在一项随机试验中,行为干预改善了过期患者的邮寄结肠直肠癌查
Shivan J Mehta1, Pranay Nadella1, Pamela A Shaw2
1Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania; Center for Health Care Transformation and Innovation, University of Pennsylvania, Philadelphia, Pennsylvania.
概括
短信和邮件提醒显著提高了结直肠癌查 (CRC) 完成率. 在这项研究中,健康系统品牌的盒子并没有提高响应率.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 行为科学 行为科学
背景情况:
- 邮寄便免疫化学测试 (FIT) 对于增加结直肠癌 (CRC) 查率至关重要.
- 然而,目前邮寄的CRC查套件的响应率仍然低于最佳水平.
- 正在探索行为干预措施,以提高患者对CRC查的参与度.
研究的目的:
- 评估行为干预措施在提高邮寄结肠直肠癌查患者响应率方面的有效性.
- 具体来说,要评估健康系统品牌的FIT套件,短信提醒或邮寄提醒是否有助于查完成.
主要方法:
- 进行了一项实用随机试验,采用了2x2x2的因数设计.
- 逾期接受CRC查的5000多名患者被随机分配,接受品牌或标准FIT套件信封,有或没有文本提醒,以及有或没有邮件提醒.
- 主要结局是患者在4个月内完成FIT的比例.
主要成果:
- 短信提醒将FIT完成率提高了6.6% (P < .001).
- 邮寄的提醒提升了FIT完成率4.8% (P < .001).
- 标有卫生系统品牌的FIT套件信封并没有显著影响查完成率 (-0.2%的差异,P = .85).
结论:
- 以行为为基础的短信和邮寄提醒是有效的策略,可以显著提高结直肠癌查完成率.
- 使用健康系统品牌的FIT套件包装似乎不会提高查响应率.
- 这些发现支持将有针对性的数字和邮件提醒纳入CRC查计划.
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