Summary
Colorectal cancer screening remains low in the US, especially in low-income and minoritized groups. In this quality improvement trial, behavioral economics–informed automated texts resulted in better at-home colon cancer screening completion compared to nurse-led phone outreach. Automated messaging may be a scalable, low-cost way to boost preventive care and reduce staff burden in underserved populations.
Korostoff-Larsson O, King WC, Pelegri E, et al. Behaviorally informed text messaging to promote colon cancer screening: a quality improvement randomized clinical trial. JAMA Netw Open. 2026;9(4):e267122.