Arcas M M, Buron A, Ramis O, Esturi M, Hernández C, Macià F
Servicio de Epidemiología y Evaluación, Hospital del Mar, Barcelona, España; Unidad Docente de Medicina Preventiva y Salud Pública PSMAR-UPF-ASPB, Barcelona, España.
Servicio de Epidemiología y Evaluación, Hospital del Mar, Barcelona, España; Institut Hospital del Mar d'Investigacions Mèdiques (IMIM), Barcelona, España; Red de investigación en servicios sanitarios en enfermedades crónicas (REDISSEC), España.
Rev Calid Asist. 2014 Jul-Aug;29(4):188-96. doi: 10.1016/j.cali.2014.02.003. Epub 2014 Jul 4.
To evaluate the impact of a mobile phone short message on women's uptake in a breast cancer screening programme.
A total of 703 women from a Basic Health Area of Barcelona, and with a mobile phone number registered, were invited to participate in a breast cancer screening programme between 25 January 2011 and 22 March 2011. The control group (n=470) followed the usual appointment track, and the intervention group (n=233) received, after the first letter of invitation, a mobile phone short message reminder. The differences between the two groups were analysed, comparing the uptake rates according to age, educational level, and participation in previous round, as well as the number of re-invitation calls to non-attenders according to uptake, age and level of education;and the percentages of exclusions of both groups.
The intervention group had a greater uptake than the control group (78.1% vs. 72.3%), with a significant trend observed in the 55-59 years age group (P=.036) and the low secondary educational level (P=.014).The intervention group mean of re-invitation calls of non-attenders lower than the control group (.41 vs. .65, P<.05), a pattern observed in all the categories of the independent variables, and among younger age groups, lower and middle educational levels, and previously participating women (.09 vs. .19, P=.012).
The inclusion of a mobile phone short message in a breast cancer screening programme may increase uptake rates and lead to a management improvement.
评估手机短信对乳腺癌筛查项目中女性参与率的影响。
2011年1月25日至2011年3月22日期间，邀请了巴塞罗那一个基本卫生区的703名登记了手机号码的女性参加乳腺癌筛查项目。对照组（n = 470）按照常规预约流程，干预组（n = 233）在收到第一封邀请信后，还收到了手机短信提醒。分析两组之间的差异，比较不同年龄、教育水平、上一轮参与情况的参与率，以及根据参与情况、年龄和教育水平对未参与者进行再次邀请的电话数量；以及两组的排除百分比。
干预组的参与率高于对照组（78.1%对72.3%），在55 - 59岁年龄组（P = 0.036）和初中低教育水平组（P = 0.014）观察到显著趋势。干预组未参与者的再次邀请电话平均数低于对照组（0.41对0.65，P < 0.05），在所有自变量类别以及较年轻年龄组、初中低教育水平组和之前参与过的女性中均观察到这种模式（0.09对0.19，P = 0.012）。
在乳腺癌筛查项目中加入手机短信可能会提高参与率并改善管理。
