Use of SMSs to Improve Attendance to Cervical Cancer Follow-up Screening
Text Messages to Increase Attendance to Follow-up Cervical Cancer Screening Appointments Among HPV Positive Tanzanian Women (Connected2Care)
1 other identifier
interventional
705
1 country
3
Brief Summary
This study evaluates the effect of the SMS intervention 'Connected2Care' on the attendance rate to cervical cancer screening follow-up appointments.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2015
Longer than P75 for not_applicable
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
June 15, 2015
CompletedFirst Posted
Study publicly available on registry
July 28, 2015
CompletedStudy Start
First participant enrolled
August 17, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 6, 2019
CompletedStudy Completion
Last participant's last visit for all outcomes
October 6, 2019
CompletedDecember 29, 2021
December 1, 2021
4.1 years
June 15, 2015
December 28, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Effect of SMS intervention on attendance rate to follow-up screening appointment
The effect measure of the intervention is the 14-month follow-up attendance rate for HPV positive women. The number of women in the intervention group that attend follow-up screening will be compared to the the number of women that attend follow-up screening in the control group.
up to 14 months
Secondary Outcomes (2)
Acceptability of text message intervention
Baseline + 2 years Follow-up (likert scale)
Acceptability of text message intervention
2 years
Other Outcomes (2)
Cost-effectiveness of intervention
Baseline + 14 months
Knowledge of cervical cancer and screening
Baselie + 14 months
Study Arms (2)
Connected to Care
EXPERIMENTALThe SMS intervention will consist of 15 text messages that will be sent to the intervention group over a period of 10 months. There will be two types of text messages: (1) educational text messages; and (2) SMS reminders for the follow-up appointment.
Control
NO INTERVENTIONThe control group will receive standard care, which is a follow-up appointment at 14 months written on an appointment card.
Interventions
10 health educative SMSs' sent once a month 5 SMS-reminders for follow-up appointment sent on days -14, -7, -1 pre- follow-up appointment, and +1, +7 post follow-up appointment
Eligibility Criteria
You may qualify if:
- Informed consent
- HPV positive
- Age 25 - 60 years
- Private mobile phone
You may not qualify if:
- Pregnant on day of enrolment
- Menstruating on day of enrolment
- Hysterectomy
- Diagnosed with cervical pre-cancer within past 12 months
- Diagnosed with cervical cancer
- Invalid mobile phone number
- Unreachable when trying to convey HPV positive result
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Mawenzi Regional Referral Hospital
Moshi, Kilimanjaro, Tanzania
Ocean Road Cancer Institute (ORCI)
Dar es Salaam, 3592, Tanzania
Kilimanjaro Christian Medical Centre (KCMC)
Moshi, 3010, Tanzania
Related Publications (5)
Linde DS, Andersen MS, Mwaiselage JD, Manongi R, Kjaer SK, Rasch V. Text messages to increase attendance to follow-up cervical cancer screening appointments among HPV-positive Tanzanian women (Connected2Care): study protocol for a randomised controlled trial. Trials. 2017 Nov 21;18(1):555. doi: 10.1186/s13063-017-2215-x.
PMID: 29162148BACKGROUNDLokke KF, Rasch V, Mwaiselage J, Gammeltoft T, Linde DS. Acceptability of text messages and knowledge change for cervical cancer screening: a Tanzanian mixed methods study. BMJ Open. 2022 Sep 19;12(9):e058450. doi: 10.1136/bmjopen-2021-058450.
PMID: 36123109DERIVEDPalmer MJ, Henschke N, Villanueva G, Maayan N, Bergman H, Glenton C, Lewin S, Fonhus MS, Tamrat T, Mehl GL, Free C. Targeted client communication via mobile devices for improving sexual and reproductive health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013680. doi: 10.1002/14651858.CD013680.
PMID: 32779730DERIVEDLinde DS, Andersen MS, Mwaiselage J, Manongi R, Kjaer SK, Rasch V. Effectiveness of One-Way Text Messaging on Attendance to Follow-Up Cervical Cancer Screening Among Human Papillomavirus-Positive Tanzanian Women (Connected2Care): Parallel-Group Randomized Controlled Trial. J Med Internet Res. 2020 Apr 2;22(4):e15863. doi: 10.2196/15863.
PMID: 32238335DERIVEDLinde DS, Rasch V, Mwaiselage JD, Gammeltoft TM. Competing needs: a qualitative study of cervical cancer screening attendance among HPV-positive women in Tanzania. BMJ Open. 2019 Feb 27;9(2):e024011. doi: 10.1136/bmjopen-2018-024011.
PMID: 30819704DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Vibeke Rasch, MD
University of Southern Denmark
- STUDY CHAIR
Julius Mwaiselage, MD
Ocean Road Cancer Institute
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- CARE PROVIDER, OUTCOMES ASSESSOR
- Purpose
- SCREENING
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Clinical professor
Study Record Dates
First Submitted
June 15, 2015
First Posted
July 28, 2015
Study Start
August 17, 2015
Primary Completion
October 6, 2019
Study Completion
October 6, 2019
Last Updated
December 29, 2021
Record last verified: 2021-12