Evidence map›Paper›PMID 35022080›Full record

Trial reportTrials2022

The SMARTscreen Trial: a randomised controlled trial investigating the efficacy of a GP-endorsed narrative SMS to increase participation in the Australian National Bowel Cancer Screening Program.

Anna Wood, Jon D Emery, Mark Jenkins, Patty Chondros, Tina Campbell, Edweana Wenkart, Clare O'Reilly, Tony Cowie, Ian Dixon, Julie Toner and 5 more

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
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

15 authors at 5 institutions in 2 countries.

Anna WoodCentre for Cancer Research, University of Melbourne, Melbourne, Australia. annwood@unimelb.edu.au.
Jon D EmeryCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
Mark JenkinsMelbourne School of Population and Global Health, Centre for Epidemiology and Biostatistics, University of Melbourne, Melbourne, Australia.
Patty ChondrosDepartment of General Practice, University of Melbourne, Melbourne, Australia.
Tina CampbellHealthily Pty Ltd, Melbourne, Australia.
Edweana WenkartPen Computer Systems, Sydney, Australia.
Clare O'ReillyCancer Council Victoria, Melbourne, Australia.
Tony CowieCancer Council Victoria, Melbourne, Australia.
Ian DixonConsumer representative. Healthily Pty Ltd, Melbourne, Australia.
Julie TonerConsumer representative. Healthily Pty Ltd, Melbourne, Australia.
Hourieh KhalajzadehDepartment of Software Systems & Cybersecurity, Monash University, Melbourne, Australia.
Javiera Martinez GutierrezCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
Linda GovanWestern Victoria Primary Health Network Ltd, Ballarat, Australia.
Gemma BucklePen Computer Systems, Sydney, Australia.
Jennifer G McIntoshCentre for Cancer Research, University of Melbourne, Melbourne, Australia.
University of Melbourne · AUCancer Council Victoria · AUDairy Innovation Australia (Australia) · AUMonash University · AUWaterNSW · AU

Funding

victorian cancer agency CPRSRG19018
6 · The paper itself

Abstract

backgroundIncreasing participation in the Australian National Bowel Cancer Screening Program (NBCSP) is the most efficient and cost-effective way of reducing mortality associated with colorectal cancer by detecting and treating early-stage disease. Currently, only 44% of Australians aged 50-74 years complete the NBCSP. This efficacy trial aims to test whether this SMS intervention is an effective method for increasing participation in the NBCSP. Furthermore, a process evaluation will explore the barriers and facilitators to sending the SMS from general practice.

methodsWe will recruit 20 general practices in the western region of Victoria, Australia to participate in a cluster randomised controlled trial. General practices will be randomly allocated with a 1:1 ratio to either a control or intervention group. Established general practice software will be used to identify patients aged 50 to 60 years old who are due to receive a NBCSP kit in the next month. The SMS intervention includes GP endorsement and links to narrative messages about the benefits of and instructions on how to complete the NBCSP kit. It will be sent from intervention general practices to eligible patients prior to receiving the NBCSP kit. We require 1400 eligible patients to provide 80% power with a two-sided 5% significance level to detect a 10% increase in CRC screening participation in the intervention group compared to the control group. Our primary outcome is the difference in the proportion of eligible patients who completed a faecal occult blood test (FOBT) between the intervention and control group for up to 12 months after the SMS was sent, as recorded in their electronic medical record (EMR). A process evaluation using interview data collected from general practice staff (GP, practice managers, nurses) and patients will explore the feasibility and acceptability of sending and receiving a SMS to prompt completing a NBCSP kit. DISCUSSION: This efficacy trial will provide initial trial evidence of the utility of an SMS narrative intervention to increase participation in the NBCSP. The results will inform decisions about the need for and design of a larger, multi-state trial of this SMS intervention to determine its cost-effectiveness and future implementation.

trial registrationAustralian New Zealand Clinical Trials Registry ACTRN12620001020976 . Registered on 17 October 2020.

Indexed as

Colorectal NeoplasmsEarly Detection of CancerHumansMass ScreeningMiddle AgedOccult BloodVictoriaBowel cancerColorectal cancer screeningGeneral practiceHealth promotionNational Bowel Cancer Screening Program

Identifiers

PMID35022080
PMCPMC8753594
OpenAlexW4225637141

What OpenQuestion holds

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LicenceCC BY
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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.