CClinicalTrials.gg
CompletedNCT06185374Updated Aug 20, 2025Results posted

Text Messaging to Improve Adherence To Repeat Colonoscopy In a Veterans Affairs (VA) Hospital

An interventional study of Text Message Instructions/Motivation in Colorectal Cancer, sponsored by NYU Langone Health. Completed at 1 site in United States. Open to participants aged 45 Years to 85 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-08-20.

Sponsored by NYU Langone Health · Not applicable, Interventional, and Screening

Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
45 Years to 85 Years
Sex
All
01

Study summary

Colorectal cancer is a common but preventable condition, and increasing colorectal cancer screening is one of the most impactful public health contributions in the field of gastroenterology. Text messaging is a simple, cheap, and rapid method to reach patients that may improve adherence to colonoscopy appointments as well as simplify the process of bowel preparation. The purpose of the study is to evaluate the feasibility of a pilot bidirectional text messaging intervention on attendance for screening/surveillance colonoscopy and bowel preparation quality at an urban VA hospital. The goal is to improve adherence to colonoscopy among patients who are due for a repeat colonoscopy.

02

Conditions studied

  • Colorectal Cancer
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In context

Colorectal Neoplasms

5,599 studies on the registry are indexed under Colorectal Neoplasms; 1,458 are open to participants now.

This study's enrollment of 50 is below the median of 77 across 4,122 interventional studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

NYU Langone Health is the lead sponsor of 1,391 studies on the registry; 254 are open to participants now.

Of its 227 completed or terminated interventional studies of FDA-regulated products, 191 (84%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
45 Years to 85 Years
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Has previously undergone a colonoscopy and is currently due for a repeat screening or surveillance colonoscopy at the VA.

Exclusion criteria

Exclusion Criteria:

  • Patients not due for screening or surveillance colonoscopy. This will be based on 2020 guidelines from the U.S. Multi-Society Task Force on Colorectal Cancer.
  • Patients with personal history of colorectal cancer (CRC)/inflammatory bowel disease/ hereditary colon cancer syndrome or family history of hereditary colon cancer syndrome. These criteria will be determined based on ICD9/10 codes or the medical record.
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Study design

Phase
Not applicable
Primary purpose
Screening
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Text Message Intervention

    Participants in the experimental arm will receive a series of instructional and motivational text messages, which will be sent starting 7-14 days before and until the day of the colonoscopy procedure.

    Behavioral: Text Message Instructions/Motivation

  • No intervention
    No Intervention

    Participants will not receive text messages.

Interventions

  • BehavioralText Message Instructions/Motivation

    For instructional messages, earlier messages will remind patients of the colonoscopy appointment and later messages will help patients complete the bowel preparation process in real-time. Motivational messages will be sent along with instructional messages.

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What researchers measure

Primary outcomes

  1. National Annie Colonoscopy Survey Score

    7-item assessment of participant satisfaction with the "Annie" text intervention. Items are rated on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree). The total score is the sum of responses and ranges from 7 to 35; higher scores indicate greater satisfaction with the intervention.

    Time frame: Day 21 (Up to 7 Days Post-Procedure)

Secondary outcomes

  1. Percentage of Participants Who Attend Scheduled Colonoscopy Appointment

    Assessed via patient's electronic health record.

    Time frame: Up to Day 14

  2. Percentage of Participants Who Had Adequate Bowel Preparation at Colonoscopy Appointment

    Assessed via patient's electronic health record.

    Time frame: Up to Day 14

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Results

Posted Aug 20, 2025

Participant flow

Participant flow — Overall Study
MilestoneText Message InterventionNo Intervention
Started2525
Completed2525
Not completed00

Outcome measures

PrimaryNational Annie Colonoscopy Survey Score

7-item assessment of participant satisfaction with the "Annie" text intervention. Items are rated on a 5-point scale from 1 (strongly disagree) to 5 (strongly agree). The total score is the sum of responses and ranges from 7 to 35; higher scores indicate greater satisfaction with the intervention.

Time frame:
Day 21 (Up to 7 Days Post-Procedure)
Reported as:
Mean · Score on a scale
National Annie Colonoscopy Survey Score
Score on a scaleText Message InterventionNo Intervention
National Annie Colonoscopy Survey Score29.56 ± 4.16—
SecondaryPercentage of Participants Who Attend Scheduled Colonoscopy Appointment

Assessed via patient's electronic health record.

Time frame:
Up to Day 14
Reported as:
Number · Percentage of Participants
Percentage of Participants Who Attend Scheduled Colonoscopy Appointment
Percentage of ParticipantsText Message InterventionNo Intervention
Percentage of Participants Who Attend Scheduled Colonoscopy Appointment9692
SecondaryPercentage of Participants Who Had Adequate Bowel Preparation at Colonoscopy Appointment

Assessed via patient's electronic health record.

Time frame:
Up to Day 14
Reported as:
Number · percentage of participants
Percentage of Participants Who Had Adequate Bowel Preparation at Colonoscopy Appointment
percentage of participantsText Message InterventionNo Intervention
Percentage of Participants Who Had Adequate Bowel Preparation at Colonoscopy Appointment7991

Adverse events

Collected over 3 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Text Message Intervention0/25 (0%)0/25 (0%)0/25 (0%)
No Intervention0/25 (0%)0/25 (0%)0/25 (0%)

Baseline characteristics

Age, Continuous
Age, Continuous(years)Text Message InterventionNo InterventionTotal
Mean65 ± 7.9562.76 ± 6.8663.88 ± 7.43
Sex: Female, Male
Sex: Female, Male(Participants)Text Message InterventionNo InterventionTotal
Female213
Male232447
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Text Message InterventionNo InterventionTotal
Hispanic or Latino4711
Not Hispanic or Latino211839
Unknown or Not Reported000
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Text Message InterventionNo InterventionTotal
American Indian or Alaska Native000
Asian000
Native Hawaiian or Other Pacific Islander000
Black or African American161228
White5611
More than one race000
Unknown or Not Reported4711
Region of Enrollment
Region of Enrollment(participants)Text Message InterventionNo InterventionTotal
United States252550
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Study locations

1 site
  • New York Harbor Health Care System - Department of Veterans Affairs
    New York, New York 10010, United States
09

References and documents

Study documents

  • Protocol and statistical analysis plan · Oct 27, 2023
  • Informed consent form · Oct 23, 2023

Documents are hosted by the registry — open the source record to download them.

Individual participant data

Plan to share: Yes — The de-identified participant data from the final research dataset used in the published manuscript will be shared upon reasonable request beginning 9 months and ending 36 months following article publication or as required by a condition of awards and agreements supporting the research provided the investigator who proposes to use the data executes a data use agreement with NYU Langone Health. Requests may be directed to: peter.liang@nyulangone.org. The protocol and statistical analysis plan will be made available on Clinicaltrials.gov only as required by federal regulation or as a condition of awards and agreements supporting the research.

Supporting information: Study protocol, Sap

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT06185374
Lead sponsor
NYU Langone Health
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Dec 29, 2023
Start date
Feb 27, 2024
Primary completion
Aug 15, 2024
Completion
Aug 15, 2024
Results posted
Aug 20, 2025
Last update
Aug 20, 2025

Study contacts

Peter Liang, MD
principal investigator · NYU Langone Health

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2025. You cannot join it, but the record below documents what was studied.

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