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Are behavioral economics interventions effective in increasing colorectal cancer screening uptake: A systematic review of evidence and meta-analysis?

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  • Bahman Ahadinezhad
  • Aisa Maleki
  • Amirali Akhondi
  • Mohammadjavad Kazemi
  • Sama Yousefy
  • Fatemeh Rezaei
  • Omid Khosravizadeh

Abstract

Various interventions have been investigated to improve the uptake of colorectal cancer screening. In this paper, the authors have attempted to provide a pooled estimate of the effect size of the BE interventions running a systematic review based meta-analysis. In this study, all the published literatures between 2000 and 2022 have been reviewed. Searches were performed in PubMed, Scopus and Cochrane databases. The main outcome was the demanding the one of the colorectal cancer screening tests. The quality assessment was done by two people so that each person evaluated the studies separately and independently based on the individual participant data the modified Jadad scale. Pooled effect size (odds ratio) was estimated using random effects model at 95% confidence interval. Galbraith, Forrest and Funnel plots were used in data analysis. Publication bias was also investigated through Egger’s test. All the analysis was done in STATA 15. From the initial 1966 records, 38 were included in the final analysis in which 72612 cases and 71493 controls have been studied. About 72% have been conducted in the USA. The heterogeneity of the studies was high based on the variation in OR (I2 = 94.6%, heterogeneity X2 = 670.01 (d.f. = 36), p

Suggested Citation

  • Bahman Ahadinezhad & Aisa Maleki & Amirali Akhondi & Mohammadjavad Kazemi & Sama Yousefy & Fatemeh Rezaei & Omid Khosravizadeh, 2024. "Are behavioral economics interventions effective in increasing colorectal cancer screening uptake: A systematic review of evidence and meta-analysis?," PLOS ONE, Public Library of Science, vol. 19(2), pages 1-17, February.
    • Handle: RePEc:plo:pone00:0290424
    DOI: 10.1371/journal.pone.0290424
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