- Instructions are key in driving participation. Clear, upfront instructions increase understanding and confidence which not only facilitates, but motivates, kit return – especially for individuals who have never screened before.
- Gain-framed messages that highlight the high chances of survival when bowel cancer is caught early are an important motivator for participation.
- GP endorsement increases engagement, particularly among those less responsive to government messaging.
- Visual prompts such as reminder stickers support follow-through; forgetting is a major barrier.
- Deadlines and timeframes in invitation materials support planning and promote urgency to get the test done; placing key messages on the envelope may increase initial engagement.
- Videos that include personal stories combined with clear instructions are highly valued by consumers and may be underused in current content.
- Preferences highlight the importance of SMS timing, tone, and content for prompting return among non-responders.