Postal reminder with reduced burden of clinic information seeking for equitable participation in general health check-ups: A randomized controlled trial
Postal reminder with reduced burden of clinic information seeking for equitable participation in general health check-ups: A randomized controlled trial
复制标题
减轻临床信息负担的邮政提醒，寻求公平参与一般健康检查：一项随机对照试验
DOI：
10.1016/j.ypmed.2022.107009
复制
发表时间：
2022
影响因子：
5.1
通讯作者：
Kondo Naoki
中科院分区：
文献类型：
--
作者：
Shimoda Akihiro;Saito Yoshiyuki;Kondo Naoki
高参与率和低参与不平等是日本普通健康检查项目成功的关键。本研究是在日本健康保险协会福冈分支进行的一项单盲、两组、前瞻性、随机对照研究，旨在比较包含最近诊所信息的邮政提醒与包含所有当地诊所详细信息的标准邮政提醒对一般健康检查参与率和基于收入的参与率的有效性。40-69岁被保险人的家属（家庭成员）被随机分配（1：1）到接受量身定制的邮政提醒干预（显示距离每位参与者地址最近的诊所的信息）的干预组，或接受原始模板邮政提醒的对照组（仅包含列出所有可用诊所的网站URL）。对参与者和一般健康检查服务提供者隐瞒了分配情况。主要结果是在干预后1个月内参与一般健康检查。2017年2月1日至2月10日，21，017人被随机分配到干预组（n= 10，474）或对照组（n = 10，543）。干预组参与率高于对照组（3.2%vs.2.1%，OR：1.55，95%CI：1.31- 1.85，P < 0.001）。干预效果随着收入水平的提高而降低（相互作用P = 0.037）。在日本，提供最近的诊所信息的定制邮件提醒能够提高整体参与率，并减少基于收入的一般健康检查参与不平等。试验注册：UMIN-CTR，UMIN 000042509，2020年11月26日注册-Retroperitoneal注册。
High participation rate and low inequality in participation are key to the program success of general health check-ups in Japan. This study examined the effectiveness of a postal reminder including nearest clinic information, compared to the standard postal reminder including details of all local clinics, on participation rate and income-based participation rate in general health checks.This was a single-blind, two-arm, prospective, randomized controlled study conducted at the Fukuoka Branch of Japan Health Insurance Association. Dependents (family members) of insured persons aged 40–69 years were randomly assigned (1:1) to the intervention group that received a tailored postal reminder intervention (showing information on the nearest clinic from each participant's address) or to the control group that received an original template postal reminder (containing just the URL of the website listing all available clinics). Allocation was concealed from participants and service providers of general health check-up. The primary outcome was participation in general health check-ups within 1 month of intervention.Between February 1 and February 10, 2017, 21,017 were randomly assigned to the intervention (n= 10,474) or control (n = 10,543) group. The participation rate in the intervention group was higher than control group (3.2% vs. 2.1%; OR: 1.55, 95% CI: 1.31–1.85,P< 0.001). The intervention effect was estimated to decrease as the income category increased (P for interaction = 0.037).Tailored postal reminders with information on the nearest clinic were able to improve the overall participation rate and reduce income-based inequality in participation for general health check-ups in Japan.Trial registration:UMIN-CTR, UMIN000042509, Registered 26 November 2020 – Retrospectively registered.