How providing cervical cancer screening results via cell phone affects patient follow-up rates in western Kenya
Journal of Global Oncology Sep 11, 2019
Huchko MJ, Saduma I, Blat C, et al. - Given that multiple visits needed to provide results and follow-up represent a challenge to the successful implementation of human papillomavirus (HPV) testing in simplified cervical cancer screening protocols in low-resource settings, researchers investigated whether mHealth strategies would attenuate visit burden by providing information by text message. They undertook this mixed-methods study as part of a cluster-randomized trial to compare HPV testing in clinics and community health campaigns in western Kenya. They evaluated women’s choices and experiences with various strategies to obtain their results. Overall 4,947 women underwent HPV-based cervical cancer screening. The receipt of results via text message, via cell phone call, via clinic visit, and via home visit was reported in 1,596 (32%), 1,181 (24%), 1,563 (32%), and in 605 (12%) of these women, respectively. They found that women with greater health-seeking behavior favored cell phone–based results notification strategies; however, the likelihood to pursue for treatment was found to be more in HPV-positive women who received results via home visit.
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