Text messaging intervention for Pap smear uptake: a single-institution study.
Text messaging intervention for Pap smear uptake: a single-institution study.
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DOI：
10.21037/mhealth-23-11
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Porterfield, Laura R.
中科院分区：
文献类型：
--
作者：
Bhardwaj, Namita;Herndon, Andrew T.;Kuo, Yong-Fang;Porterfield, Laura R.
宫颈癌仍然是世界许多地区妇女死亡的主要原因之一。随着移动的技术的日益普及，短信干预措施在改善非美国人口的巴氏涂片检查方面取得了成效。这项研究评估了与常规护理相比，来自美国德克萨斯州加尔维斯顿卫生系统的短信提醒是否增加了宫颈癌筛查的摄取。从2019年2月20日至2019年4月4日，使用Televox通信程序向16，002个唯一的患者电话号码发送了一条短信提醒。该机构的人口健康数据库随后被用于确定患者在短信发送后是否接受了宫颈癌筛查（巴氏涂片）。使用卡方检验比较短信组和对照组的患者人口统计学资料。我们的短信干预，以提高巴氏涂片率没有显示出统计学显着差异的干预组收到短信和控制。然而，短信与年龄、经济阶层和县之间存在显著的交互作用（P=0.0023，0.0299和<0.0001）。短信确实对我们最脆弱的患者群体产生了积极的影响，因为短信干预显示医疗补助和低收入/无保险（MLIU）患者的巴氏涂片率略高。短信干预措施在增加受健康差距影响最大的人群的巴氏涂片检查方面确实有效。
Cervical cancer continues to be one of the leading causes of death among women in many parts of the world. With the increasing proliferation of mobile technology, text messaging interventions have been effective in improving Pap smear uptake in non-United States populations. This study evaluated whether text message reminders from a health system in Galveston, Texas, USA increased uptake of cervical cancer screening as compared to usual care. A single text message reminder was sent to 16,002 unique patient phone numbers using the Televox Communication Program from February 20, 2019, to April 4, 2019. The institution’s population health database was subsequently used to determine if patients received cervical cancer screening (Pap smear) following the text message transmission. Patient demographics within text message and control groups were compared using Chi-square tests. Our text messaging intervention to improve Pap smear rates did not show a statistically significant difference between the intervention group receiving a text message and the control. However, there were significant interactions between text messages and age, financial class, and county (P=0.0023, 0.0299, and <0.0001, respectively). Text messaging did have a positive impact on our most vulnerable patient populations given that the text messaging intervention showed a marginally higher rate of Pap smear among Medicaid and low-income/uninsured (MLIU) patients. Text messaging interventions do have effectiveness in increasing Pap smear uptake in populations which are most impacted by health disparities.
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影响因子：
1.4
作者：
Oyegbite A;Roberts J;Bircher J
通讯作者：
Bircher J
影响因子：
4.4
作者：
Le, Daisy;Holt, Cheryl L.
通讯作者：
Holt, Cheryl L.
影响因子：
34.3
作者：
Arbyn, Marc;Weiderpass, Elisabete;Bray, Freddie
通讯作者：
Bray, Freddie
影响因子：
5.1
作者：
Smith, Debi L.;Perkins, Rebecca B.
通讯作者：
Perkins, Rebecca B.
DOI：
10.15585/mmwr.mm7004a1externalicon
发表时间：
2021-01-29
影响因子：
33.9
作者：
Miller, Maureen J.;Xu, Lanfang;Chao, Chun R.
通讯作者：
Chao, Chun R.