在一般实践中使用短信增加肠癌查:SMARTscreen集群随机试验
Jennifer G McIntosh1, Mark Jenkins1, Anna Wood2
1Centre for Epidemiology and Biostatistics, University of Melbourne, Melbourne.
概括
一个短信干预显著提高了澳大利亚国家肠癌查计划 (NBCSP) 在50-60岁的个人中的参与. 这种SMS策略,包括GP认可和教育视频,增加了查套件的回报率,可能减少结肠直肠癌 (CRC) 负担.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 澳大利亚面临着高结直肠癌 (CRC) 发病率,需要有效的查策略.
- 国家肠癌查计划 (NBCSP) 的吸收率低 (40.9%),限制了其影响.
- 一般医生 (GP) 的认可是改善查参与的关键因素.
研究的目的:
- 评估一项旨在增加NBCSP采用率的多组件短信服务 (SMS) 干预措施.
- 在一项随机对照试验中,比较短信干预与常规护理的有效性.
- 评估对符合NBCSP资格的50-60岁个体查参与的影响.
主要方法:
- 一个分层集群随机对照试验,涉及澳大利亚维多利亚州西部21家全科医院.
- 干预组在NBCSP套件交付之前收到了个性化的短信,包括GP认可,动机和教学视频以及信息链接.
- 对照组接受了通常的护理;主要结果是12个月内便免疫化学测试 (FIT) 查摄入量的差异.
主要成果:
- 短信干预组的FIT查率达到39.2%,而常规护理组的这一比例为23.0%.
- 这代表了查吸收的显著增加16.5% (95%CI:2.02到30.9).
- 该干预措施在目标人群中对NBCSP套件回报产生了积极影响.
结论:
- 一个多干预的SMS策略,结合GP认可和多媒体内容,有效地增加了NBCSP参与.
- 这项干预表明,它有望得到更广泛的实施,以改善澳大利亚的CRC查率.
- 这些发现支持在一个更大的全国性试验 (SMARTERscreen) 中进行进一步的研究,以确认在多样化的人口中有效性.
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