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Text Messaging to Improve Adherence To Repeat Colonoscopy In a Veterans Affairs (VA) Hospital

Not Applicable
Active, not recruiting
Conditions
Colorectal Cancer
Interventions
Behavioral: Text Message Instructions/Motivation
Registration Number
NCT06185374
Lead Sponsor
NYU Langone Health
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.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
50
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.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Text Message InterventionText Message Instructions/MotivationParticipants 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.
Primary Outcome Measures
NameTimeMethod
National Annie Colonoscopy Survey ScoreDay 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 Outcome Measures
NameTimeMethod
Percentage of Participants who Had Adequate Bowel Preparation at Colonoscopy AppointmentUp to Day 14

Assessed via patient's electronic health record.

Percentage of Participants who Attend Scheduled Colonoscopy AppointmentUp to Day 14

Assessed via patient's electronic health record.

Trial Locations

Locations (1)

New York Harbor Health Care System - Department of Veterans Affairs

🇺🇸

New York, New York, United States

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