53 Determinants of (non)attendance at the Dutch CSPs Cervical cancer screening programme (continued) Reference Study design Number of participants (n) Participants, collection period, region Characteristics Outcomes I-Change model (Hermens, Tacken et al. 2000) Ref: 39 Crosssectional observational study 5,548 Selection of 122 family practices, representative of all family practices in The Netherlands. Approximately 40 practices per approach. Evaluation of three organizational approaches. Comparison between family practicebased, communitybased, and a combination of the two. Women, age 35-60. Between September and November 1996. The Netherlands. Age Invitation strategy Younger women (≤45): Family practice-based approach: 68% Combination approach: 62% Community-based approach 53% Older women (>45): Family practice-based approach: 58% Combination approach: 60% Community-based approach 47% A reminder from the family physician increased the attendance rate from 7 to 11%. A family practice-based cervical screening approach appeared to be the most effective at a national level, achieving the highest attendance rate (also highest coverage and control rate). Information factors 2
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