• J Am Board Fam Med · May 2019

    Randomized Controlled Trial Comparative Study

    Patient-Refined Messaging for a Mailed Colorectal Cancer Screening Program: Findings from the PROMPT Study.

    • Gloria D Coronado, Jamie H Thompson, Amanda F Petrik, Denis B Nyongesa, Michael C Leo, Melissa Castillo, Brittany Younger, Anne Escaron, and Alex Chen.
    • From Center for Health Research, Kaiser Permanente Northwest, Portland, OR (GDC, JHT, AFP, DBN, MCL); AltaMed Health Services, Los Angeles, CA (MC, BY, AE, AC). Gloria.D.Coronado@kpchr.org.
    • J Am Board Fam Med. 2019 May 1; 32 (3): 318-328.

    BackgroundImproving uptake of colorectal cancer screening has the potential of saving thousands of lives. We compared the effectiveness of automated and live prompts and reminders as part of a mailed fecal immunochemical test (FIT) outreach program.Design And MethodsParticipants were 1767 adults aged 50 to 75 eyars who were not up-to-date with colorectal cancer screening recommendations at a participating community health center clinic. In addition to a mailed FIT kit, participants were randomized to receive (1) a text message prompt and 2 automated phone call reminders (automated condition); (2) up to 3 live call reminders (live condition); or (3) a text message prompt, 2 automated call reminders, and up to 3 live reminders (combined automated plus live condition). We assessed FIT completion rates in each group 6 months following randomization.Key ResultsNearly one-third of participants completed an FIT within 6 months. Compared with adults allocated to the automated condition, FIT completion rates were higher in adults allocated to the live condition (32.3% vs 26.0%; adjusted difference, 6.3 percentage points; 95% CI, 1.1-11.4) and in adults allocated to the combined automated plus live condition (35.7% vs 26.0%; adjusted difference, 9.7 percentage points; 95% CI, 4.4-14.9). The number of kits needed to mail to achieve a completed FIT ranged from 2.8 in the combined automated plus live condition to 3.8 in the automated condition.ConclusionsAmong unscreened individuals in this population, live phone call reminders either alone or in combination with automated prompts and reminders outperformed automated approaches alone.© Copyright 2019 by the American Board of Family Medicine.

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