Behavioral Interventions Have a Large Impact on Colonoscopy Uptake

Twenty-five studies with 30 interventions were analyzed for this study on the effect of behavioral interventions on colonoscopy uptake. Of the interventions evaluated by the studies, 3 used mailed letters, 3 used informational brochures, 11 were patient navigation, one was a preprocedural telephone consult, one was primary care provider counseling, 2 were videos, one was a change in electronic health record settings, one was an email intervention, one used a financial incentive, and 6 studies evaluated multiple interventions.

The overall increase in colonoscopy uptake by interventions was significant at 54%, with patient navigation at 78% and multicomponent interventions at 84% having the strongest impact. The single study on telephone intervention resulted in a 13% decline in colonoscopy uptake. When studies involving low-income or racial minority groups were excluded, the impact of interventions increased.