{"id":7342,"date":"2020-02-24T12:38:50","date_gmt":"2020-02-24T11:38:50","guid":{"rendered":"https:\/\/www.endoscopy-campus.com\/?post_type=ec-news&#038;p=7342"},"modified":"2020-02-24T12:38:51","modified_gmt":"2020-02-24T11:38:51","slug":"improving-the-message-of-mailed-outreach-improves-crc-screening-adherence","status":"publish","type":"ec-news","link":"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/improving-the-message-of-mailed-outreach-improves-crc-screening-adherence\/","title":{"rendered":"Improving the Message of Mailed Outreach Improves CRC Screening Adherence"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><em>Douglas K. Rex, MD, FASGE, reviewing Bakr O, et al. Clin Transl Gastroenterol 2020 Jan.<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Mailed outreach, in which a fecal immunochemical test (FIT) kit is sent directly to eligible patients, is increasingly recognized as a measure that improves colorectal cancer (CRC) screening adherence. This study was a randomized trial that incorporated principles of behavioral economics and social psychology to make a more persuasive message in the mailed outreach.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In a randomized design, the usual care group got the mailed FIT kit and a letter describing features such as \u201ccolon cancer is the second most common cancer in the U.S.,\u201d \u201cscreening is recommended every 1 to 10 years beginning at age 50,\u201d \u201cwe have enclosed the FIT kit,\u201d and \u201cthere are several options for screening.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The intervention group also received a FIT kit and letter, but text was minimized, images offering colonoscopy and FIT were included, and messaging was revised to leverage behavioral economics and social psychology principles as follows:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Choice overload (reduced the number of available tests to 2 to avoid choice overload): \u201cYou have options. You can be screened at the office with a colonoscopy or at home with your FIT kit.\u201d<\/li><li>Salient costs and benefits (identified specific patient benefits of choosing an option): \u201cScreening takes minutes at home\u201d and \u201cScreening that could save your life.\u201d<\/li><li>Implied scarcity (inferred higher value): \u201cYou have been selected to complete a colon cancer screening that could save your life.\u201d<\/li><li>Psychological ownership (fostered responsibility): \u201cYour kit can detect signs of colon cancer.\u201d<\/li><li>Defaults (provided an option if an active choice was not made): \u201cPlease return the included kit in the next 2 weeks.\u201d<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">At 6 months, uptake was 19.5% in the usual care arm and 24.1% in the intervention arm (<em>P<\/em>=.02), or nearly a 25% increase in uptake. All the increase occurred in FIT uptake.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<figure class=\"wp-block-pullquote\" style=\"border-color:#bd6fb7\"><blockquote><p> COMMENT<br> These data indicate that using principles of behavioral economics and social psychology improves uptake in a mailed outreach FIT program. Gastroenterologists developing organized screening programs should incorporate these messaging concepts.<\/p><\/blockquote><\/figure>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made. <\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<div class=\"wp-block-media-text alignwide\" style=\"grid-template-columns:27% auto\"><figure class=\"wp-block-media-text__media\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"188\" src=\"https:\/\/www.endoscopy-campus.com\/wp-content\/uploads\/d-rex.jpg\" alt=\"\" class=\"wp-image-5921\"\/><\/figure><div class=\"wp-block-media-text__content\">\n<p class=\"has-large-font-size wp-block-paragraph\">Douglas K. Rex, MD, FASGE <\/p>\n<\/div><\/div>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 class=\"wp-block-heading\">CITATION(S) <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bakr O, Afsar-Manesh N, Raja N, et al. Application of behavioral economics principles improves participation in mailed outreach for colorectal cancer screening.\u00a0<em>Clin Transl Gastroenterol<\/em>\u00a02020;11:e00115. (<a rel=\"noreferrer noopener\" href=\"https:\/\/doi.org\/10.14309\/ctg.0000000000000115\" target=\"_blank\">https:\/\/doi.org\/10.14309\/ctg.0000000000000115<\/a>) <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Douglas K. Rex, MD, FASGE, reviewing Bakr O, et al. Clin Transl Gastroenterol 2020 Jan. Mailed outreach, in which a fecal immunochemical test (FIT) kit is sent directly to eligible patients, is increasingly recognized as a measure that improves colorectal cancer (CRC) screening adherence. This study was a randomized trial that incorporated principles of behavioral &#8230; <a title=\"Improving the Message of Mailed Outreach Improves CRC Screening Adherence\" class=\"read-more\" href=\"https:\/\/www.endoscopy-campus.com\/en\/ec-news\/improving-the-message-of-mailed-outreach-improves-crc-screening-adherence\/\" aria-label=\"Read more about Improving the Message of Mailed Outreach Improves CRC Screening Adherence\">Read more<\/a><\/p>\n","protected":false},"template":"","categories":[1768,1769],"tags":[1899,1898],"class_list":["post-7342","ec-news","type-ec-news","status-publish","hentry","category-asge-journal-scan","category-asge-kolon","tag-crc-screening","tag-fit"],"_links":{"self":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news\/7342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/ec-news"}],"about":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/types\/ec-news"}],"wp:attachment":[{"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/media?parent=7342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/categories?post=7342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.endoscopy-campus.com\/en\/wp-json\/wp\/v2\/tags?post=7342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}