Behavioral economics informed message content in text message reminders to improve cervical screening participation: Two pragmatic randomized controlled trials
Behavioral economics informed message content in text message reminders to improve cervical screening participation: Two pragmatic randomized controlled trials
复制标题
DOI：
10.1016/j.ypmed.2020.106170
复制
发表时间：
2020-10-01
影响因子：
5.1
通讯作者：
Vlaev, Ivo
中科院分区：
文献类型：
--
作者：
Huf, Sarah;Kerrison, Robert S.;Vlaev, Ivo
研究报告的目的是评估短信提醒及其内容对宫颈筛查率的影响。2015年2月至10月在西北伦敦接受宫颈筛查的妇女有资格参加。3133名24 - 29岁的女性（研究1）被随机（1，1）分配到“无SMS”（对照）或初级保健医生（PCP）认可的SMS（SMS-PCP）。11，405名年龄在30 - 64岁之间的女性（研究2）被随机（1，1：1：1：1：1）分配到：无短信，无操纵的短信（SMS），SMS-PCP，具有总或比例社会规范的短信（SMS-SNT或SMS-SNP），或具有增益帧或丢失帧消息的短信（SMS-GF和SMS-LF）。主要结局是18周时的参与。在研究1中，SMS-PCP组的参与率（31.4%）显著高于对照组（26.4%，aOR，1.29，95%CI：1.09 - 1.51; p = 0.002）。在研究2中，与对照组（34.4%）相比，SMS-PCP组（38.4%）和SMS组（38.1%）的参与率最高（aOR：1.19，95%CI：1.03 - 1.38; p = 0.02和aOR：1.18，95%CI：1.02 - 1.37; p = 0.03，重复）。结果表明，行为短信提高宫颈癌筛查的参与。短信内容在短信的影响力中起着重要的作用。这项试验的结果已被用于制定有效的宫颈癌筛查政策。NHS宫颈筛查计划开始在伦敦范围内开展筛查短信活动，该活动以此处描述的宫颈筛查试验为基础。根据英国公共卫生部公布的数据，六个月后，就诊人数增加了4.8%，相当于13，400多名妇女在18周时接受筛查。
The objective of the reported research was to assess the impact of text message (SMS) reminders and their content on cervical screening rates. Women invited for cervical screening in Northwest London from February-October 2015 were eligible. 3133 women aged 24-29 (Study 1) were randomized (1, 1) to 'no SMS' (control), or a primary care physician (PCP) endorsed SMS (SMS-PCP). 11,405 women aged 30-64 (Study 2), were randomized (1, 1:1:1:1:1:1) to either: no SMS, an SMS without manipulation (SMS), the SMS-PCP, an SMS with a total or proportionate social norm (SMS-SNT or SMS-SNP), or an SMS with a gain-framed or loss-framed message (SMS-GF and SMS-LF). The primary outcome was participation at 18 weeks. In Study 1 participation was significantly higher in the SMS-PCP arm (31.4%) compared to control (26.4%, aOR, 1.29, 95%CI: 1.09-1.51; p = 0.002). In Study 2 participation was highest in the SMS-PCP (38.4%) and SMS (38.1%) arms compared to control (34.4%), (aOR: 1.19, 95%CI: 1.03-1.38; p = 0.02 and aOR: 1.18, 95%CI: 1.02-1.37; p = 0.03, re-spectively). The results demonstrate that behavioral SMSs improve cervical screening participation. The message content plays an important role in the impact of SMS. The results from this trial have already been used to designing effective policy for cervical cancer screening. The NHS Cervical Screening Programme started running a London-wide screening SMS campaign which was based on the cervical screening trial described here. According to figures published by Public Health England, after six months attendance increased by 4.8%, which is the equivalent of 13,400 more women being screened at 18 weeks.