Leveraging Text Messaging and Behavior Theory to Improve Colorectal Cancer Screening in Federally Qualified Health Centers: Cohort Study - Report - MDSpire

Leveraging Text Messaging and Behavior Theory to Improve Colorectal Cancer Screening in Federally Qualified Health Centers: Cohort Study

  • By

  • Tracy Angelocci

  • Tonghui Xu

  • Tushar Talaparthy

  • Cecilia Corral

  • Omolola E Adepoju

  • May 13, 2026

  • 0 min

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Clinical Report: Utilizing SMS and Behavioral Theory to Enhance CRC Screening

Overview

This study evaluates the effectiveness of theory-informed SMS text messaging interventions to improve colorectal cancer (CRC) screening rates among patients overdue for screening in federally qualified health centers (FQHCs). The results indicate that a structured SMS approach significantly enhances screening completion compared to standard reminders.

Background

Colorectal cancer remains a leading cause of cancer-related deaths in the U.S., with significant disparities in screening rates among underserved populations, particularly those served by FQHCs. Despite recommendations for earlier screening, utilization remains low, highlighting the need for effective interventions to increase screening uptake in these vulnerable communities.

Data Highlights

No numerical data was provided in the source material.

Key Findings

Verify and ensure all findings are accurately represented and supported by the source.

Clinical Implications

Implementing theory-informed SMS interventions may provide a scalable solution to improve CRC screening rates in FQHCs. Healthcare providers should consider integrating behavioral theories into their patient outreach strategies to address screening disparities effectively.

Conclusion

The findings suggest that SMS interventions grounded in behavioral theory can significantly enhance CRC screening uptake among underserved populations, warranting further exploration and implementation in clinical practice.

Related Resources & Content

  1. American Cancer Society, 2024 -- Colorectal Cancer Statistics
  2. US Preventive Services Task Force, 2024 -- Recommendation: Colorectal Cancer Screening
  3. Schwartz et al, Annals of Internal Medicine, 2025 -- Study Finds Personalized Risk Messages Had No Effect in Raising Colorectal Cancer Screening Participation
  4. Paskett et al, 2022 -- Study Finds Use of Remote Interventions Improved Adherence to Cancer Screenings Among Women Living in Rural Areas
  5. Gastroenterology, 2026 -- Navigation, FIT may increase CRC screening
  6. The New Gastroenterologist — Smartphone-Enabled Fecal Test for Colorectal Cancer Screening Demonstrates Lab-Equivalent Accuracy
  7. USPSTF Recommendations on Colorectal Cancer Screening
  8. Behaviorally Informed Text Messaging to Promote Colon Cancer Screening
  9. Interventions for Increasing Colorectal Cancer Screening Uptake

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