The number of studies using mass media channels was too small to draw conclusions about their effectiveness. There was also insufficient evidence to indicate that small or mass media campaigns improved knowledge or attitudes toward cancer. The lack of mass media campaigns is likely to be related to (1) the high costs involved in running campaigns using TV and radio advertisements and (2) the lack of campaign evaluation of campaigns run by the government and NGOs. The only nationwide mass media campaigns included here received funding from media channels for TV advertisements.
Publisher Copyright:
Copyright © 2019 American Society of Clinical Oncology. All rights reserved.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
PY - 2019/12
Y1 - 2019/12
N2 - PURPOSE The main objective of this systematic review was to identify whether mass and small media interventions improve knowledge and attitudes about cancer, cancer screening rates, and early detection of cancer in Asia. METHODS The review was conducted according to a predefined protocol. Medline, EMBASE, CINAHL, Web of Science, Cochrane Library, and Google Scholar were searched in September 2017, and data extraction and rating of methodologic study quality (according to Joanna Briggs Institute rating procedures) were performed independently by reviewers. RESULTS Twenty-two studies (reported across 24 papers) met the inclusion criteria. Most studies (n = 21) were conducted in high or upper-middle income countries; targeted breast (n = 11), cervical (n = 7), colorectal (n = 3), or oral (n = 2) cancer; and used small media either alone (n = 15) or in combination with mass media and other components (n = 5). Studies regarding cancer screening uptake were of medium to high quality and mainly reported positive outcomes for cervical cancer and mixed results for breast and colorectal cancer. The methodologic strength of research that investigated change in cancer-related knowledge and the cost effectiveness of interventions, respectively, were weak and inconclusive. CONCLUSION Evidence indicated that small media campaigns seemed to be effective in terms of increasing screening uptake in Asia, in particular cervical cancer screening. Because of the limited number of studies in Asia, it was not possible to be certain about the effectiveness of mass media in improving screening uptake and the effectiveness of campaigns in improving cancer-related knowledge.
AB - PURPOSE The main objective of this systematic review was to identify whether mass and small media interventions improve knowledge and attitudes about cancer, cancer screening rates, and early detection of cancer in Asia. METHODS The review was conducted according to a predefined protocol. Medline, EMBASE, CINAHL, Web of Science, Cochrane Library, and Google Scholar were searched in September 2017, and data extraction and rating of methodologic study quality (according to Joanna Briggs Institute rating procedures) were performed independently by reviewers. RESULTS Twenty-two studies (reported across 24 papers) met the inclusion criteria. Most studies (n = 21) were conducted in high or upper-middle income countries; targeted breast (n = 11), cervical (n = 7), colorectal (n = 3), or oral (n = 2) cancer; and used small media either alone (n = 15) or in combination with mass media and other components (n = 5). Studies regarding cancer screening uptake were of medium to high quality and mainly reported positive outcomes for cervical cancer and mixed results for breast and colorectal cancer. The methodologic strength of research that investigated change in cancer-related knowledge and the cost effectiveness of interventions, respectively, were weak and inconclusive. CONCLUSION Evidence indicated that small media campaigns seemed to be effective in terms of increasing screening uptake in Asia, in particular cervical cancer screening. Because of the limited number of studies in Asia, it was not possible to be certain about the effectiveness of mass media in improving screening uptake and the effectiveness of campaigns in improving cancer-related knowledge.
UR - http://www.scopus.com/inward/record.url?scp=85064722099&partnerID=8YFLogxK
U2 - 10.1200/JGO.19.00011
DO - 10.1200/JGO.19.00011
M3 - Review Article
C2 - 30969807
AN - SCOPUS:85064722099
VL - 5
JO - JCO Global Oncology
JF - JCO Global Oncology
SN - 2378-9506
M1 - 00011
ER -
