Effectiveness of automated and live phone reminders after mailed-FIT outreach in a pilot randomized trial

Carrie M Nielson, Jennifer S Rivelli, Morgan J Fuoco, Victoria R Gawlik, Ricardo Jimenez, Amanda F Petrik, Gloria D Coronado, Carrie M Nielson, Jennifer S Rivelli, Morgan J Fuoco, Victoria R Gawlik, Ricardo Jimenez, Amanda F Petrik, Gloria D Coronado

Abstract

The effectiveness of annual mailed fecal immunochemical testing (FIT) outreach is highest when return rates are optimized, which is aided by patient reminders. In a pilot patient-randomized controlled trial in two western Washington clinics of the Sea Mar Community Health Centers, we compared the effectiveness of two phone-based approaches to mailed FIT outreach reminders. In fall 2016, patients ages 50-75, due for colorectal cancer screening, and with a visit in the previous year at either of two clinics, were mailed an introductory letter and FIT. Those who did not return the FIT within 3 weeks (N = 427) were randomized to receive either: a) a series of up to 6 automated phone reminders; or b) the combination of automated and live phone reminders (up to 6 in total). The sole outcome was FIT return within 6 months after the FIT mailing. FIT completion rates were similar in the groups assigned to receive automated calls vs automated plus live calls (40% vs 39%; p = 0.89). The effectiveness of FIT reminder mode differed by language preference (p for interaction = 0.03): among Spanish-preferring patients (n = 106), FIT return rates were higher in the automated-only group than to the auto- plus live-call group (62% vs 39%, p = 0.02). Among English-preferring patients, no difference in modes was observed (n = 279, 32% vs 34%, p = 0.74). We observed no added benefit of live reminder calls in a mailed FIT plus automated call reminder program; our findings may inform efforts to efficiently optimize mailed-FIT outreach programs. ClinicalTrials.gov identifier NCT01742065.

Keywords: Colorectal neoplasms; Community health centers; Early detection of cancer; Language.

Figures

Fig. 1
Fig. 1
Associations between reminder mode and FIT return, overall and by language preference* in Sea Mar Community Health Centers (odds ratios and 95% confidence intervals). * For the interaction between language preference (Spanish or English) and reminder mode in the intention-to-treat analysis, p = 0.03. In the per-protocol analysis, p for interaction = 0.11.

References

    1. Albright K., Richardson T., Kempe K.L., Wallace K. Toward a trustworthy voice: increasing the effectiveness of automated outreach calls to promote colorectal cancer screening among African Americans. Perm. J. 2014;18:33–37.
    1. Baker D.W., Brown T., Buchanan D.R. Comparative effectiveness of a multifaceted intervention to improve adherence to annual colorectal cancer screening in community health centers: a randomized clinical trial. JAMA Intern. Med. 2014;174:1235–1241.
    1. Brandzel S.D., Bowles E.J.A., Wieneke A. Cancer screening reminders: addressing the spectrum of patient preferences. Perm. J. 2017;21
    1. Cha J.M., Lee J.I., Joo K.R., Shin H.P., Park J.J. Telephone reminder call in addition to mailing notification improved the acceptance rate of colonoscopy in patients with a positive fecal immunochemical test. Dig. Dis. Sci. 2011;56:3137–3142.
    1. Community Preventive Services Task Force Updated recommendations for client- and provider-oriented interventions to increase breast, cervical, and colorectal cancer screening. Am. J. Prev. Med. 2012;43:92–96.
    1. Coronado G.D., Rivelli J.S., Fuoco M.J. Effect of reminding patients to complete fecal immunochemical testing: a comparative effectiveness study of automated and live approaches. J. Gen. Intern. Med. 2018;33:72–78.
    1. Davis M.M., Freeman M., Shannon J. A systematic review of clinic and community intervention to increase fecal testing for colorectal cancer in rural and low-income populations in the United States - how, what and when? BMC Cancer. 2018;18:40.
    1. Demidenko E. Sample size determination for logistic regression revisited. Stat. Med. 2007;26:3385–3397.
    1. Lee J.K., Reis V., Liu S. Improving fecal occult blood testing compliance using a mailed educational reminder. J. Gen. Intern. Med. 2009;24:1192–1197.
    1. Levy B.T., Daly J.M., Xu Y., Ely J.W. Mailed fecal immunochemical tests plus educational materials to improve colon cancer screening rates in Iowa Research Network (IRENE) practices. J. Am. Board Fam. Med. 2012;25:73–82.
    1. Mosen D.M., Feldstein A.C., Perrin N. Automated telephone calls improved completion of fecal occult blood testing. Med. Care. 2010;48:604–610.
    1. Robertson D.J., Lee J.K., Boland C.R. Recommendations on fecal immunochemical testing to screen for colorectal neoplasia: a consensus statement by the US multi-society task force on colorectal cancer. Gastroenterology. 2017;152:1217–1237.
    1. Schlichting J.A., Mengeling M.A., Makki N.M. Increasing colorectal cancer screening in an overdue population: participation and cost impacts of adding telephone calls to a FIT mailing program. J. Community Health. 2014;39:239–247.
    1. Siegel R.L., Miller K.D., Fedewa S.A. Colorectal cancer statistics, 2017. CA Cancer J. Clin. 2017;67:177–193.
    1. Singal A.G., Gupta S., Skinner C.S. Effect of colonoscopy outreach vs fecal immunochemical test outreach on colorectal cancer screening completion: a randomized clinical trial. JAMA. 2017;318:806–815.
    1. Smith D.H., Feldstein A.C., Perrin N. Automated telephone calls to enhance colorectal cancer screening: economic analysis. Am. J. Manag. Care. 2012;18:691–699.
    1. Thompson J., Davis M., Michaels L., Rivelli J., Castro M., Escaron A., Younger B., Castillo M., Reich S. Using boot camp translation to design a system-based intervention to improve rates of colon cancer screening using fecal immunochemical testing among Latino patients in community health centers. Cancer Epidemiol. Biomarkers Prev. 2017;27:A13.
    1. Vinker S., Nakar S., Rosenberg E., Kitai E. The role of family physicians in increasing annual fecal occult blood test screening coverage: a prospective intervention study. Isr. Med. Assoc. J. 2002;4:424–425.
    1. Walsh J.M., Salazar R., Nguyen T.T. Healthy colon, healthy life: a novel colorectal cancer screening intervention. Am. J. Prev. Med. 2010;39:1–14.
    1. Zhang J., Cheng Z., Ma Y. Effectiveness of screening modalities in colorectal cancer: a network meta-analysis. Clin. Colorectal Cancer. 2017;16:252–263.

Source: PubMed

Sponsorit ja yhteistyökumppanit

Sairaudet

Huumeiden interventiot

3
Tilaa