PDF(Pubmed)
Abstract：
BACKGROUND: Mobile phone-based SMS text message reminders have the potential to improve colorectal cancer screening participation rates.
OBJECTIVE: This study assessed the effectiveness and acceptability of adding targeted SMS text message reminders to the standard procedure for those who picked up but did not return their screening kit at the pharmacy within 14 days in a colorectal cancer screening program in Catalonia, Spain.
METHODS: We performed a randomized control trial among individuals who picked up a fecal immunochemical test (FIT) kit for colorectal cancer screening at the pharmacy but did not return it within 14 days. The intervention group (n=4563) received an SMS text message reminder on the 14th day of kit pick up and the control group (n=4806) received no reminder. A 30-day reminder letter was sent to both groups if necessary. The main primary outcome was the FIT completion rate within 30, 60, and 126 days from FIT kit pick up (intention-to-treat analysis). A telephone survey assessed the acceptability and appropriateness of the intervention. The cost-effectiveness of adding an SMS text message reminder to FIT completion was also performed.
RESULTS: The intervention group had higher FIT completion rates than the control group at 30 (64.2% vs 53.7%; P<.001), 60 (78.6% vs 72.0%; P<.001), and 126 (82.6% vs 77.7%; P<.001) days. Participation rates were higher in the intervention arm independent of sex, age, socioeconomic level, and previous screening behavior. A total of 339 (89.2%) interviewees considered it important and useful to receive SMS text message reminders for FIT completion and 355 (93.4%) preferred SMS text messages to postal letters. We observed a reduction of US $2.4 per participant gained in the intervention arm for invitation costs compared to the control arm.
CONCLUSIONS: Adding an SMS text message reminder to the standard procedure significantly increased FIT kit return rates and was a cost-effective strategy. SMS text messages also proved to be an acceptable and appropriate communication channel for cancer screening programs.
BACKGROUND: ClinicalTrials.gov NCT04343950; https://www.clinicaltrials.gov/study/NCT04343950.
UNASSIGNED: RR2-10.1371/journal.pone.0245806.
OBJECTIVE: This study assessed the effectiveness and acceptability of adding targeted SMS text message reminders to the standard procedure for those who picked up but did not return their screening kit at the pharmacy within 14 days in a colorectal cancer screening program in Catalonia, Spain.
METHODS: We performed a randomized control trial among individuals who picked up a fecal immunochemical test (FIT) kit for colorectal cancer screening at the pharmacy but did not return it within 14 days. The intervention group (n=4563) received an SMS text message reminder on the 14th day of kit pick up and the control group (n=4806) received no reminder. A 30-day reminder letter was sent to both groups if necessary. The main primary outcome was the FIT completion rate within 30, 60, and 126 days from FIT kit pick up (intention-to-treat analysis). A telephone survey assessed the acceptability and appropriateness of the intervention. The cost-effectiveness of adding an SMS text message reminder to FIT completion was also performed.
RESULTS: The intervention group had higher FIT completion rates than the control group at 30 (64.2% vs 53.7%; P<.001), 60 (78.6% vs 72.0%; P<.001), and 126 (82.6% vs 77.7%; P<.001) days. Participation rates were higher in the intervention arm independent of sex, age, socioeconomic level, and previous screening behavior. A total of 339 (89.2%) interviewees considered it important and useful to receive SMS text message reminders for FIT completion and 355 (93.4%) preferred SMS text messages to postal letters. We observed a reduction of US $2.4 per participant gained in the intervention arm for invitation costs compared to the control arm.
CONCLUSIONS: Adding an SMS text message reminder to the standard procedure significantly increased FIT kit return rates and was a cost-effective strategy. SMS text messages also proved to be an acceptable and appropriate communication channel for cancer screening programs.
BACKGROUND: ClinicalTrials.gov NCT04343950; https://www.clinicaltrials.gov/study/NCT04343950.
UNASSIGNED: RR2-10.1371/journal.pone.0245806.
摘要：
背景：基于手机的SMS短信提醒具有提高结直肠癌筛查参与率的潜力。
目的：这项研究评估了在标准程序中添加有针对性的SMS短信提醒的有效性和可接受性，这些人在加泰罗尼亚的结肠直肠癌筛查计划中在14天内在药房服用但未返回筛查试剂盒，西班牙。
方法：我们进行了一项随机对照试验，试验对象是在药房使用粪便免疫化学检测（FIT）试剂盒进行结直肠癌筛查，但在14天内没有返回。干预组（n=4563）在取药的第14天收到短信提醒，对照组（n=4806）未收到提醒。如有必要，会向两组发送30天的提醒信。主要的主要结果是在FIT试剂盒提取后30、60和126天内的FIT完成率（意向治疗分析）。电话调查评估了干预措施的可接受性和适当性。还执行了将SMS文本消息提醒添加到FIT完成的成本效益。
结果：干预组30岁时的FIT完成率高于对照组（64.2％vs53.7％；P<.001），60（78.6%vs72.0%；P<.001），和126天（82.6%vs77.7%；P<.001）。干预组的参与率较高，与性别无关，年龄,社会经济水平,和以前的筛查行为。共有339名（89.2％）受访者认为接收FIT完成的SMS文本消息提醒很重要且有用，而355名（93.4％）受访者更喜欢SMS文本消息。我们观察到，与控制臂相比，在干预臂中获得的每位参与者的邀请费用减少了2.4美元。
结论：在标准程序中添加短信提醒可显著提高FIT试剂盒的回报率，是一种具有成本效益的策略。SMS文本消息也被证明是癌症筛查计划的可接受和适当的通信渠道。
背景：ClinicalTrials.govNCT04343950;https://www.clinicaltrials.gov/研究/NCT04343950。
■RR2-10.1371/日记帐。pone.0245806.
目的：这项研究评估了在标准程序中添加有针对性的SMS短信提醒的有效性和可接受性，这些人在加泰罗尼亚的结肠直肠癌筛查计划中在14天内在药房服用但未返回筛查试剂盒，西班牙。
方法：我们进行了一项随机对照试验，试验对象是在药房使用粪便免疫化学检测（FIT）试剂盒进行结直肠癌筛查，但在14天内没有返回。干预组（n=4563）在取药的第14天收到短信提醒，对照组（n=4806）未收到提醒。如有必要，会向两组发送30天的提醒信。主要的主要结果是在FIT试剂盒提取后30、60和126天内的FIT完成率（意向治疗分析）。电话调查评估了干预措施的可接受性和适当性。还执行了将SMS文本消息提醒添加到FIT完成的成本效益。
结果：干预组30岁时的FIT完成率高于对照组（64.2％vs53.7％；P<.001），60（78.6%vs72.0%；P<.001），和126天（82.6%vs77.7%；P<.001）。干预组的参与率较高，与性别无关，年龄,社会经济水平,和以前的筛查行为。共有339名（89.2％）受访者认为接收FIT完成的SMS文本消息提醒很重要且有用，而355名（93.4％）受访者更喜欢SMS文本消息。我们观察到，与控制臂相比，在干预臂中获得的每位参与者的邀请费用减少了2.4美元。
结论：在标准程序中添加短信提醒可显著提高FIT试剂盒的回报率，是一种具有成本效益的策略。SMS文本消息也被证明是癌症筛查计划的可接受和适当的通信渠道。
背景：ClinicalTrials.govNCT04343950;https://www.clinicaltrials.gov/研究/NCT04343950。
■RR2-10.1371/日记帐。pone.0245806.
