Trial reportJournal of general internal medicine2009
Improving fecal occult blood testing compliance using a mailed educational reminder.
Trial report in Journal of general internal medicine, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02360605 (Health Literacy Interventions to Overcome Disparities in CRC Screening), which is not on this map. Cited by 32 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Health Literacy Interventions to Overcome Disparities in CRC Screening
Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Evaluation of Interventions Intended to Increase Colorectal Cancer Screening Rates in the United States: A Systematic Review and Meta-analysis.JAMA internal medicine · 2018Pooled it
- Methods to increase participation in organised screening programs: a systematic review.BMC public health · 2013Pooled it
- What implementation interventions increase cancer screening rates? a systematic review.Implementation science : IS · 2011Pooled it
- Effective interventions to facilitate the uptake of breast, cervical and colorectal cancer screening: an implementation guideline.Implementation science : IS · 2011Pooled it
- Comparative Effectiveness of Text + Video vs Text Alone to Prompt Stool-Based Testing for Colorectal Cancer Screening.The Permanente journal · 2025Trial
- Trial
- Third Annual Fecal Occult Blood Testing in Community Health Clinics.American journal of health behavior · 2016Trial
- Patient Beliefs About Colon Cancer Screening.Journal of cancer education : the official journal of the American Association for Cancer Education · 2016Trial
- Strategies to improve repeat fecal occult blood testing cancer screening.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2014Trial
- An automated intervention with stepped increases in support to increase uptake of colorectal cancer screening: a randomized trial.Annals of internal medicine · 2013Trial
- Cost-effectiveness of a mailed educational reminder to increase colorectal cancer screening.BMC gastroenterology · 2011Trial
- Article
- Discovery and validation of tissue-specific DNA methylation as noninvasive diagnostic markers for colorectal cancer.Clinical epigenetics · 2022Article
- Review
- N-myristoyltransferase 2-based Blood Test for the Detection of Colorectal Adenomatous Polyps and Cancer.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Promoting colorectal cancer screening: A scoping review of screening interventions and resources.Preventive medicine · 2021Article
- Effectiveness of automated and live phone reminders after mailed-FIT outreach in a pilot randomized trial.Preventive medicine reports · 2018Article
- Testing the Effectiveness of a Primary Care Intervention to Improve Uptake of Colorectal Cancer Screening: A Randomized Controlled Trial Protocol.JMIR research protocols · 2017Article
- Rationale and design of Mi-CARE: The mile square colorectal cancer screening, awareness and referral and education project.Contemporary clinical trials · 2017Article
- Screening for colorectal cancer: the role of the primary care physician.European journal of gastroenterology & hepatology · 2017Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundColorectal cancer (CRC) is one of the leading causes of cancer-related deaths in the United States. Randomized controlled trials have shown that annual screening fecal occult blood testing (FOBT) reduces CRC mortality and incidence. However, patient compliance with FOBT is low.
objectiveTo determine whether a mailed educational reminder increases FOBT card return rates and to examine predictors of FOBT compliance.
designBlinded, randomized, controlled trial at the Veteran Affairs Medical Center, San Diego, California. PATIENTS: Seven hundred and seventy-five consecutive patients > or =50 years of age referred by their primary care physicians for FOBT.
interventionPatients were randomly assigned to the usual care group or the intervention group. Ten days after picking up the FOBT cards, a 1-page reminder with information related to CRC screening was mailed to the intervention group only. MEASUREMENTS: The primary outcome was proportion of returned FOBT cards after 6 months. Patient demographic, clinical characteristics and prior FOBT completed were collected for multivariate regression analysis.
resultsAt 6 months after card distribution, 64.6% of patients in the intervention group returned cards compared with 48.4% in the control group (P < 0.001). Patients who received a mailed reminder (OR 2.02; 95% CI: 1.48-2.74) or have a prior history of returning the FOBT cards (OR 1.87; 95% CI: 1.29-2.70) were more likely to return the FOBT cards. Patients with current or recent illicit drug use were less likely to return the FOBT cards (OR 0.26; 95% CI: 0.13-0.50).
conclusionA simple mailed educational reminder significantly increases compliance with FOBT for CRC screening.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.