Evidence map›Paper›PMID 28001304›Full record

ArticleCancer2017

Text message reminders increased colorectal cancer screening in a randomized trial with Alaska Native and American Indian people.

Clemma J Muller, Renee F Robinson, Julia J Smith, Meghan A Jernigan, Vanessa Hiratsuka, Denise A Dillard, Dedra Buchwald

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Cancer, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 8 pooled it
2.2field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

44 citing papers in PubMed, 8 syntheses or guidelines pooled it, 67 citations in OpenAlex.

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  14. Colorectal Cancer in the American Indian and Alaska Native Community: A Holistic Review.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Review
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  17. The Translational Research Program in Cancer Differences across Populations.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Clemma J MullerPartnerships for Native Health, Washington State University, Seattle, Washington.
Renee F RobinsonSouthcentral Foundation, Anchorage, Alaska.
Julia J SmithSouthcentral Foundation, Anchorage, Alaska.
Meghan A JerniganPartnerships for Native Health, Washington State University, Seattle, Washington.
Vanessa HiratsukaSouthcentral Foundation, Anchorage, Alaska.
Denise A DillardSouthcentral Foundation, Anchorage, Alaska.
Dedra BuchwaldPartnerships for Native Health, Washington State University, Seattle, Washington.
Southcentral Foundation · USCommunity-Campus Partnerships for Health · USNative Health · USPartnership for Learning · USUnited States Public Health Service · US

Funding

Tracking and Evaluation CoreU54GM115371 · NIGMS · MONTANA STATE UNIVERSITY - BOZEMAN · PI QUINN, MARK T, RASMUS, STACY M. · 2016 to 2020
$20.9M
Training ProgramU54CA153498 · NCI · WASHINGTON STATE UNIVERSITY · PI BUCHWALD, DEDRA S, HENDERSON, JEFFREY A · 2010 to 2015
$4.1M
NCI NIH HHS U54 CA153498NIGMS NIH HHS U54 GM115371
6 · The paper itself

Abstract

backgroundAlaska Native and American Indian people (AN/AIs) have a high incidence of colorectal cancer (CRC) and CRC-related mortality. Screening can prevent death from CRC, but screening rates are low in racially and ethnically diverse populations. The authors conducted a randomized controlled trial using text messaging to increase CRC screening among unscreened AN/AIs in a tribal health care system in Anchorage, Alaska.

methodsThe intervention entailed up to 3 text messages sent 1 month apart. The authors randomized 2386 AN/AIs aged 40 to 75 years who were eligible for CRC screening to the intervention or usual-care control conditions. Screening status was ascertained from electronic health records 3 months and 6 months after the last text message. Hazard ratios (HRs) were estimated to evaluate the effectiveness of the intervention, stratified by age and sex.

resultsThe intervention increased CRC screening for AN/AIs aged 50 to 75 years (HR, 1.42; 95% confidence interval [95% CI], 0.97-2.09) and aged 40 to 49 years (HR, 1.24; 95% CI, 0.95-1.62). Within both age groups, the HRs were higher for women (HR, 1.69 [95% CI, 1.02-2.80] and HR, 1.37 [95% CI, 1.01-1.88]) compared with men (HR, 1.09 [95% CI, 0.59-1.99] and HR, 0.90 [95% CI, 0.54-1.53]). Interaction analysis yielded P values of .55 and .09, respectively, for age and sex.

conclusionsA simple text messaging intervention was found to increase CRC screening rates in AN/AIs, a group with high CRC morbidity and mortality. Text messaging may be a cost-effective means of reducing CRC screening disparities in AN/AIs and other populations. Cancer 2017;123:1382-1389. © 2016 American Cancer Society.

Indexed as

Alaska NativesEarly Detection of CancerIndians, North AmericanText MessagingAdultAgedAlaskaColorectal NeoplasmsFemaleHumansMaleMass ScreeningMiddle AgedRisk FactorsAlaska NativesAmerican Indianscancer screeningcolorectal cancerNative Americansrandomized controlled trialtext messaging

Identifiers

PMID28001304
PMCPMC5384860
OpenAlexW2564078796

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.