Effectiveness of automated and live phone reminders after mailed-FIT outreach in a pilot randomized trial.
Effectiveness of automated and live phone reminders after mailed-FIT outreach in a pilot randomized trial.
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DOI：
10.1016/j.pmedr.2018.10.012
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发表时间：
2018-12
影响因子：
2.8
通讯作者：
Coronado GD
中科院分区：
文献类型：
--
作者：
Nielson CM;Rivelli JS;Fuoco MJ;Gawlik VR;Jimenez R;Petrik AF;Coronado GD
年度邮寄粪便免疫化学检测(FIT)推广的有效性在退货率优化时最高，这一点得到了患者提醒的帮助。在海玛社区卫生中心华盛顿西部的两个诊所进行的一项试点患者随机对照试验中，我们比较了两种基于电话的方法对邮寄FIT外展提醒的有效性。2016年秋季，应接受结直肠癌筛查的50-75岁患者，前一年曾到两家诊所中的任何一家就诊，他们都收到了一封介绍信，并表示适合。那些在3 周内没有回复Fit的人(N = 427)被随机分成两组：a)一系列最多6个自动电话提醒；或者b)自动和现场电话提醒的组合(总共最多6个)。唯一的结果是Fit邮寄后6个 月内Fit返还。在被分配接受自动呼叫和自动加现场呼叫的组中，FIT完成率相似(40%比39%；p = 0.89)。FIT提醒模式的有效性因语言偏好而不同(p为交互 = 0.03)：在更喜欢西班牙语的患者(n = 106)中，仅自动组的Fit返回率高于自动+现场呼叫组(62%vs39%，p = 0.02)。在偏爱英语的患者中，没有观察到模式上的差异(n = 279，32%vs 34%，p = 0.74)。我们没有观察到邮寄FIT加上自动电话提醒计划中的实时提醒电话的额外好处；我们的发现可能会为有效优化邮寄FIT扩展计划的努力提供参考。ClinicalTrials.gov标识符NCT01742065
The effectiveness of annual mailed fecal immunochemical testing (FIT) outreach is highest when return rates are optimized, which is aided by patient reminders. In a pilot patient-randomized controlled trial in two western Washington clinics of the Sea Mar Community Health Centers, we compared the effectiveness of two phone-based approaches to mailed FIT outreach reminders. In fall 2016, patients ages 50–75, due for colorectal cancer screening, and with a visit in the previous year at either of two clinics, were mailed an introductory letter and FIT. Those who did not return the FIT within 3 weeks (N = 427) were randomized to receive either: a) a series of up to 6 automated phone reminders; or b) the combination of automated and live phone reminders (up to 6 in total). The sole outcome was FIT return within 6 months after the FIT mailing. FIT completion rates were similar in the groups assigned to receive automated calls vs automated plus live calls (40% vs 39%; p = 0.89). The effectiveness of FIT reminder mode differed by language preference (p for interaction = 0.03): among Spanish-preferring patients (n = 106), FIT return rates were higher in the automated-only group than to the auto- plus live-call group (62% vs 39%, p = 0.02). Among English-preferring patients, no difference in modes was observed (n = 279, 32% vs 34%, p = 0.74). We observed no added benefit of live reminder calls in a mailed FIT plus automated call reminder program; our findings may inform efforts to efficiently optimize mailed-FIT outreach programs. ClinicalTrials.gov identifier NCT01742065