Telephone call reminders did not increase screening uptake more than SMS reminders: a recruitment study within a trial

J Clin Epidemiol. 2019 Aug:112:45-52. doi: 10.1016/j.jclinepi.2019.04.009. Epub 2019 Apr 30.

Abstract

Objectives: The aim of the study was to compare the response rates and costs of phone call vs. short message service (SMS) screening reminders to prospective randomized controlled trial (RCT) participants.

Study design and setting: This study was a randomized evaluation within a large Australian diabetes prevention RCT. Participants were men aged 50-74 years, overweight or obese, without a previous type 2 diabetes diagnosis. Those eligible on a prescreening questionnaire who did not attend a further screening assessment within 4 weeks were randomized to receive an SMS or phone call reminder (N = 709). The primary outcome was attendance for further screening assessment within 8 weeks of prescreening.

Results: Attendance was 18% (62/354) in the SMS reminder group, and 23% (80/355) in the phone reminder group, with no statistically significant difference in response according to reminder type (relative risk = 1.29, 95% confidence interval [CI]: 0.96-1.73, P = 0.09). The lower confidence limits for response to SMS (95% CI: 14-22%) and phone reminders (95% CI: 18-27%) did not include the 8-week attendance rate before this evaluation, 12%. Phone reminders cost substantially more than SMS reminders (AU$6.21 vs. AU$0.53 per reminder).

Conclusion: SMS reminders were as adequate a method as phone reminders to boost RCT screening uptake and were considerably more affordable.

Keywords: Participant recruitment; Randomized controlled trials; Recruitment strategies; Study within a trial; Telephone reminders; Text message reminders.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Cell Phone* / economics
  • Cell Phone* / statistics & numerical data
  • Costs and Cost Analysis
  • Diabetes Mellitus, Type 2 / diagnosis*
  • Humans
  • Male
  • Mass Screening* / methods
  • Mass Screening* / statistics & numerical data
  • Middle Aged
  • Outcome Assessment, Health Care
  • Patient Compliance
  • Research Design
  • Surveys and Questionnaires
  • Text Messaging* / economics
  • Text Messaging* / statistics & numerical data