Automated telephone calls improved completion of fecal occult blood testing.
Automated telephone calls improved completion of fecal occult blood testing.
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DOI：
10.1097/mlr.0b013e3181dbdce7
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发表时间：
2010-07
期刊：
影响因子：
3
通讯作者：
Glasgow RE
中科院分区：
文献类型：
--
作者：
Mosen DM;Feldstein AC;Perrin N;Rosales AG;Smith DH;Liles EG;Schneider JL;Lafata JE;Myers RE;Kositch M;Hickey T;Glasgow RE
虽然结直肠癌（CRC）的预后通过早期诊断得到改善，但筛查率仍然很低。确定自动电话干预对完成粪便潜血试验（FOBT）的影响。在Kaiser Permanente Northwest（一家非营利性健康维护组织）进行的这项随机对照试验中，5，905名符合条件的患者，年龄在51-80岁之间，具有CRC的平均风险并应进行CRC筛查，被随机分配到自动电话干预（n= 2，943）或常规护理（UC; n= 2，962）。干预组接受了最多3个一分钟的自动电话，提供了FOBT的描述和健康益处。在电话中，患者可以要求将FOBT套件邮寄到他们家中。那些要求但没有归还卡片的人会收到一个自动提醒电话。考克斯比例风险法用于确定自动电话呼叫对完成FOBT的独立影响，调整年龄，性别和既往CRC筛查后。到呼叫启动后6个月，干预组中22.5%和UC组中16.0%完成了FOBT。与UC患者相比，干预组患者完成FOBT的可能性显著更高（HR = 1.31，95% CI = 1.10-1.56）。老年患者（71-80岁vs. 51-60岁）完成FOBT的可能性也更大（HR = 1.48，95% CI=1.07-2.04）。自动电话呼叫增加了FOBT的完成。需要进一步的研究来评估不同人群和其他临床环境中的自动电话干预。
Although colorectal cancer (CRC) prognosis is improved by early diagnosis, screening rates remain low. To determine the effect of an automated telephone intervention on completion of fecal occult blood testing (FOBT). In this randomized controlled trial conducted at Kaiser Permanente Northwest, a not-for-profit health maintenance organization, 5,905 eligible patients aged 51–80, at average risk for CRC and due for CRC screening, were randomly assigned to an automated telephone intervention (n=2,943) or usual care (UC; n=2,962). The intervention group received up to 3 one-minute automated telephone calls that provided a description and health benefits of FOBT. During the call, patients could request that an FOBT kit be mailed to their home. Those who requested but did not return the cards received an automated reminder call. Cox proportional hazard method was used to determine the independent effect of automated telephone calls on completion of an FOBT, after adjusting for age, gender, and prior CRC screening. By 6 months post call initiation, 22.5% in the intervention and 16.0% in UC had completed an FOBT. Those in the intervention group were significantly more likely to complete an FOBT (HR = 1.31, 95% CI = 1.10–1.56) compared to UC. Older patients (aged 71–80 vs. aged 51–60) were also more likely to complete FOBT (HR = 1.48, 95% CI=1.07–2.04). Automated telephone calls increased completion of FOBT. Further research is needed to evaluate automated telephone interventions among diverse populations and in other clinical settings.