Text-message reminders increase uptake of routine breast screening appointments : a randomised controlled trial in a hard-to-reach population

Article English OPEN
Kerrison, R S ; Shukla, H ; Cunningham, David ; Oyebode, Oyinlola ; Friedman, E (2015)
  • Publisher: Nature Publishing Group
  • Journal: British Journal of Cancer, volume 112, issue 6, pages 1,005-1,010 (issn: 0007-0920, eissn: 1532-1827)
  • Related identifiers: doi: 10.1038/bjc.2015.36, doi: 10.1038/bjc.2015.36, pmc: PMC4366892
  • Subject: Clinical Study | reminders | RC0254 | screening | uptake | breast cancer | social inequality | text messages
    mesheuropmc: education

Background:\ud There is a need for interventions to promote uptake of breast screening throughout Europe.\ud Methods:\ud We performed a single-blind randomised controlled trial to test whether text-message reminders were effective. Two thousand two hundred and forty women receiving their first breast screening invitation were included in the study and randomly assigned in a 1 : 1 ratio to receive either a normal invitation only (n=1118) or a normal invitation plus a text-message reminder 48 h before their appointment (n=1122).\ud Findings:\ud In the intention-to-treat analysis, uptake of breast screening was 59.1% among women in the normal invitation group and 64.4% in the text-message reminder group (χ2=6.47, odds ratio (OR): 1.26, 95% confidence intervals (CI): 1.05–1.48, P=0.01). Of the 1122 women assigned to the text-message reminder group, only 456 (41%) had a mobile number recorded by their GP and were thereby sent a text. In the per-protocol analysis, uptake by those in the control group who had a mobile number recorded on the GP system was 59.77% and by those in the intervention group who were sent a reminder 71.7% (χ2=14.12, OR=1.71, 95% CI=1.29–2.26, P<0.01).\ud Interpretation:\ud Sending women a text-message reminder before their first routine breast screening appointment significantly increased attendance. This information can be used to allocate resources efficiently to improve uptake without exacerbating social inequalities.
  • References (32)
    32 references, page 1 of 4

    American Cancer Society (2012) Breast cancer survival rates by stage. Available at: http://www.cancer.org/cancer/breastcancer/detailedguide/ breast-cancer-survival-by-stage (last accessed 29 January 2015).

    Aro A, de Konin H, Absetz P, Schreck M (2001) Two distinct groups of non-atteders in an organised mammography screening programme. Breast Cancer Res Treat 70: 145-153.

    Baysal H, Gozum S (2011) Effects of health beliefs about mammography and breast cancer and telephone reminders on re-screening in Turkey. Asian Pac J Allergy Immunol 12: 1445-1450.

    Berner A, Alwash R, Miller C, Denic S, Dunn E (2001) Knowledge, attitudes, and practices related to breast cancer screening: A survey of Arabic women. J Cancer Educ 16: 215-220.

    Bouchardy C, Verkooijen H, Fioretta G (2006) Social class is an important and independent prognostic factor of breast cancer mortality. Int J Cancer 119(1): 145-151.

    Cohen C, Coyned K, Mandalia S, Waters A, Sullivan A (2007) Time to use text reminders in genitourinary medicine clinics. Int J STD AIDS 19: 12-13.

    Crump S, Mayberry R, Taylor B, Barefield K, Thomas P (2000) Factors related to noncompliance with screening mammogram appointments among low-income African-American women. J Natl Med Assoc 92: 237-246.

    Ferlay J, He´ry C, Autier P, Sankaranarayanan R (2010) Breast Cancer Epidemiology - Global Burden of Breast Cancer. Springer: Berlin, pp 1-19.

    Ferlay J, Steliarova-Foucher E, Lortet-Tieulent J, Rosso S, Coebergh J, Comber H, Forman D, Bray F (2013) Cancer incidence and mortality patterns in Europe: estimates for 40 countries in 2012. Eur J Cancer 49: 1374-1403.

    Giordano L, on Karsa L, Tomatis M, Majek O, de Wolf C, Lancucki L, Hofvind S, Nystro¨m L, Segnan N, Ponti A. The Eunice Working Group (2012) Mammographic screening programmes in Europe: organisation, coverage and participation. J Med Screen 19: 72-82.

  • Metrics
    No metrics available
Share - Bookmark