Preferences for Potential Innovations in Non-Invasive Colorectal Cancer Screening: A Labeled Discrete Choice Experiment for a Dutch Screening Campaign

Abstract

Background. The introduction of innovative non-invasive screening tests (e.g. tests based on stool and blood samples or both) may be a solution to increase colorectal cancer (CRC) screening uptake. However, preferences for these non-invasive screening tests have not been investigated in great detail yet. The purpose of this article therefore is to elicit individuals ’ preferences for different non-invasive screening tests in a Dutch screening campaign context. Material and methods. We investigate preferences by means of a labeled discrete choice experiment . Data of 815 individuals, aged 55 – 75 years, are used in the analysis. Results. Multinomial logit model analysis showed that the combi-test is generally preferred over the blood-test and the (currently available) stool-test. Furthermore, besides the large effect of screening test type, there are signifi cant differences in preference depending on participants ’ socio-demographic background. Finally, the analysis showed a signifi cant positive effect on screening test choice for the attributes sensitivity, risk reduction, and level of evidence and a non-signifi cant effect for the attribute unnecessary follow-up test. Conclusion. Introducing new non-invasive screening tests that are based on a combination of stool and blood samples (or blood sample only) has the potential to increase CRC screening participation compared to the current standard stool-based test.