Utilizing Behaviorally Targeted Text Messaging to Enhance Colon Cancer Screening Rates: A Randomized Quality Improvement Study - Summary - MDSpire

Utilizing Behaviorally Targeted Text Messaging to Enhance Colon Cancer Screening Rates: A Randomized Quality Improvement Study

  • By

  • Olivia Korostoff-Larsson

  • William C. King

  • Elan Pelegri

  • Doreen Colella

  • Isaac Dapkins

  • Kelly Eng

  • Nathan Klapheke

  • Holly Krelle

  • Nicholas Mahieu

  • Erika McManus

  • George Shahin

  • Molly Woodriff

  • Leora I. Horwitz

  • Arielle Elmaleh-Sachs

  • April 23, 2026

  • 0 min

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Objective:

To evaluate whether a behaviorally informed text message reminder could increase fecal immunochemical test (FIT) completion rates compared to standard telephone outreach, specifically detailing the expected impact on underserved populations.

Key Findings:
  • Behaviorally targeted text messaging significantly increased FIT completion rates by B% compared to standard telephone outreach.
  • The intervention was scalable and could be integrated into routine clinical care.
Interpretation:

The study demonstrates that low-cost, behaviorally informed text messaging can effectively enhance screening rates for colorectal cancer, particularly in underserved populations.

Limitations:
  • The study did not include participants who opted out of text messaging or those with language preferences outside English, Spanish, or Chinese, which may limit generalizability.
  • The lack of blinding may introduce bias in reporting and outcomes, potentially affecting the validity of the findings.
Conclusion:

Behaviorally targeted text messaging is a promising strategy to improve colorectal cancer screening rates, particularly in Federally Qualified Health Centers, highlighting its potential impact on underserved populations.

Original Source(s)

Utilizing Behaviorally Targeted Text Messaging to Enhance Colon Cancer Screening Rates: A Randomized Quality Improvement Study

  • by Olivia Korostoff-Larsson, William C. King, Elan Pelegri, Doreen Colella, Isaac Dapkins, Kelly Eng, Nathan Klapheke, Holly Krelle, Nicholas Mahieu, Erika McManus, George Shahin, Molly Woodriff, Leora I. Horwitz, Arielle Elmaleh-Sachs

  • April 23, 2026

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