Consultation + Digital Outreach for Colorectal Cancer Screening

(YVONNE-DX Trial)

This trial aims to improve colorectal cancer care among Native Americans by increasing the follow-up rate for colonoscopies after an abnormal home stool test. Participants will receive either in-person consultations or digital outreach, including SMS texts with culturally relevant content and telehealth consultations for convenience. The trial seeks Native American participants who live in Oklahoma and have access to email. As an unphased trial, this study offers a unique opportunity to contribute to culturally tailored healthcare improvements.

The trial information does not specify whether you need to stop taking your current medications.

Research shows that digital methods, such as text messages and videos, effectively and safely encourage colorectal cancer screening. Previous studies found no major safety issues with these methods. Personalized digital outreach increased screening rates by about 20.9%, demonstrating their effectiveness and safety.

Studies also find telehealth consultations safe and well-received. They help patients avoid long trips, making medical care more accessible without added risks.

Researchers are excited about this trial because it explores innovative ways to improve colorectal cancer screening among Cheyenne and Arapaho Tribal members. Unlike traditional methods, which often involve multiple in-person appointments, this trial tests a digital outreach approach using SMS texts and videos tailored to cultural sensitivities, aiming to motivate patients to schedule a colonoscopy. Additionally, it proposes a telehealth consultation for the pre-procedure appointment, potentially overcoming significant transportation barriers due to the long distance to the clinic. This approach not only seeks to increase screening rates but also enhances accessibility and convenience for patients who live far from medical facilities.

This trial will compare two approaches to increase colorectal cancer screening: In-Person Consultation and mHealth Outreach with Telehealth Consultation. Research has shown that digital methods can effectively increase the number of people getting screened for colorectal cancer. For example, one study found that personalized phone calls led to a 21% increase in screenings. Digital tools like text messages and videos can remind and encourage people to get screened. Another study discovered that digital guidance helped more people complete stool DNA tests for screening. Overall, digital approaches often outperform traditional methods in motivating people to get screened for colorectal cancer.¹²⁴⁵⁶