SMS Reminders for Positive FOBT Follow-up

Meuhedet. Healthcare Organization

Status: Completed

Conditions: Colorectal Cancer

Treatments: Behavioral: SMS

Study type: Interventional

Funder types: Other

Identifiers

NCT03642652

01-023-03-16

Details and patient eligibility

About

A randomized controlled trial to examine the effect of 3 mobile telephone text message reminders on followup colonoscopy 120 days after a positive fecal occult blood test among Meuhedet members aged 50-74 who tested positive in 2016.

Full description

Background: Fecal occult blood tests are recommended by the US Preventive Services Task Force as a screening method for colorectal cancer, but they are only effective if positive results are followed by colonoscopy. Surprisingly, a large proportion of patients with a positive result do not follow this recommendation.

Objective: To examine the effectiveness of a short message service in increasing adherence to colonoscopy follow-up after a positive fecal occult blood test.

Methods: This randomized controlled trial was conducted with patients who had positive colorectal cancer screening results. Randomization was stratified by residential district and socioeconomic status. Subjects in the control group (n = 238) received routine care that included an alert to the physician regarding the positive Fecal occult blood test result. The intervention group (n = 232) received routine care and three short message service reminders to visit their primary care physician. Adherence to colonoscopy was measured 120 days from the positive result. All patient information, including test results and colonoscopy completion, were obtained from their computerized medical records. Physicians of the study patients completed an attitude survey regarding FOBT as a screening test for colorectal cancer. The intervention and control groups were compared using chi-squared for discrete variables. Logistic regression was used to calculate odds ratios and 95% confidence intervals for performing colonoscopy within 120 days, adjusting for potential confounders of age, gender, socioeconomic status, district, ethnicity, intervention group and physician's attitude.

Enrollment: 470 patients

Sex

Ages: 50 to 75 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• positive fecal occult blood test (FOBT) in 2016
• agreed to receive SMS from healthcare provider

Exclusion criteria

• Existing oncology diagnosis
• personal or family history of colorectal cancer
• colonoscopy up to 10 years prior to FOBT

Trial design

Primary purpose: Screening

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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470 participants in 2 patient groups

SMS

Experimental group

Description:

Each patient in the intervention group also received an automated text message up to a week after the positive FOBT result. The text read: "Hello. There is a lab test result ready for you. Contact your physician for an explanation of the findings." Two additional automated text message reminders were sent to the patient at 2 weeks and 1 month reading, "Hello, This is a reminder. It is essential that you contact your physician if you have not already done so."

Treatment:

Behavioral: SMS

Control

No Intervention group

Description:

Routine care