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Annals of Oncology 2005 16(1):38-41; doi:10.1093/annonc/mdi033
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© 2005 European Society for Medical Oncology

Special article

Workgroup IV: public education. UICC International Workshop on Facilitating Screening for Colorectal Cancer, Oslo, Norway (29 and 30 June 2002)

R. Hiatt1,{dagger}, J. Wardle2,{dagger}, S. Vernon3,{ddagger}, J. Austoker4, L. Bistanti5, S. Fox6, R. Gnauck7, D. Iverson8, M. Mandelson9, D. Reading10 and R. Smith11,*

1 National Cancer Institute, Rockville, MD, USA; 2 University College London, London, UK; 3 University of Texas, Houston School of Public Health, Houston, TX, USA; 4 University of Oxford, Oxford, UK; 5 Local Health Authority of Milan, Milan, Italy; 6 University of California at Los Angeles, Los Angeles, CA, USA; 7 Deutsche Klinik fur Diagnostic, Weisbaden, Germany; 8 University of Wollongong, Wollongong, Australia; 9 Group Health Cooperative, Seattle, WA, USA; 10 The Cancer Council Victoria, Carlton Victoria, Australia; 11 American Cancer Society, Atlanta, GA, USA

* Correspondence to: Dr R. Smith, American Cancer Society, 1599 Clifton Road NE, Atlanta, GA 30329, USA. Tel: +1-404-329-7610; Email: Robert.Smith@cancer.org

The first 150 words of the full text of this article appear below.


   Introduction
 
The Workgroup on public education was brought together to formulate an international perspective on public education for the important public health challenge of increasing colorectal cancer screening. The focus of the group did not include professional education, which is an important channel for public education, since another Workgroup covered that topic. The results of the Workgroup represent an expression of expert opinion and did not include a comprehensive review of the literature. However, the recommendations for further research may stimulate a more in-depth examination of the literature in some areas and generate ideas for investigation.


   Statement of problem
 
The Workgroup on public education was charged with exploring the question: what strategies can be applied to raise public awareness of the importance of screening? Goals set forth by the Workgroup were limited to: (i) the identification of strategies or interventions that have supporting evidence; and (ii) the identification of gaps where more research is . . . [Full Text of this Article]


   Barriers and challenges
 
Lack of knowledge
Lack of provider recommendation
Multiple screening modalities
Competition with other messages
Need to sustain adherence to screening
Informed decision-making
Disparities by subpopulation
Low level of public and professional enthusiasm

   Recommendations
 

   Summary
 

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