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Effect of WhatsApp Messenger on Uptake of CRC Screening Study

ABSTRACT: It is estimated that there are about 1.4 million patients with colorectal cancer (CRC) worldwide, with a rising trend in CRC incidence in many Asian Pacific countries1. In Hong Kong, colorectal cancer ranks first in cancer incidence and second in cancer mortality based on data from 20142. Recent guidelines from USA, Europe and Asia Pacific region recommend CRC screening for average-risk asymptomatic individuals starting at age 503-5. Modalities such as guaiac-based fecal occult blood tests (gFOBT), fecal immunochemical tests (FIT), flexible sigmoidoscopy (FS), and colonoscopy are among the acceptable options for CRC screening3-5. Department of Health of Hong Kong launched a Colorectal Cancer Screening Pilot Program in late 2016. This is a subsidized program offering primary care consultation with FIT. For those subjects with FIT positive, colonoscopy specialist consultation and colonoscopy will be arranged. The local uptake rate of CRC screening was reported to be 24.5%8 , which is relatively low when compared to other developed county9. In recent years, social media (SM) has become an increasingly popular source of health information10. By providing an easily accessible and interactive channel of communication between reviewers and information providers, it has potential values for affecting public health. However, the effects of SM on uptake of CRC screening has not yet been studied. WhatsApp Messenger, is the most popular social media messaging app worldwide. This randomized controlled study will investigate the effect of WhatsApp vs telephone intervention on the uptake of CRC screening.

DISEASE(S): Crc

PROVIDER: 2258551 | ecrin-mdr-crc |

REPOSITORIES: ECRIN MDR

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WhatsApp Reminder on FIT Compliance

Project description:It is estimated that there are about 1.4 million patients with colorectal cancer (CRC) worldwide, with a rising trend in CRC incidence in many Asian Pacific countries. In Hong Kong, colorectal cancer ranks first in cancer incidence and second in cancer mortality based on data from 2014. Recent guidelines from USA, Europe and Asia Pacific region recommend CRC screening for average-risk asymptomatic individuals starting at age 50. Fecal immunochemical tests (FIT), is one of the recommendation as first-line modality for CRC screening. Since yearly testing is recommended to maintain programmatic effectiveness longitudinal adherence is a critical component of FOBT-based screening programs. Our previous study conducted in Hong Kong showed that the rate of compliance with CRC screening was declining since the first year of enrolment8. In recent years, social media (SM) has become an increasingly popular source of health information. By providing an easily accessible and interactive channel of communication between reviewers and information providers, it has potential values for affecting public health. However, the effects of SM on the compliance of CRC screening by FIT has not yet been studied. WhatsApp Messenger, is the most popular social media messaging app worldwide. This randomized controlled study will investigate the effect of WhatsApp vs no reminder on the compliance of CRC screening by FIT.

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Project description:Background and study aims Colorectal cancer is the first and second most common cancer among male and female respectively in Hong Kong. In September 2016, the Department of Health launched a three-year voluntary colorectal cancer screening pilot programme in Hong Kong and subsidised eligible Hong Kong Chinese to undergo fecal immunochemical tests (FIT). Despite the success of the programme in the detection of adenoma and adenocarcinoma (cancer), the overall screening participation rate in the programme was only 8.3%. The decision on whether to go for a test or not could be related to a few reasons or factors that influence individuals’ behaviours. In 2019, the implementation of Government-subsidised colorectal cancer screening programme to Hong Kong Chinese has been regularized and whether such subsidies will change people’s intention and their final decision on whether to participate in the screening or not still remain unknown. In order to inform further health-promoting intervention and enhance the screening uptake, it is necessary to understand the participation of colorectal cancer screening among asymptomatic Chinese and the associated factors. Aim of the study: To assess the colorectal cancer screening participation among the asymptomatic average-risk population of HK Chinese aged 50 to 75 and to identify the association between predisposing, enabling and need factors, personal health practice and colorectal cancer screening participation. Who can participate? Hong Kong Chinese aged 50 to 75 years with no history of colorectal cancer What does the study involve? Participants will take part in a telephone survey regarding their general health

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