Oregon Rural Practice-Based Research Network, Department of Family Medicine, and School of Public Health, Oregon Health and Science University, Mail Code, Portland, OR, USA.
Center for Health Research, Kaiser Permanente Northwest, Portland, OR, USA.
Transl Behav Med. 2021 Mar 16;11(2):540-548. doi: 10.1093/tbm/ibaa010.
Programs that directly mail fecal immunochemical tests (FIT) to patients can increase colorectal cancer (CRC) screening, especially in low-income and Latino populations. Few studies have explored patient reactions to prompts or reminders that accompany such programs. As part of the Participatory Research to Advance Colon Cancer Prevention pilot study, which tested prompts and reminders to a direct-mail FIT program in a large, urban health center, we conducted telephone interviews among English- and Spanish-speaking participants who were assigned to receive a series of text message prompts, automated phone call reminders, and/or live phone call reminders. We analyzed interviews using a qualitative content analysis approach. We interviewed 41 participants, including 25 responders (61%) and 16 nonresponders (39%) to the direct-mail program. Participants appreciated program ease and convenience. Few participants recalled receiving prompts or automated/live reminders; nevertheless, the vast majority (95%, n = 39) thought reminders were acceptable and helpful and suggested that 2-3 reminders delivered starting 1 week after the mailed FIT would optimally encourage completion. Prompts and reminders used with mailed-FIT programs are accepted by patients, and my help boost response rates.
直接向患者邮寄粪便免疫化学检测（FIT）的项目可以增加结直肠癌（CRC）的筛查率，尤其是在低收入和拉丁裔人群中。很少有研究探讨过患者对伴随此类项目的提示或提醒的反应。作为参与式研究以推进结直肠癌预防试点研究的一部分，该研究在一个大型城市健康中心测试了直接邮寄 FIT 项目的提示和提醒，我们对被分配接收一系列短信提示、自动电话提醒和/或电话实时提醒的英语和西班牙语参与者进行了电话访谈。我们使用定性内容分析方法分析了访谈。我们采访了 41 名参与者，其中包括 25 名（61%）和 16 名（39%）对直接邮寄项目做出回应的参与者。参与者对项目的简便和便利性表示赞赏。很少有参与者记得收到过提示或自动/实时提醒；尽管如此，绝大多数（95%，n=39）认为提醒是可以接受和有帮助的，并建议从邮寄 FIT 后开始的第 1 周起发送 2-3 次提醒，可以最佳地鼓励完成。邮寄 FIT 项目中使用的提示和提醒被患者接受，并有助于提高回应率。
