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Older adults are receptive to text messages for colorectal cancer screening reminders. Tailored messages, personalized and positive, can improve screening uptake and patient self-efficacy.

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Area of Science:

  • Health Services Research
  • Gerontology
  • Preventive Medicine

Background:

  • mHealth interventions using text messages show promise for increasing preventive health services.
  • Colorectal cancer screening is a key preventive service with potential for mHealth enhancement.
  • Older adults' perspectives on receiving text messages from healthcare providers are not well understood.

Purpose of the Study:

  • To determine if older adults would value and access text messages from their physician's office for colorectal cancer screening reminders.
  • To explore older adults' attitudes towards receiving electronic communications for health services.

Main Methods:

  • Four focus groups were conducted with 26 adults aged 50-75 years.
  • Participants had recently completed or were overdue for colorectal cancer screening.
  • A semistructured interview guide explored attitudes towards screening, barriers, and electronic communications.

Main Results:

  • Facilitators for screening included perceived need and family influence; barriers included discomfort and system factors.
  • Older adults expressed mixed feelings about text messages, citing technology comfort, privacy, and impact on the patient-provider relationship.
  • Preferred messages were positive, personalized, avoided jargon, and offered alternative communication options.

Conclusions:

  • Older adults are receptive to text messages for colorectal cancer screening reminders.
  • Presenting sample messages can increase acceptance of this mHealth tool.
  • Supportive, tailored text messages can enhance patient self-efficacy and improve screening uptake.