Breast Cancer Clinical Trial
Official title:
Implementation of Text Messaging (SMS) as an Improvement Tool in Population-based Cancer Screening Programs
The aim of this project is to assess the impact on health and economics of the implementation of text messaging (SMS) in cancer screening programs. Three interventions with SMS will be evaluated through community trials. In the colorectal cancer screening program the following interventions will be tested: a) Participation reminder: six weeks after sending the invitation letter of the colorectal cancer program if there has not been a response, a reminder SMS will be sent in front of the usual method by letter; b) Reminder to return the fecal occult blood test: SMS reminder of test delivery versus no intervention. This reminder will be sent to the individuals who have gone to the pharmacy to pick up a fecal occult blood test and they have not returned it after 14 days. The impact on participation will be analyzed and, if applicable, the proportion of advanced neoplasms will be calculated by increase in participation. In the breast cancer screening program, the invitation by SMS versus the usual invitation by letter will be studied in women who had participated in the previous screening round. The impact on participation will be analyzed. A cost-effectiveness analysis of the three interventions will be carried out. The incremental cost ratio of the interventions between cost variation and effectiveness variation will be calculated.
Main Hypothesis:
The implementation of SMS in population-based cancer screening programs will improve
participation, especially in colorectal cancer screening, will allow a better resource
management and reduce costs in both programs.
Specific Hypothesis:
Sending the reminder SMS will have an impact on participation greater than that obtained with
the standard reminder (letter) in the colorectal cancer screening program.
The effect of the colorectal cancer screening reminder SMS will be greater among the
individuals who have been invited for the first time and not previous participants.
Participation after receiving the invitation by SMS in breast cancer screening will be equal
to or better than the letter invitation.
The alternative that includes sending SMS will be cost-effective in relation to the current
alternative that you use postal shipping.
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