文本+视频与单独文本的比较有效性,以促使以便为基础的结肠直肠癌查测试
Amanda F Petrik1, David Mosen1, Christine Singh1
1Kaiser Permanente Center for Health Research, Portland, OR, USA.
The Permanente journal
|October 3, 2025
概括
将教学视频添加到结直肠癌 (CRC) 查的短信提醒中,并没有显著增加便免疫化学测试 (FIT) 返回率. 需要进一步的研究来优化短信宣传,以提高CRC查的有效性.
科学领域:
- 公共卫生 公共卫生
- 预防医学 预防医学
- 卫生沟通 卫生沟通
背景情况:
- 结肠直肠癌 (CRC) 仍然是美国癌症死亡的主要原因.
- 邮寄便免疫化学测试 (FIT) 宣传是一个关键的CRC查方法.
- 短信提醒可以提高FIT回报率,但教学视频的影响尚不清楚.
研究的目的:
- 评估将教学视频添加到短信中是否可以提高CRC查的FIT回报率.
- 为了比较仅文本提醒与文本加视频提醒的有效性.
主要方法:
- 凯泽永久西北医院的一项随机研究包括12346名年龄在45-75岁之间的患者,因为他们需要进行CRC查.
- 参与者被分配到收到纯文本提醒或文本提醒,其中包含链接到教学视频.
- 考克斯回归分析比较了随机化后90天和180天FIT完成率.
主要成果:
- 在90天 (HR,1.02;P=.54) 或180天 (HR,1.00;P=.78) 后,单纯文本组和文本加视频组之间没有观察到FIT回报率的显著差异.
- 在这两组研究中,患者人口统计数据相似.
- 与单独的短信相比,添加教学视频并没有提高FIT回报率.
结论:
- 视频教学,当添加到短信提醒时,没有改善便免疫化学测试返回率对于结肠直肠癌查在这个研究群体.
- 未来的研究应该探索评估消息接收的方法,并优化CRC选的基于文本的外展策略的有效性.
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