mHealth for Colorectal Cancer

This trial tests the effectiveness of text messages in encouraging homeless individuals to undergo colorectal cancer screening. The goal is to determine if educational and reminder texts can increase screening rates among those who haven't been checked recently. Participants will receive messages about cancer screenings, lifestyle tips, and appointment reminders. Ideal participants are homeless individuals aged 45-75 who haven't had recent colorectal cancer screenings and currently receive medical care at NYC shelter clinics. As an unphased trial, this study offers a unique opportunity to contribute to innovative strategies that could improve health outcomes for underserved communities.

The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your healthcare provider.

Studies have shown that using text messages to encourage colorectal cancer screening is generally safe. Text messages offer a simple and effective communication method. No reports of physical side effects exist, as this approach involves sending educational and reminder messages to promote cancer screening. This method aims to raise awareness and improve health habits without causing harm. Additionally, mobile health tools like this are common in other health areas and considered safe for participants.¹²³⁴⁵

Researchers are excited about using mHealth for colorectal cancer screening in homeless populations because it offers a novel approach to educating and engaging a traditionally hard-to-reach group. Unlike standard options like colonoscopies and stool tests, which require physical access to healthcare facilities, mHealth leverages mobile technology to deliver personalized educational messages and reminders directly to individuals' phones. This method aims to overcome barriers such as lack of awareness and logistical challenges by providing tailored content that motivates lifestyle changes and encourages timely screenings. By focusing on accessibility and personalization, mHealth has the potential to significantly improve colorectal cancer screening rates in underserved communities.

Research has shown that sending text messages can encourage homeless individuals to get screened for colorectal cancer. People experiencing homelessness often have more advanced cancer at diagnosis due to less frequent screenings. In this trial, one group will receive colorectal cancer-specific educational messages via mHealth, including text message reminders and educational content to help overcome obstacles and motivate participation in cancer screenings. Another group will receive general health education messages unrelated to colorectal cancer screening. In one study, 61% of colonoscopies for homeless individuals showed normal results, indicating that early screening can be beneficial. This mobile health approach aims to make screenings more accessible and catch cancer earlier, potentially leading to better health outcomes.¹²⁵⁶⁷