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A Postcard Primer Prior to Mailed Fecal Immunochemical Test Among Veterans: a Randomized Controlled Trial.
Deeds, Stefanie; Liu, Terrence; Schuttner, Linnaea; Wheat, Chelle; Gunnink, Eric; Geyer, John; Beste, Lauren; Chen, Anders; Dominitz, Jason A; Nelson, Kari; Reddy, Ashok.
Afiliação
  • Deeds S; Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA. Stefanie.Deeds@va.gov.
  • Liu T; Puget Sound Health Care System, Veterans Health Administration Department of Veterans Affairs, Seattle, WA, USA. Stefanie.Deeds@va.gov.
  • Schuttner L; Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
  • Wheat C; Puget Sound Health Care System, Veterans Health Administration Department of Veterans Affairs, Seattle, WA, USA.
  • Gunnink E; Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
  • Geyer J; Puget Sound Health Care System, Veterans Health Administration Department of Veterans Affairs, Seattle, WA, USA.
  • Beste L; Puget Sound Health Care System, Veterans Health Administration Department of Veterans Affairs, Seattle, WA, USA.
  • Chen A; Puget Sound Health Care System, Veterans Health Administration Department of Veterans Affairs, Seattle, WA, USA.
  • Dominitz JA; Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
  • Nelson K; Puget Sound Health Care System, Veterans Health Administration Department of Veterans Affairs, Seattle, WA, USA.
  • Reddy A; Division of General Internal Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, WA, USA.
J Gen Intern Med ; 38(14): 3235-3241, 2023 Nov.
Article em En | MEDLINE | ID: mdl-37291363
ABSTRACT

BACKGROUND:

Mailed fecal immunochemical testing (FIT) programs are increasingly utilized for population-based colorectal cancer (CRC) screening. Advanced notifications (primers) are one behavioral designed feature of many mailed FIT programs, but few have tested this feature among Veterans.

OBJECTIVE:

To determine if an advanced notification, a primer postcard, increases completion of FIT among Veterans.

DESIGN:

This is a prospective, randomized quality improvement trial to evaluate a postcard primer prior to a mailed FIT versus mailed FIT alone.

PARTICIPANTS:

A total of 2404 Veterans enrolled for care at a large VA site that were due for average-risk CRC screening. INTERVENTION A written postcard sent 2 weeks in advance of a mailed FIT kit that contained information on CRC screening and completing a FIT. MAIN

MEASURES:

Our primary outcome was FIT completion at 90 days, and our secondary outcome was FIT completion at 180 days. KEY

RESULTS:

Overall, unadjusted mailed FIT return rates were similar among control vs. primer arms at 90 days (27% vs. 29%, p = 0.11). Our adjusted analysis found a primer postcard did not increase FIT completion compared to mailed FIT alone (OR 1.14 (0.94, 1.37)).

CONCLUSIONS:

Though primers are often a standard part of mailed FIT programs, we did not find an increase in FIT completion with mailed postcard primers among Veterans. Given the overall low mailed FIT return rates, testing different ways to improve return rates is essential to improving CRC screening.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Veteranos / Neoplasias Colorretais Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Veteranos / Neoplasias Colorretais Idioma: En Ano de publicação: 2023 Tipo de documento: Article