Text Messaging to Improve Adherence To Repeat Colonoscopy In The VA: A Pilot Study
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- NYU Langone Health
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- National Annie Colonoscopy Survey Score
Study Overview
Brief Summary
Colorectal cancer is a common but preventable condition, and increasing colorectal cancer screening is one of the most impactful public health contributions in the field of gastroenterology. Text messaging is a simple, cheap, and rapid method to reach patients that may improve adherence to colonoscopy appointments as well as simplify the process of bowel preparation. The purpose of the study is to evaluate the feasibility of a pilot bidirectional text messaging intervention on attendance for screening/surveillance colonoscopy and bowel preparation quality at an urban VA hospital. The goal is to improve adherence to colonoscopy among patients who are due for a repeat colonoscopy.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Screening
- Masking
- None
Eligibility Criteria
- Ages
- 45 Years to 85 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Has previously undergone a colonoscopy and is currently due for a repeat screening or surveillance colonoscopy at the VA.
Exclusion Criteria
- •Patients not due for screening or surveillance colonoscopy. This will be based on 2020 guidelines from the U.S. Multi-Society Task Force on Colorectal Cancer.
- •Patients with personal history of colorectal cancer (CRC)/inflammatory bowel disease/ hereditary colon cancer syndrome or family history of hereditary colon cancer syndrome. These criteria will be determined based on ICD9/10 codes or the medical record.
Arms & Interventions
Text Message Intervention
Participants in the experimental arm will receive a series of instructional and motivational text messages, which will be sent starting 7-14 days before and until the day of the colonoscopy procedure.
Intervention: Text Message Instructions/Motivation (Behavioral)
No Intervention
Participants will not receive text messages.
Outcomes
Primary Outcomes
National Annie Colonoscopy Survey Score
Time Frame: Day 21 (Up to 7 Days Post-Procedure)
7-item assessment of participant satisfaction with the "Annie" text intervention. Items are rated on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree). The total score is the sum of responses and ranges from 7 to 35; higher scores indicate greater satisfaction with the intervention.
Secondary Outcomes
- Percentage of Participants Who Attend Scheduled Colonoscopy Appointment(Up to Day 14)
- Percentage of Participants Who Had Adequate Bowel Preparation at Colonoscopy Appointment(Up to Day 14)