Effectiveness of reminder strategies on cancer screening adherence: a randomised controlled trial
Publication in refereed journal

替代計量分析
.

其它資訊
摘要Background
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.
出版社接受日期04.04.2018
著者Wong MCS, Ching JYL, Huang JJ, Wong JCT, Lam TYT, Chan VCW, Ng SKC, Hui ZR, Luk AKC, Wu JCY, Chan FKL
期刊名稱British Journal of General Practice
出版年份2018
月份9
卷號68
期次674
頁次e604 - e611
國際標準期刊號0960-1643
電子國際標準期刊號1478-5242
語言英式英語
關鍵詞adherence, colorectal cancer, screening, short message service, telecommunications, telephone reminders

上次更新時間 2020-06-08 於 23:14