The effect of mailed outreach on FIT completion among patients aged 45-50 in a safety net healthcare system
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View abstract on PubMed
Summary
This summary is machine-generated.Mailed plus electronic outreach significantly increased colorectal cancer screening rates in adults aged 45-50 compared to electronic outreach alone. This combined approach is more effective for promoting fecal immunochemical test completion.
Area Of Science
- Public Health
- Gastroenterology
- Preventive Medicine
Background
- Colorectal cancer (CRC) screening is recommended from age 45.
- Limited research exists on effective screening promotion strategies for individuals under 50.
- Addressing screening disparities is crucial for equitable cancer prevention.
Purpose Of The Study
- To evaluate the effectiveness of different outreach strategies in promoting CRC screening.
- To compare electronic-only outreach versus a combined mailed and electronic outreach approach.
- To assess screening uptake in a younger demographic (45-50 years old).
Main Methods
- A quasi-randomized trial assigned patients aged 45-50 to either electronic outreach or mailed plus electronic outreach.
- The mailed outreach arm included fecal immunochemical test (FIT) kits, instructions, and a prepaid return envelope.
- Black patients were exclusively assigned to the mailed plus electronic outreach group to address known disparities.
Main Results
- The 180-day FIT completion rate was higher in the mailed plus electronic outreach group (25.0%) compared to the electronic outreach only group (18.8%) among non-Black patients.
- Black patients had a lower FIT completion rate (16.6%) than non-Black patients in the mailed plus electronic outreach group.
- Potential crossover between groups may have underestimated the true effect of mailed outreach.
Conclusions
- Combined mailed and electronic outreach is more effective than electronic outreach alone for increasing CRC screening.
- The findings highlight the importance of tailored outreach strategies for different demographic groups.
- Further research is needed to optimize CRC screening promotion in younger adults and address racial disparities.
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