Intervenções que favorecem a adesão ao exame de colpocitologia oncótica: revisão integrativa

Soares, Maurícia Brochado Oliveira; Silva, Sueli Riul da

doi:10.1590/0034-7167.2016690226i

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Revista Brasileira de Enfermagem

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Sumário

Revisão • Rev. Bras. Enferm. 69 (2) • Mar-Apr 2016 • https://doi.org/10.1590/0034-7167.2016690226i copiar

Intervenções que favorecem a adesão ao exame de colpocitologia oncótica: revisão integrativa

Intervenciones que favorecen la adhesión a la Prueba de Papanicolau: revisión integrativa

Autoria SCIMAGO INSTITUTIONS RANKINGS

RESUMO

Objetivo:

identificar produções científicas que apresentem intervenções relevantes para implementar o Programa de Prevenção do Câncer Cérvico-Uterino, aumentando a adesão à realização do exame.

Método:

revisão integrativa da literatura, realizada por busca on-line, nas bases de dados: LILACS, SciELO e Pubmed^®, abrangendo artigos publicados de 2009 a 2014.

Resultados:

trinta e oito artigos compuseram a amostra final do estudo. Estes indicaram as seguintes intervenções: utilização de gerente de caso, contato telefônico, carta-convite, atividades educativas, divulgação na mídia, agentes de saúde da comunidade, parcerias, rastreamento de base populacional e múltiplas intervenções.

Conclusão:

as pesquisas concentram-se entre mulheres provenientes de países em desenvolvimento, e estas intervenções são eficazes no aumento da adesão e do conhecimento destas mulheres em relação à prevenção do câncer cérvico-uterino.

Descritores:
Prevenção de Câncer de Colo do Útero; Esfregaço Vaginal; Enfermagem: Saúde da Mulher; Educação em Saúde

FORMULÁRIO DE ESTUDO
Autores: ____________________________________________
Ano publicação: _____________________________________
Revista:_____________________________________________
Citação: ____________________________________________
Local do estudo: _____________________________________
Número de participantes: _____________________________
Tipo de estudo: ______________________________________
Objetivo do estudo: __________________________________
Tipo de intervenção realizada: _________________________
Período e tempo da intervenção: _______________________
Resultado alcançado: _________________________________

Título	Ano/país	Delineamento/ número de participantes	Intervenções	Desfechos
Case management intervention in cervical cancer prevention: the Boston REACH coalition women's health demonstration project⁽¹⁰10 Clark CR, Baril N, Hall A, Kunicki M, Johnson N, Soukup J, et al. Case management intervention in cervical cancer prevention: the Boston REACH coalition women's health demonstration project. Prog Community Health Partnersh [Internet]. 2011[cited 2014 Aug 14];5(3):235-47. Available from: http://muse.jhu.edu/journals/cpr/summary/v005/5.3.clark01.html http://muse.jhu.edu/journals/cpr/summary... ⁾	2011/ EUA	Intervenção antes e após/ 732	Gerente de caso	Aumento na realização periódica do exame de papanicolau
Increasing participation in cervical cancer screening: telephone contact with long-term non-attendees in Sweden. Results from RACOMIP, a randomized controlled trial ⁽¹¹11 Broberg G, Jonasson JM, Ellis J, Gyrd-Hansen D, Anjemark B, Glantz A, et al. Increasing participation in cervical cancer screening: telephone contact with long-term non-attendees in Sweden: results from RACOMIP, a randomized controlled trial. Int J Cancer [Internet]. 2013[cited 2014 Aug 14];133(1):164-71. Available from: http://onlinelibrary.wiley.com/doi/10.1002/ijc.27985/pdf http://onlinelibrary.wiley.com/doi/10.10... ⁾	2013/ Suécia	Intervenção com grupo controle/ 8.800	Contato telefônico	Aumento da participação das mulheres na realização do exame, e tem baixo custo.
Increasing cervical cancer screening for a multiethnic population of women in South Texas⁽¹²12 Fornos LB, Urbansky KA, Villarreal R. Increasing cervical cancer screening for a multiethnic population of women in South Texas. J Cancer Educ. 2014;29(1):62-8.⁾	2014/ EUA	Coorte/ 32.807	Lembrete telefônico automatizado	Aumento na realização do exame de papanicolau
Effectiveness of nursing interventions to increase pap smear test screening⁽¹³13 Guvenc G, Akyuz A, Yenen MC. Effectiveness of nursing interventions to increase pap smear test screening. Res Nurs Health [Internet]. 2013[cited 2014 Aug 14];36(2):146-57. Available from: http://onlinelibrary.wiley.com/doi/10.1002/nur.21526/epdf http://onlinelibrary.wiley.com/doi/10.10... ⁾	2013/ Turquia	Quase experimental/ 2.500	Múltiplas intervenções	O contato telefônico foi a intervenção que proporcionou maior adesão à realização do papanicolau.
Interventions targeted at women to encourage the uptake of cervical screening⁽¹⁴14 Everett T, Bryant A, Griffin MF, Martin-Hirsch PP, Forbes CA, Jepson RG. Interventions targeted at women to encourage the uptake of cervical screening. Cochrane Database Syst Rev [Internet]. 2011[cited 2014 Aug 14];11(5):CD002834. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4163962/pdf/emss-57241.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2011	Revisão integrativa com ensaios clínicos randomizados e controlados	Carta-convite	Aumento da adesão aos programas de prevenção do câncer cérvico-uterino
A prospective randomized study of two reminding strategies: telephone versus mail in the screening of cervical cancer in women who did not initially respond⁽¹⁵15 Heranney D, Fender M, Velten M, Baldauf JJ. A prospective randomized study of two reminding strategies: telephone versus mail in the screening of cervical cancer in women who did not initially respond. Acta Cytol [Internet]. 2011[cited 2014 Aug 14];55(4):334-40. Available from: http://www.karger.com/Article/Abstract/327527 http://www.karger.com/Article/Abstract/3... ⁾	2011/ Alsácia	Estudo randomizado/ 10.662	Carta-convite e contato telefônico	As duas intervenções são eficazes, porém a carta tem custo e aplicação mais acessíveis.
Methods to increase participation in organized screening programs: a systematic review⁽¹⁶16 Camilloni L, Ferroni E, Cendales BJ, Pezzarossi A, Furnari G, Borgia P, et al. Methods to increase participation in organized screening programs: a systematic review. BMC Public Health [Internet]. 2013[cited 2014 Aug 14];13:464. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-464 http://bmcpublichealth.biomedcentral.com... ⁾	2013	Revisão sistemática	Cartão posta e carta- convite	Ambas se mostraram eficazes para aumentar a participação em programas de prevenção do câncer cérvico-uterino.
Intervenciones educativas para la prevención de cáncer cervicouterino⁽¹⁷17 Riquelme GH. Concha XP, Urrutia MT. Intervenciones educativas para la prevención del cáncer cervicouterino. Rev Chil Obstet Ginecol [Internet]. 2012[cited 2014 Aug 14];77(2):111-5. Available from: http://www.scielo.cl/pdf/rchog/v77n2/art06.pdf http://www.scielo.cl/pdf/rchog/v77n2/art... ⁾	2012	Pesquisa bibliográfica	Intervenções educativas	São eficazes para aquisição de comportamento preventivo ao câncer cérvico-uterino.
Evidence-based intervention to reduce access barriers to cervical cancer screening among underserved Chinese American women⁽¹⁸18 Wang X, Fang C, Tan Y, Liu A, Grace XM. Evidence-based intervention to reduce access barriers to cervical cancer screening among underserved Chinese American women. J Womens Health[Internet]. 2010[cited 2014 Aug 14];19(3):463-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2867551/pdf/jwh.2009.1422.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2010/ EUA	Intervenção antes e após/ 134	Educação em saúde e internet	Aumento da adesão ao exame de papanicolau
Effectiveness of cultivando la salud: a breast and cervical cancer screening promotion program for low-income Hispanic women⁽¹⁹19 Fernandez ME, Gonzales A, Tortolero-Luna G, Williams J, Saavedra-Embesi M, Chan W, et al. Effectiveness of Cultivando La Salud: a breast and cervical cancer screening promotion program for low-income Hispanic women. Am J Public Health [Internet]. 2009[cited 2014 Aug 14];99(5):936-43. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2667857/pdf/936.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2009/ EUA	Intervenção randomizada antes e após/ 243	Atividades educativas	Aumento da adesão à realização do exame de papanicolau
Increasing pap smear utilization among Samoan women: results from a community based participatory randomized trial ⁽²⁰20 Mishra SI, Luce PH, Baquet CR. Increasing pap smear utilization among Samoan women: results from a community based participatory randomized trial. J Health Care Poor Underserved. 2009[cited 2014 Aug 14];20(2Suppl):85-101. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604739/pdf/nihms-452097.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2009/ EUA	Intervenção randomizada/ 398	Programas educativos adaptados culturalmente	Aumento da adesão à realização do exame de papanicolau
Actividades educativas en Cruce de los Baños sobre prevención de cáncer cervicouterino⁽²¹21 Guerra RT, Quiala JT, Lambert SR. Actividades educativas en Cruce de los Baños sobre prevención del cáncer cervicouterino. MEDISAN [Internet]. 2010[cited 2014 Aug 14];14(8):1097-2001. Available from: http://bvs.sld.cu/revistas/san/vol_14_8_10/san08810.htm http://bvs.sld.cu/revistas/san/vol_14_8_... ⁾	2010/ Cuba	Intervenção randomizada/ 142	Intervenção educativa	Aumento da adesão à realização do exame de papanicolau
Cervical cancer screening and adherence to follow-up among Hispanic women study protoco : a randomized controlled trial to increase the uptake of cervical cancer screening in Hispanic women⁽²²22 Duggan C, Coronado G, Martinez J, Byrd TL, Carosso E, Lopez C, et al. Cervical cancer screening and adherence to follow-up among Hispanic women study protocol: a randomized controlled trial to increase the uptake of cervical cancer screening in Hispanic women. BMC Cancer [Internet]. 2012[cited 2014 Aug 14];2:170-6. Available from: http://bmccancer.biomedcentral.com/articles/10.1186/1471-2407-12-170 http://bmccancer.biomedcentral.com/artic... ⁾	2012/ EUA	Intervenção randomizada controlada paralela/ 600	Intervenção educativa adaptada culturalmente	Aumento da adesão à realização do exame de papanicolau
AMIGAS: a multicity, multicomponent cervical cancer prevention trial among Mexican American women⁽²³23 Byrd TL, Wilson KM, Smith JL, Coronado G, Vernon SW, Fernandez-Esquer ME, et al. AMIGAS: a multicity, multicomponent cervical cancer prevention trial among Mexican American women. Cancer [Internet]. 2013[cited 2014 Aug 14];1:1365-72. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4603549/pdf/nihms724770.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2013/ EUA	Intervenção randomizada de quarto braços/ 613	Intervenções educativas	Aumento da adesão à realização do exame de papanicolau
ACCISS study rationale and design: activating collaborative cancer information service support for cervical cancer screening⁽²⁴24 Cofta-Woerpel L, Randhawa V, McFadden HG, Fought A, Bullard E, Spring B. ACCISS study rationale and design: activating collaborative cancer information service support for cervical cancer screening. BMC Public Health [Internet]. 2009[cited 2014 Aug 14];9:444-54. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-9-444 http://bmcpublichealth.biomedcentral.com... ⁾	2009/ EUA	Experimental prospectivo randomizado/20	Grupo foca com intervenções educativas	Aumento do conhecimento quanto à prevenção do câncer de colo uterino
Community health worker intervention to decrease cervical cancer disparities in Hispanic women⁽²⁵25 O'Brien MJ, Halbert CH, Bixby R, Pimentel S, Shea JA. Community health worker intervention to decrease cervical cancer disparities in Hispanic women. J Gen Intern Med[Internet]. 2010[cited 2014 Aug 14];25(11):1186-92. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2947642/pdf/11606_2010_Article_1434.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2010/ EUA	Estudo randomizado/ 120	Intervenção educativa com workshops	Associação positiva entre conhecimento do câncer de colo do útero e realização do exame
Acciones educativas para la prevención de cáncer cervicouterino en la adolescencia⁽²⁶26 Nair AGDM, Arroyo MC, Heredia EG, Bahades JB. [Educational actions for the prevention of cervical cancer in adolescents]. MEDISAN [Internet]. 2011[cited 2014 Aug 14];15(2):209-14. Available from: http://scielo.sld.cu/pdf/san/v15n2/san10211.pdf Spanish http://scielo.sld.cu/pdf/san/v15n2/san10... ⁾	2011/ Venezuela	Intervenção/ 65	Intervenção educativa	Aumento do conhecimento em relação ao câncer de colo do útero
Interventions that increase use of Pap tests among ethnic minority women: A meta-analysis⁽²⁷27 Han HR Kim J, Lee JE, Hedlin HK, Song H, Song Y, et al. Interventions that increase use of Pap tests among ethnic minority women: a meta-analysis. Psychooncology [Internet]. 2011[cited 2014 Aug 14];20(4):341-51. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3741532/pdf/nihms491176.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2011/ EUA	Meta-análise	Múltiplas intervenções	A educação comunitária foi eficaz para o aumento de realização do exame de papanicolau com associação à facilidade de acesso ao serviço de saúde.
Overcoming barriers to cervical cancer screening among Asian American women⁽²⁸28 Fang CY, Ma GX, Tan Y. Overcoming barriers to cervical cancer screening among Asian American women. N Am J Med Sci (Boston) [Internet]. 2011[cited 2014 Aug 14];4(2):77-83. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3115728/pdf/nihms285936.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2011	Revisão	Intervenções educativas utilizando pessoas da comunidade.	Favorecem o aumento das taxas de rastreamento.
Impact of media reporting of cervical cancer in a UK celebrity on a population-based cervical screening programme⁽²⁹29 MacArthur GJ, Wright M, Beer H, Paranjothy S. Impact of media reporting of cervical cancer in a UK celebrity on a population-based cervical screening programme. J Med Screen[Internet]. 2011[cited 2014 Aug 14];18(4):204-9. Available from: http://msc.sagepub.com/content/18/4/204.long http://msc.sagepub.com/content/18/4/204.... ⁾	2011/ Reino Unido	Ecológico/ 33.000	Reportagens da mídia sobre celebridades	Apresentam aumento transitório na taxa de exames de papanicolau.
Using entertainment-education to promote cervical cancer screening in Thai women⁽³⁰30 Love GD, Tanjasiri SP. Using entertainment-education to promote cervical cancer screening in Thai women. J Cancer Educ[Internet]. 2012[cited 2014 Aug 14];27(3): 585-90. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4372047/pdf/nihms-666670.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2012/ EUA	Quase experimental	Novela temática e folhetos educativos	Aumento do conhecimento e da adesão ao exame de papanicolau
Building a cervical cancer screening intervention for public health practice⁽³¹31 Smith JL, Wilson KM, Orians CE, Byrd TL. AMIGAS: Building a cervical cancer screening intervention for public health practice. J Womens Health[Internet]. 2013[cited 2014 Aug 14];22(9):718-23. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4603539/pdf/nihms724775.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2013/ EUA	Estudo randomizado	Intervenção educativa de base comunitária	Aumento do rastreamento do câncer cérvico-uterino
Adherence to cervical and breast cancer programs is crucia to improving screening performance⁽³²32 Mauad EC, Nicolau SM, Moreira LF, Haikel Junior RL, Longatto-Filho A, Baracat EC. Adherence to cervical and breast cancer programs is crucial to improving screening performance. Rural Remote Health[Internet]. 2009[cited 2014 Aug 14];9:1241. Available from: http://www.rrh.org.au/publishedarticles/article_print_1241.pdf http://www.rrh.org.au/publishedarticles/... ⁾	2009/ Brasil	Intervenção/ 5.759	Visita domiciliar de Agente Comunitário de Saúde	Aumento da adesão ao exame de papanicolau
Evaluation of a cervical cancer contro intervention using lay health workers for Vietnamese American women⁽³³33 Taylor VM, Jackson C, Yasui Y, Nguyen TT, Woodall E, Acorda E, et al. Evaluation of a cervical cancer control intervention using lay health workers for Vietnamese American women. Am J Public Health[Internet]. 2010[cited 2014 Aug 14];100(10):1924-9. Available from: http://ajph.aphapublications.org/doi/full/10.2105/AJPH.2009.190348 http://ajph.aphapublications.org/doi/ful... ⁾	2010/ EUA	Intervenção/ 234	Visita domiciliar de Agente de Saúde	Aumento da adesão ao exame de papanicolau
Evaluating the efficacy of lay health advisors for increasing risk-appropriate pap test screening: a randomized controlled trial among Ohio Appalachian women⁽³⁴34 Paskett ED, McLaughlin JM, Lehman AM, Katz ML, Tatum CM, Oliveri JM. Evaluating the efficacy of lay health advisors for increasing risk-appropriate pap test screening: a randomized controlled trial among Ohio Appalachian women. Cancer Epidemiol Biomarkers Prev[Internet]. 2011[cited 2014 Aug 14];20(5):835-43. Available from: http://cebp.aacrjournals.org/content/20/5/835.long http://cebp.aacrjournals.org/content/20/... ⁾	2011/ EUA	Estudo randomizado/ 286	Visita domiciliar, chamadas telefônicas e cartão posta	Melhora da adesão ao exame
Refinement of an educationa toolkit to promote cervical cancer screening among hispanic immigrant women in rura southern Georgia⁽³⁵35 Watson-Johnson LC, Bhagatwala J, Reyes-Garcia C, Hinojosa A, Mason M, Meade CD, et al. Refinement of an educational toolkit to promote cervical cancer screening among hispanic immigrant women in rural southern Georgia. J Health Care Poor Underserved [Internet]. 2012[cited 2014 Aug 14];23(4):1704-11. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3676893/pdf/nihms-473438.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2012/ EUA	Intervenção	Ferramentas educacionais com Agentes Comunitários de Saúde	Diminuição de barreiras culturais e aumento da adesão à prevenção do câncer cérvico-uterino
Kin Keeper SM: design and baseline characteristics of a community-based randomized controlled trial promoting cancer screening in Black, Latina, and Arab women⁽³⁶36 Williams KP, Roman LA, Meghea CI, Penner L, Hammad A, Gardiner J. Kin Keeper SM: design and baseline characteristics of a community-based randomized controlled trial promoting cancer screening in Black, Latina, and Arab women. Contemp Clin Trials [Internet]. 2013[cited 2014 Aug 14];34(2):312-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3594085/pdf/nihms431768.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2013/ EUA	Estudo controlado randomizado/ 514	Educação em saúde através de Agentes de Saúde da Comunidade	Aumento da adesão ao exame de papanicolau
Increasing cervical cancer screening in the United States-Mexico border region⁽³⁷37 Thompson B, Vilchis H, Moran C, Copeland W, Holte S, Duggan C. Increasing cervical cancer screening in the United States-Mexico border region. J Rural Health [Internet]. 2014[cited 2014 Aug 14];30(2):196-205. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jrh.12044/abstract http://onlinelibrary.wiley.com/doi/10.11... ⁾	2014/ EUA	Intervenção/ 162	Educação em saúde através de Agentes de Saúde da Comunidade	Boa adesão ao exame de papanicolau
cervical cancer prevention: new tools and old barriers⁽³⁸38 Scarinci IC, Garcia FAR, Kobetz E, Partridge EE, Brandt HM, Bell MC, et al. Cervical cancer prevention: new tools and old barriers. Cancer [Internet]. 2010[cited 2014 Aug 14];116(11):2531-42. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2876205/pdf/nihms179540.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2010/ EUA	Intervenção	Parceria da Universidade com a comunidade	Diminuição de barreiras sociais e aumento da adesão ao exame de papanicolau
Increasing cervical cancer screening in a hispanic migrant farmworker community through faith-based clinica outreach⁽³⁹39 Luque JS, Tyson DM, Markossian T, Lee JH, Turner R, Proctor S, et al. Increasing cervical cancer screening in a hispanic migrant farmworker community through faith-based clinical outreach. J Low Genit Tract Dis [Internet]. 2011[cited 2014 Aug 14];15(3):200-4. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3735442/pdf/nihms319444.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2011/ EUA	Revisão	Parceria dos serviços de saúde com entidades religiosas	Aumento da adesão ao exame de papanicolau
Innovative approaches to promoting cervical health and raising cervical cancer awareness by use of existing cultura structures in resource-limited countries: experiences with traditiona marriage counseling in Zambia⁽⁴⁰40 Kapambwe S, Parham G, Mwanahamuntu M,Chirwa S, Mwanza J, Amuyunzu-Nyamongo M. Innovative approaches to promoting cervical health and raising cervical cancer awareness by use of existing cultural structures in resource-limited countries: experiences with traditional marriage counseling in Zambia. Glob Health Promot [Internet]. 2013[cited 2014 Aug 14];20(4 Suppl):57-64. Available from: http://ped.sagepub.com/content/20/4_suppl/57.long http://ped.sagepub.com/content/20/4_supp... ⁾	2013/ África	Intervenção/ 70	Parceria dos serviços de saúde com entidades religiosas	Aumento da adesão ao exame de papanicolau
Adaptation of a cervical cancer education program for african americans in the faith-based community, Atlanta, Georgia, 2012⁽⁴¹41 Haynes V, Escoffery C, Wilkerson C, Bell R, Flowers L. Adaptation of a cervical cancer education program for african americans in the faith-based community, Atlanta, Georgia, 2012. Prev Chronic Dis [Internet]. 2014[cited 2014 Aug 14];11:130271. Available from: http://www.cdc.gov/pcd/issues/2014/pdf/13_0271.pdf http://www.cdc.gov/pcd/issues/2014/pdf/1... ⁾	2014/ EUA	Metodológico	Intervenção educativa associada a igrejas	Aumento da adesão à prevenção do câncer cérvico-uterino
Socio-economic inequalities in breast and cervical cancer screening practices in Europe: influence of the type of screening program⁽⁴²42 Palencia L, Espelt A, Rodrıguez-Sanz M, Puigpinós R, Pons-Vigués M, Pasaríns MI, et al. Socio-economic inequalities in breast and cervical cancer screening practices in Europe: influence of the type of screening program. Int J Epidemiol [Internet]. 2010[cited 2014 Aug 14];39:757-65. Available from: http://ije.oxfordjournals.org/content/39/3/757.long http://ije.oxfordjournals.org/content/39... ⁾	2010/ 22 países europeus	Tranversal	Rastreio de base populaciona	Apresenta maior eficiência que o rastreio oportunista.
A systematic review of interventions to increase breast and cervical cancer screening uptake among Asian women⁽⁴³43 Lu M, Moritz S, Lorenzetti D, Sykes L, Straus S, Quan H. A systematic review of interventions to increase breast and cervical cancer screening uptake among Asian women. BMC Public Health [Internet]. 2012[cited 2014 Aug 14];12:413-29. Available from: http://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-12-413 http://bmcpublichealth.biomedcentral.com... ⁾	2012	Revisão sistemática	Múltiplas intervenções	Combinação de educação em grupo e disponibilidade de realização do exame é mais eficaz.
Updated recommendations for client- and provider-oriented interventions to increase breast, cervical, and colorecta cancer screening⁽⁴⁴44 Fielding JE, Rimer BK, Calonge N, Clymer JM, Glanz K, Goetzel RZ, et al. Updated recommendations for client- and provider-oriented interventions to increase breast, cervical, and colorectal cancer screening. Am J Prev Med [Internet]. 2012[cited 2014 Aug 14];43(1):92-6. Available from: http://www.ajpmonline.org/article/S0749-3797%2812%2900256-5/abstract⁾	2012/ EUA	Descritivo	Multiplas intervenções	São eficazes educação em grupo, divulgação na mídia, redução de barreiras estruturais dos serviços de saúde.
Effective interventions to facilitate the uptake of breast, cervical and colorecta cancer screening: an implementation guideline⁽⁴⁵45 Brouwers MC, Vito CD, Bahirathan L, Carol A, Carroll J, Cotterchio M, et al. Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline. Implement Sci [Internet]. 2011[cited 2014 Aug 14];6:112-20. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222606/pdf/1748-5908-6-112.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2011	Metodológico	Multiplas intervenções	Lembretes e redução de barreiras do serviço de saúde são eficazes para o aumento do rastreamento.
Influencing women's actions on cervical cancer screening and treatment in Karawang District, Indonesia⁽⁴⁶46 Kim YM, Ati A, Kols A, Lambe FM, Soetikno D, Wysong M, et al. Influencing women's actions on cervical cancer screening and treatment in Karawang District, Indonesia. Asian Pac J Cancer Prev [Internet]. 2012[cited 2014 Aug 14];13(6):2913-21. Available from: http://www.apocpcontrol.org/paper_file/issue_abs/Volume13_No6/2913-21%205.31%20Young-Mi%20Kim.pdf http://www.apocpcontrol.org/paper_file/i... ⁾	2012/ Ásia	Pesquisa qualitativa	Múltiplas intervenções	Aumento da adesão com divulgação de informações, visitas domiciliares e oferta gratuita do exame
What implementation interventions increase cancer screening rates? a systematic review⁽⁴⁷47 Brouwers MC, Vito CD, Bahirathan L, Carol A, Carroll J, Cotterchio M, et al. What implementation interventions increase cancer screening rates? a systematic review. Implement Sci [Internet]. 2011[cited 2014 Aug 14];6:111-28. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3197548/pdf/1748-5908-6-111.pdf http://www.ncbi.nlm.nih.gov/pmc/articles... ⁾	2011	Revisão sistemática	Multiplas intervenções	Aumento da adesão com lembretes, divulgação na mídia, educação em saúde e redução de barreiras do serviço de saúde

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[1] AUTOR CORRESPONDENTE: Sueli da Silva Riul. E-mail: sueliriul@terra.com.br