APH 2004, 62, 209 - 225 :
Is the Health promotion Campaign
for the breast cancer screening
programme in Flanders successful ?
A process evaluation.
G. Van Hal, S. Moens, M. Van Goethem, A. De Schepper, J. Weyler
Keywords: Belgium, Breast Cancer, Health Promotion, Mass Screening
Aim. To find out which health promotion media are successful in convincing women to participate in the Flemish breast cancer screening programme.
Methods. In June 2001, the Flemish government started a breast cancer screening programme complying with the European guidelines. Beginning 2002, two self-administered questionnaires were spread among 447 women who participated in this programme (one immediately before the screening examination, another directly after). Moreover, 900 women who did not participate in the programme, also received a questionnaire, this time by regular mail.
Results. The response rate of the questionnaire in the screening
programme participants almost reached 100%. From the 900 postal
questionnaires sent to the non-participants in the screening programme, 242 were returned (26.9%). Nearly all questioned participants and
non-participants, said they knew the breast cancer screening programme
of the Flemish government (95.7%, n=428 and 97.9%, n=237,
respectively). The main channel by which they were informed about the
Conclusions. The personal invitation letter seems to be the strongest medium to motivate Flemish women to participate in the screening. In this respect, the GP is much less mentioned. Target payment could be a possible measure from the government to stimulate the GP where motivating women to attend screening is concerned.