Effectiveness of reminder strategies on cancer screening adherence: a randomised controlled trial
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AbstractBackground
Few randomised controlled trials (RCTs) have evaluated the different recalling approaches for enhancing adherence to faecal immunochemical test (FIT)-based screening.

Aim
The authors evaluated the effectiveness of two telecommunication strategies on improving adherence to yearly FIT screening.

Design and setting
A randomised, parallel group trial was performed in a primary care screening practice.

Method
The authors recruited 629 asymptomatic individuals aged 40–70 years with a negative FIT in 2015 to a population-based screening programme. On participation, they were invited to repeat their second round of FIT in 2016, 12 months after the first test. Each participant was randomly assigned to either interactive telephone reminder (n = 207), short message service reminder (SMS, n = 212), or control, where no additional interventions were delivered after the findings of their first FIT was communicated to the participants (n = 210). Reminders in the intervention groups were delivered 1 month before subjects’ expected return. Additional telephone reminders were delivered 2 months after the expected return date to all subjects who defaulted specimen return. The outcomes included rates of FIT collection and specimen return up to 6 months after their expected return.

Results
At 6 months, the cumulative FIT collection rate was 95.1%, 90.4%, and 86.5%, respectively, for the telephone, SMS, and control groups (P = 0.010). The corresponding specimen return rate was 94.1%, 90.0%, and 86.0% (P = 0.022). When compared with the control, only subjects in the telephone group were significantly more likely to collect FIT tubes (adjusted odds ratio [AOR] 3.18, 95% confidence interval [CI] = 1.50 to 6.75, P = 0.003) and return completed specimens (AOR = 2.73, 95% CI = 1.35 to 5.53, P = 0.005).

Conclusion
Interactive telephone reminders are effective at securing previously screened subjects to repeat screening 1 year after a negative finding.
Acceptance Date04/04/2018
All Author(s) ListWong MCS, Ching JYL, Huang JJ, Wong JCT, Lam TYT, Chan VCW, Ng SKC, Hui ZR, Luk AKC, Wu JCY, Chan FKL
Journal nameBritish Journal of General Practice
Year2018
Month9
Volume Number68
Issue Number674
Pagese604 - e611
ISSN0960-1643
eISSN1478-5242
LanguagesEnglish-United Kingdom
Keywordsadherence, colorectal cancer, screening, short message service, telecommunications, telephone reminders

Last updated on 2020-28-03 at 02:26