Hirst, Y;
Skrobanski, H;
Kerrison, RS;
Kobayashi, LC;
Counsell, N;
Djedovic, N;
Ruwende, J;
... von Wagner, C; + view all
(2017)
Text-message Reminders in Colorectal Cancer Screening (TRICCS): a randomised controlled trial.
British Journal of Cancer
, 116
pp. 1408-1414.
10.1038/bjc.2017.117.
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Abstract
BACKGROUND: We investigated the effectiveness of a text-message reminder to improve uptake of the English Bowel Cancer Screening programme in London. METHODS: We performed a randomised controlled trial across 141 general practices in London. Eight thousand two hundred sixty-nine screening-eligible adults (aged 60-74 years) were randomised in a 1 : 1 ratio to receive either a text-message reminder (n=4134) or no text-message reminder (n=4135) if they had not returned their faecal occult blood test kit within 8 weeks of initial invitation. The primary outcome was the proportion of adults returning a test kit at the end of an 18-week screening episode (intention-to-treat analysis). A subgroup analysis was conducted for individuals receiving an invitation for the first time. RESULTS: Uptake was 39.9% in the control group and 40.5% in the intervention group. Uptake did not differ significantly between groups for the whole study population of older adults (adjusted odds ratio (OR) 1.03, 95% confidence interval (CI) 0.94-1.12; P=0.56) but did vary between the groups for first-time invitees (uptake was 34.9% in the control and 40.5% in the intervention; adjusted OR 1.29, 95% CI 1.04-1.58; P=0.02). CONCLUSIONS: Although text-message reminders did not significantly increase uptake of the overall population, the improvement among first-time invitees is encouraging.British Journal of Cancer advance online publication, 25 April 2017; doi:10.1038/bjc.2017.117 www.bjcancer.com.
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