PT  - JOURNAL ARTICLE
AU  - Gloria D. Coronado
AU  - Jamie H. Thompson
AU  - Amanda F. Petrik
AU  - Denis B. Nyongesa
AU  - Michael C. Leo
AU  - Melissa Castillo
AU  - Brittany Younger
AU  - Anne Escaron
AU  - Alex Chen
TI  - Patient-Refined Messaging for a Mailed Colorectal Cancer Screening Program: Findings from the PROMPT Study
AID  - 10.3122/jabfm.2019.03.180275
DP  - 2019 May 01
TA  - The Journal of the American Board of Family
                Medicine
PG  - 318--328
VI  - 32
IP  - 3
4099  - http://www.jabfm.org/content/32/3/318.short
4100  - http://www.jabfm.org/content/32/3/318.full
SO  - J Am Board Fam Med2019 May 01; 32
AB  - Background: Improving uptake of colorectal cancer screening has the potential of saving thousands of lives. We compared the effectiveness of automated and live prompts and reminders as part of a mailed fecal immunochemical test (FIT) outreach program.Design and Methods: Participants were 1767 adults aged 50 to 75 eyars who were not up-to-date with colorectal cancer screening recommendations at a participating community health center clinic. In addition to a mailed FIT kit, participants were randomized to receive (1) a text message prompt and 2 automated phone call reminders (automated condition); (2) up to 3 live call reminders (live condition); or (3) a text message prompt, 2 automated call reminders, and up to 3 live reminders (combined automated plus live condition). We assessed FIT completion rates in each group 6 months following randomization.Key Results: Nearly one-third of participants completed an FIT within 6 months. Compared with adults allocated to the automated condition, FIT completion rates were higher in adults allocated to the live condition (32.3% vs 26.0%; adjusted difference, 6.3 percentage points; 95% CI, 1.1–11.4) and in adults allocated to the combined automated plus live condition (35.7% vs 26.0%; adjusted difference, 9.7 percentage points; 95% CI, 4.4–14.9). The number of kits needed to mail to achieve a completed FIT ranged from 2.8 in the combined automated plus live condition to 3.8 in the automated condition.Conclusions: Among unscreened individuals in this population, live phone call reminders either alone or in combination with automated prompts and reminders outperformed automated approaches alone.