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Mobile health interventions for improving colorectal cancer screening rates: A systematic review and meta-analysis

Elepaño et al. (2021)

Health Evidence - 10.31557/apjcp.2021.22.10.3093

Evidence Categories

  • Care setting: Any setting
  • Population group: Any population
  • Intervention: Any intervention
  • Outcome: Screening: Uptake of colorectal cancer screening

Type of Evidence

Systematic Review

Aims

The aim of this systematic review and meta-analysis was to determine the efficacy of different mHealth interventions in increasing colorectal cancer (CRC) screening rates

Findings

A total of ten trials from three continents were included in the qualitative analysis. Risk of bias is low in terms of randomization, but high in terms of participant blinding, due to the nature of the interventions. Meta-analysis of four trials showed low clinical and statistical heterogeneity (I2=0%). Overall, the use of mHealth interventions is associated with higher CRC screening uptake when compared to usual care (AOR 1.33; 95% CI, 1.20-1.46). This effect was seen across different types of mHealth interventions, which included automated and non-automated telephone education and text-message reminders.

Conclusions

This study showed that mHealth is associated with increased CRC screening participation regardless of the type of intervention used.