A) CBIG-SCREEN will engage with key stakeholders on multiple levels (WP2 – WP7).
We will generate an action framework and policy recommendations to address the CC divide between and within European countries with active involvement of key stakeholders. At the micro-level, we will use and develop strategies for eliciting preferences for and beliefs about CCS from women who have not yet participated in organised screening, and collect information on cognitive and behavioural factors that may influence adherence to follow up. Though health services directly influence patient-level outcomes for illnesses, population health is determined by a broader range of meso- and macro-level factors. Stakeholders’ perspectives, their experiences and expectations are key to frame any targeted policy. Policies must close the health gap within and between countries and increase equity and social justice by prioritising underprivileged and vulnerable groups.
B) We will elicit stakeholders’ preferences (WP2 and WP4)
and use this knowledge to inform our design of context specific interventions that encourage tailored CCS in high-risk women. CBIG-SCREEN will use quantitative methods drawn from behavioural economics to identify the main barriers to CCS and study the preferences of vulnerable women for potential interventions to increase screening. CBIG-SCREEN will build on the qualitative evidence generated across its WPs to maximise perceived benefits while mitigating risks and fears (e.g., stigma, coercion) of users that could result from implementing commonly used interventions to increase uptake of cancer screening. CBIG-SCREEN will explore the potential effectiveness of interventions designed to enhance screening uptake in participating countries. We will generate evidence on the relative likely effects of interventions that rely on structural adaptation of existing screening programmes, e.g., financial and non-financial incentives to change behaviours, and on their optimal design.