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Published in: Trials 1/2016

Open Access 01-12-2016 | Study protocol

Effect on attendance by including focused information on spirometry in preventive health checks: study protocol for a randomized controlled trial

Authors: Lene Maria Ørts, Anders Løkke, Anne-Louise Bjerregaard, Helle Terkildsen Maindal, Annelli Sandbæk

Published in: Trials | Issue 1/2016

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Abstract

Background

Early detection of lung diseases can help to reduce their severity. Lung diseases are among the most frequently occurring and serious diseases worldwide; nonetheless, many patients remain undiagnosed. Preventive health checks including spirometry can detect lung diseases at early stages; however, recruitment for health checks remains a challenge, and little is known about what motivates the attendance.
The aim of the study is to examine whether focused information on spirometry in the invitation compared to general information will impact the attendance rate in preventive health checks.

Methods/design

This randomized, controlled trial tests the effect of information on spirometry embedded in the Check your Health Preventive Program (CHPP). The CHPP is an open-label, household cluster-randomized, controlled trial offering a preventive health check to 30- to –49-year-olds in a Danish municipality from 2012 to 2017 (n = 26,216). During 2015–2016, 4356 citizens aged 30–49 years will be randomized into two groups. The intervention group receives an invitation which highlights the value and contents of spirometry as part of a health check and information about lung diseases. The comparison group receives a standard invitation containing practical information and specifies the contents of the general health check.
Outcomes are (1) differences in attendance rates measured by the proportion of citizens attending each of the two study groups and (2) proportion of persons at risk defined by smoking status and self-reported lung symptoms in the study groups. The proportion of participants with abnormal spirometry assessed at the preventive health check will be compared between the two study groups.

Discussion

The results from the present study will inform future recruitment strategies to health checks. The developed material on content, value, and information about lung disease is feasible and transferable to other populations, making it easy to implement if effective.

Trial registration

ClinicalTrials.gov: NCT02615769. Registered on 25 November 2015.
Appendix
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Literature
2.
go back to reference Chronic obstructive pulmonary disease. Recommendations for early identification, follow-up, treatment and rehabilitation. Copenhagen, Denmark: The National Board of Health; 2007. Chronic obstructive pulmonary disease. Recommendations for early identification, follow-up, treatment and rehabilitation. Copenhagen, Denmark: The National Board of Health; 2007.
6.
go back to reference Jepson R, Clegg A, Forbes C, Lewis R, Sowden A, Kleijnen J. The determinants of screening uptake and interventions for increasing uptake: a systematic review. Health Technol Assess. 2000;4(14):1–191. Jepson R, Clegg A, Forbes C, Lewis R, Sowden A, Kleijnen J. The determinants of screening uptake and interventions for increasing uptake: a systematic review. Health Technol Assess. 2000;4(14):1–191.
7.
go back to reference Kiernan M, Phillips K, Fair JM, King AC. Using direct mail to recruit Hispanic adults into a dietary intervention: an experimental study. Ann Behav Med. 2000;22(1):89–93.CrossRefPubMed Kiernan M, Phillips K, Fair JM, King AC. Using direct mail to recruit Hispanic adults into a dietary intervention: an experimental study. Ann Behav Med. 2000;22(1):89–93.CrossRefPubMed
8.
9.
go back to reference van Wonderen KE, Mohrs J, IJff M, Bindels PJE, ter Riet G. Two simple strategies (adding a logo or a senior faculty’s signature) failed to improve patient participation rates in a cohort study: randomized trial. J Clin Epidemiol. 2008;61(10):971–7. doi:10.1016/j.jclinepi.2008.05.008.CrossRefPubMed van Wonderen KE, Mohrs J, IJff M, Bindels PJE, ter Riet G. Two simple strategies (adding a logo or a senior faculty’s signature) failed to improve patient participation rates in a cohort study: randomized trial. J Clin Epidemiol. 2008;61(10):971–7. doi:10.​1016/​j.​jclinepi.​2008.​05.​008.CrossRefPubMed
10.
go back to reference Martinson BC, Lazovich D, Lando HA, Perry CL, McGovern PG, Boyle RG. Effectiveness of monetary incentives for recruiting adolescents to an intervention trial to reduce smoking. Prev Med (Baltim). 2000;31(6):706–13. doi:10.1006/pmed.2000.0762.CrossRef Martinson BC, Lazovich D, Lando HA, Perry CL, McGovern PG, Boyle RG. Effectiveness of monetary incentives for recruiting adolescents to an intervention trial to reduce smoking. Prev Med (Baltim). 2000;31(6):706–13. doi:10.​1006/​pmed.​2000.​0762.CrossRef
11.
12.
go back to reference Wardle J, Williamson S, McCaffery K, et al. Increasing attendance at colorectal cancer screening: testing the efficacy of a mailed, psychoeducational intervention in a community sample of older adults. Health Psychol. 2003;22(1):99–105. doi:10.1037/0278-6133.22.1.99.CrossRefPubMed Wardle J, Williamson S, McCaffery K, et al. Increasing attendance at colorectal cancer screening: testing the efficacy of a mailed, psychoeducational intervention in a community sample of older adults. Health Psychol. 2003;22(1):99–105. doi:10.​1037/​0278-6133.​22.​1.​99.CrossRefPubMed
13.
go back to reference Quaife SL, Ruparel M, Beeken RJ, et al. The Lung Screen Uptake Trial (LSUT): protocol for a randomised controlled demonstration lung cancer screening pilot testing a targeted invitation strategy for high risk and “hard-to-reach” patients. BMC Cancer. 2016;16(1):281. doi:10.1186/s12885-016-2316-z.CrossRefPubMedPubMedCentral Quaife SL, Ruparel M, Beeken RJ, et al. The Lung Screen Uptake Trial (LSUT): protocol for a randomised controlled demonstration lung cancer screening pilot testing a targeted invitation strategy for high risk and “hard-to-reach” patients. BMC Cancer. 2016;16(1):281. doi:10.​1186/​s12885-016-2316-z.CrossRefPubMedPubMedCentral
14.
go back to reference Lauritzen T, Leboeuf-Yde C, Lunde IM, Nielsen KD. Ebeltoft project: baseline data from a five-year randomized, controlled, prospective health promotion study in a Danish population. Br J Gen Pract. 1995;45(399):542–7.PubMedPubMedCentral Lauritzen T, Leboeuf-Yde C, Lunde IM, Nielsen KD. Ebeltoft project: baseline data from a five-year randomized, controlled, prospective health promotion study in a Danish population. Br J Gen Pract. 1995;45(399):542–7.PubMedPubMedCentral
18.
go back to reference Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148(4):295–309. doi:10.1002/bjs.4954.CrossRefPubMed Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P. Extending the CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148(4):295–309. doi:10.​1002/​bjs.​4954.CrossRefPubMed
20.
25.
go back to reference Christensen AI. Den nationale sundhedsprofil 2010: Hvordan har du det? 2013. Christensen AI. Den nationale sundhedsprofil 2010: Hvordan har du det? 2013.
33.
go back to reference Donner A, Klar N. Design and analysis of cluster randomization trials in health research. New York: Wiley; 2000. Donner A, Klar N. Design and analysis of cluster randomization trials in health research. New York: Wiley; 2000.
36.
go back to reference Little RJ, Agostino RD, et al. The prevention and treatment of missing data in clinical trials. N Engl J Med. 2012;367(14):1355–60. doi:10.1056/NEJMsr1203730. Little RJ, Agostino RD, et al. The prevention and treatment of missing data in clinical trials. N Engl J Med. 2012;367(14):1355–60. doi:10.​1056/​NEJMsr1203730.
38.
go back to reference Kølner-augustson L, Thøgersen N, Faaborg TH, Weinreich UM. The majority of participants with abnormal spirometry at walk-in consult their general practitioner as recommended. Dan Med J. 2015;62:A5149.PubMed Kølner-augustson L, Thøgersen N, Faaborg TH, Weinreich UM. The majority of participants with abnormal spirometry at walk-in consult their general practitioner as recommended. Dan Med J. 2015;62:A5149.PubMed
Metadata
Title
Effect on attendance by including focused information on spirometry in preventive health checks: study protocol for a randomized controlled trial
Authors
Lene Maria Ørts
Anders Løkke
Anne-Louise Bjerregaard
Helle Terkildsen Maindal
Annelli Sandbæk
Publication date
01-12-2016
Publisher
BioMed Central
Published in
Trials / Issue 1/2016
Electronic ISSN: 1745-6215
DOI
https://doi.org/10.1186/s13063-016-1704-7

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