Development of an Intervention for Implementing Immunochemical Faecal Occult Blood Test in General Practice

Background: The immunochemical faecal occult blood test (iFOBT) may improve colorectal cancer (CRC) diagnostics in general practice.

Aim: The study aimed to develop an intervention to facilitate quick uptake of the iFOBT in general practice.

Methods: The Behaviour Change Wheel was used as the theoretical framework for analysing potential barriers which could make general practitioners (GPs) reluctant towards iFOBT use. An initial intervention model was developed and pilot-tested among GPs in the Central Denmark Region. Finally, the intervention was adjusted according to GPs experiences in the pilot period.

Results: Three elements were found important to facilitate uptake: a flexible guideline on iFOBT use, a participatory peer-based training approach and a testordering procedure building on existing routines.

Conclusion: The theory-based approach proved valuable in developing an intervention to facilitate quick uptake of a new test in clinical practice and pilot testing of the intervention possibly prevented a project failure in a large scale study.


Jakob Søgaard Juul, Peter Vedsted, Flemming Bro

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