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Text messaging intervention for Pap smear uptake: a single-institution study.

Namita Bhardwaj1,2, Andrew T Herndon3, Yong-Fang Kuo4

  • 1Department of Family Medicine, The University of Texas Medical Branch, Galveston, TX, USA.

Mhealth
|November 29, 2023
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Summary

Text message reminders did not significantly increase cervical cancer screening rates overall. However, this intervention showed a positive impact on vulnerable populations, including Medicaid and low-income patients, highlighting its potential for reducing health disparities.

Keywords:
Text messagingcervical cancer screeninghealth outcomespopulation health

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Area of Science:

  • Public Health
  • Health Disparities
  • Preventive Medicine

Background:

  • Cervical cancer remains a significant global health concern for women.
  • Mobile technology offers potential for health interventions, with text messaging showing promise for Pap smear uptake in some populations.

Purpose of the Study:

  • To evaluate the effectiveness of text message reminders in increasing cervical cancer screening (Pap smear) uptake within a US health system.
  • To compare screening rates between patients receiving a text message reminder and those receiving usual care.

Main Methods:

  • A single text message reminder was sent to 16,002 patients via the Televox Communication Program.
  • Pap smear uptake was determined using the institution's population health database.
  • Patient demographics were compared between intervention and control groups using Chi-square tests.

Main Results:

  • The text messaging intervention did not yield a statistically significant overall increase in Pap smear rates compared to the control group.
  • Significant interactions were observed between text messages and patient age, financial class, and county.
  • A marginally higher Pap smear rate was noted among Medicaid and low-income/uninsured (MLIU) patients in the intervention group.

Conclusions:

  • While not significantly impacting overall screening rates, text message reminders show potential for improving Pap smear uptake in vulnerable populations.
  • This intervention may be effective in addressing health disparities related to cervical cancer screening.
  • Further research into tailored text messaging strategies could enhance effectiveness for specific demographic groups.