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The efficacy of direct mail, patient navigation, and incentives for increasing mammography and colonoscopy in the Medicaid population: A randomized controlled trial

Cancer Epidemiology, Biomarkers & Prevention Aug 07, 2018

Slater JS, et al. - In this population-based randomized controlled trial (RCT), researchers assessed the efficacy of direct mail, patient navigation, and incentives for increasing mammography and colonoscopy in a Medicaid population overdue for screening in Minnesota's Medicaid program. They randomized study participants to intervention or control groups. The intervention group received persuasive and innovative direct mail materials coupled with a $20 incentive for using their Medicaid benefit to get screened. Using these direct mail materials, patient navigators in a call center could be contacted, who addressed barriers and scheduled appointments via three-way calls. The intervention was received by the control group 15 months later. Findings demonstrated an increase in breast cancer and colorectal cancer screening consequent to this population-based intervention in a Medicaid population overdue for screening.

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