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Automated text message reminders and instructions did not improve outpatient colonoscopy attendance and bowel preparation adherence versus usual care, according to results from a pragmatic randomized trial.
Among 753 randomized patients, achievement of the primary outcome of appointment attendance with good or excellent bowel preparation was similar in the intervention and control groups at 53.1% and 54.4%, respectively (
P=0.73).
This finding held after patient stratification by time of enrollment (early or late). Similarly, no significant differences emerged in secondary outcomes, including appointment attendance rate, bowel preparation quality graded as poor or inadequate, fair or adequate, and good or excellent, and cancellation lead time in number of days.