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Showing content from https://pubmed.ncbi.nlm.nih.gov/29019046/ below:

Effect of Reminding Patients to Complete Fecal Immunochemical Testing: A Comparative Effectiveness Study of Automated and Live Approaches

Randomized Controlled Trial

Affiliations

• ¹ Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA. Gloria.D.Coronado@kpchr.org.
• ² Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
• ³ Sea Mar Community Health Centers, Seattle, WA, USA.

• PMID: 29019046
• PMCID: PMC5756165
• DOI: 10.1007/s11606-017-4184-x

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Randomized Controlled Trial

Gloria D Coronado et al. J Gen Intern Med. 2018 Jan.

• ¹ Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA. Gloria.D.Coronado@kpchr.org.
• ² Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
• ³ Sea Mar Community Health Centers, Seattle, WA, USA.

• PMID: 29019046
• PMCID: PMC5756165
• DOI: 10.1007/s11606-017-4184-x

Item in Clipboard

Background: The Community Preventive Services Task Force recommends multi-component interventions, including patient reminders, to improve uptake of colorectal cancer screening.

Objective: We sought to compare the effectiveness of different forms of reminders for a direct-mail fecal immunochemical test (FIT) program.

Design: Patient-randomized controlled trial.

Participants: 2772 adults aged 50-75, not up to date with colorectal cancer screening recommendations, with a clinic visit in the previous year at any of four participating health center clinics.

Intervention: Participants were mailed an introductory letter and FIT. Those who did not complete their FIT within 3 weeks were randomized to receive (1) a reminder letter, (2) two automated phone calls, (3) two text messages, (4) a live phone call, (5) a reminder letter and a live phone call, (6) two automated phone calls and a live phone call, or (7) two text messages and a live phone call. Patients with a patient portal account were sent two email reminders, but were not randomized.

Main measures: FIT return rates for each group, 6 months following randomization.

Key results: A total of 255 (10%) participants returned their FIT within 3 weeks of the mailing. Among randomized participants (n = 2010), an additional 25.5% returned their FITs after reminders were delivered (estimated overall return rate = 32.7%). In intention-to-treat analysis, compared to the group allocated to receive a reminder letter, return rates were higher for the group assigned to receive the live phone call (OR = 1.51 [1.03-2.21]) and lower for the group assigned to receive text messages (OR = 0.66 [0.43-0.99]). Reminder effectiveness differed by language preference.

Conclusions: Our data suggest that FIT reminders that included a live call were more effective than reminders that relied solely on written communication (a text message or letter).

Trial registration: ClinicalTrials.gov/ctc2/show/NCT01742065 .

Keywords: automated and live reminders; colorectal cancer screening; direct-mail program; fecal testing; federally qualified health centers.

PubMed Disclaimer

From November 2014 to August 2015, Dr. Coronado served as a co-investigator on a study funded by Epigenomics; the study had no influence ion the design, conduct or results reporting of the present study. All other authors declare that they have no conflict of interest.

CONSORT diagram of Sea Mar.

CONSORT diagram of Sea Mar.

CONSORT diagram of Sea Mar.

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  Nielson CM, Rivelli JS, Fuoco MJ, Gawlik VR, Jimenez R, Petrik AF, Coronado GD. Nielson CM, et al. Prev Med Rep. 2018 Oct 17;12:210-213. doi: 10.1016/j.pmedr.2018.10.012. eCollection 2018 Dec. Prev Med Rep. 2018. PMID: 30364785 Free PMC article.

• Mobile phone messaging reminders for attendance at healthcare appointments. Car J, Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R. Car J, et al. Cochrane Database Syst Rev. 2012 Jul 11;(7):CD007458. doi: 10.1002/14651858.CD007458.pub2. Cochrane Database Syst Rev. 2012. PMID: 22786507 Updated. Review.
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• Randomized Controlled Trial of Advance Notification Phone Calls vs Text Messages Prior to Mailed Fecal Test Outreach.

  Coronado GD, Nyongesa DB, Petrik AF, Thompson JH, Escaron AL, Younger B, Harbison S, Leo MC. Coronado GD, et al. Clin Gastroenterol Hepatol. 2021 Nov;19(11):2353-2360.e2. doi: 10.1016/j.cgh.2020.07.053. Epub 2020 Jul 30. Clin Gastroenterol Hepatol. 2021. PMID: 32739569 Free PMC article. Clinical Trial.

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