Effect of Reminding Patients to Complete Fecal Immunochemical Testing: A Comparative Effectiveness Study of Automated and Live Approaches
Effect of Reminding Patients to Complete Fecal Immunochemical Testing: A Comparative Effectiveness Study of Automated and Live Approaches
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DOI：
10.1007/s11606-017-4184-x
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发表时间：
2018-01-01
影响因子：
5.7
通讯作者：
Jimenez, Ricardo
中科院分区：
文献类型：
--
作者：
Coronado, Gloria D.;Rivelli, Jennifer S.;Jimenez, Ricardo
社区预防服务工作组建议多组分干预，包括病人提醒，以提高结肠直肠癌筛查的吸收。我们试图比较不同形式的提醒的有效性，为直接邮寄粪便免疫化学测试（FIT）程序。患者随机对照试验。2772名年龄在50-75岁的成年人，没有最新的结肠直肠癌筛查建议，在前一年在四个参与的健康中心诊所中的任何一个诊所就诊。参与者被邮寄了一封介绍信和FIT。那些在3周内没有完成FIT的人被随机接受（1）一封提醒信，（2）两个自动电话，（3）两条短信，（4）一个实时电话，（5）一封提醒信和一个实时电话，（6）两个自动电话和一个实时电话，或（7）两条短信和一个实时电话。向拥有患者门户账户的患者发送了两封电子邮件提醒，但未进行随机化。每组的FIT返回率，随机化后6个月。共有255名（10%）参与者在邮寄后3周内返回了FIT。在随机化参与者（n = 2010）中，另外25.5%的人在发送提醒后返回了FIT（估计总体返回率= 32.7%）。在意向治疗分析中，与分配接收提醒信的组相比，分配接收实时电话的组的回复率较高（OR = 1.51 [1.03-2.21]），分配接收短信的组的回复率较低（OR = 0.66 [0.43-0.99]）。提醒的有效性因语言偏好而异。我们的数据表明，包含实时电话的FIT提醒比仅依赖书面沟通（短信或信件）的提醒更有效。
The Community Preventive Services Task Force recommends multi-component interventions, including patient reminders, to improve uptake of colorectal cancer screening.We sought to compare the effectiveness of different forms of reminders for a direct-mail fecal immunochemical test (FIT) program.Patient-randomized controlled trial.2772 adults aged 50-75, not up to date with colorectal cancer screening recommendations, with a clinic visit in the previous year at any of four participating health center clinics.Participants were mailed an introductory letter and FIT. Those who did not complete their FIT within 3 weeks were randomized to receive (1) a reminder letter, (2) two automated phone calls, (3) two text messages, (4) a live phone call, (5) a reminder letter and a live phone call, (6) two automated phone calls and a live phone call, or (7) two text messages and a live phone call. Patients with a patient portal account were sent two email reminders, but were not randomized.FIT return rates for each group, 6 months following randomization.A total of 255 (10%) participants returned their FIT within 3 weeks of the mailing. Among randomized participants (n = 2010), an additional 25.5% returned their FITs after reminders were delivered (estimated overall return rate = 32.7%). In intention-to-treat analysis, compared to the group allocated to receive a reminder letter, return rates were higher for the group assigned to receive the live phone call (OR = 1.51 [1.03-2.21]) and lower for the group assigned to receive text messages (OR = 0.66 [0.43-0.99]). Reminder effectiveness differed by language preference.Our data suggest that FIT reminders that included a live call were more effective than reminders that relied solely on written communication (a text message or letter).