scholarly journals Repeated Automated Mobile Text Messaging Reminders for Follow-Up of Positive Fecal Occult Blood Tests: Randomized Controlled Trial

10.2196/11114 ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. e11114 ◽  
Author(s):  
Revital Azulay ◽  
Liora Valinsky ◽  
Fabienne Hershkowitz ◽  
Racheli Magnezi
Keyword(s):  
Randomized Controlled Trial ◽  
Text Messaging ◽  
Controlled Trial ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Blood Tests ◽  
Randomized Controlled ◽  
Fecal Occult

Repeated Automated Mobile Text Messaging Reminders for Follow-Up of Positive Fecal Occult Blood Tests: Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Revital Azulay ◽  
Liora Valinsky ◽  
Fabienne Hershkowitz ◽  
Racheli Magnezi
Keyword(s):  
Text Messaging ◽  
Controlled Trial ◽  
Intervention Group ◽  
Occult Blood ◽  
Routine Care ◽  
Control Group ◽  
Fecal Occult Blood ◽  
Randomized Controlled ◽  
Fecal Occult

BACKGROUND Fecal occult blood tests (FOBTs) are recommended by the US Preventive Services Task Force as a screening method for colorectal cancer (CRC), but they are only effective if positive results are followed by colonoscopy. Surprisingly, a large proportion of patients with a positive result do not follow this recommendation. OBJECTIVE The objective of this study was to examine the effectiveness of text messaging (short message service, SMS) in increasing adherence to colonoscopy follow-up after a positive FOBT result. METHODS This randomized controlled trial was conducted with patients who had positive CRC screening results. Randomization was stratified by residential district and socioeconomic status (SES). Subjects in the control group (n=238) received routine care that included an alert to the physician regarding the positive FOBT result. The intervention group (n=232) received routine care and 3 text messaging SMS reminders to visit their primary care physician. Adherence to colonoscopy was measured 120 days from the positive result. All patient information, including test results and colonoscopy completion, were obtained from their electronic medical records. Physicians of study patients completed an attitude survey regarding FOBT as a screening test for CRC. Intervention and control group variables (dependent and independent) were compared using chi-square test. Logistic regression was used to calculate odds ratios (ORs) and 95% CIs for performing colonoscopy within 120 days for the intervention group compared with the control group while adjusting for potential confounders including age, gender, SES, district, ethnicity, and physicians’ attitude. RESULTS Overall, 163 of the 232 patients in the intervention group and 112 of the 238 patients in the control group underwent colonoscopy within 120 days of the positive FOBT results (70.3% vs 47.1%; OR 2.17, 95% CI 1.49-3.17; P<.001); this association remained significant after adjusting for potential confounders (P=.001). CONCLUSIONS A text message (SMS) reminder is an effective, simple, and inexpensive method for improving adherence among patients with positive colorectal screening results. This type of intervention could also be evaluated for other types of screening tests. CLINICALTRIAL ClinicalTrials.gov NCT03642652; https://clinicaltrials.gov/ct2/show/NCT03642652 (Archived by WebCite at http://www.webcitation.org/74TlICijl)

scholarly journals Uptake and positive predictive value of fecal occult blood tests: A randomized controlled trial

2013 ◽  
Vol 57 (5) ◽  
pp. 671-678 ◽  
Author(s):  
Jessica Chubak ◽  
Andy Bogart ◽  
Sharon Fuller ◽  
Sharon S. Laing ◽  
Beverly B. Green
Keyword(s):  
Randomized Controlled Trial ◽  
Positive Predictive Value ◽  
Predictive Value ◽  
Controlled Trial ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Blood Tests ◽  
Randomized Controlled ◽  
Fecal Occult

Physician Recommendations for Follow-Up of Positive Fecal Occult Blood Tests

2005 ◽  
Vol 62 (1) ◽  
pp. 79-110 ◽  
Author(s):  
K. Robin Yabroff ◽  
Carrie N. Klabunde ◽  
Ron Myers ◽  
Martin L. Brown
Keyword(s):  
Occult Blood ◽  
Fecal Occult Blood ◽  
Blood Tests ◽  
Fecal Occult ◽  
Physician Recommendations
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