Texts and EHR nudges aim to close the breast cancer screening gap
NCT ID NCT06177795
First seen Jul 06, 2026 · Last updated Jul 07, 2026 · Updated 1 time
Summary
This study tests whether simple nudges—like text message reminders for patients and automatic mammogram orders for doctors—can increase breast cancer screening among women aged 40 to 74 who are overdue for a mammogram. The trial involves over 21,000 women at two health systems. Some participants receive text reminders to schedule their mammogram, while their doctors get a pre-filled order in the electronic health record. The goal is to see if these gentle pushes help more women complete screening within three to six months.
What this could mean
Our plain-language read of the trial. This is informational only — not medical advice or a prediction.
- Active substance
- text message reminders and electronic health record prompts
- What this could lead to
- If successful, this approach could provide a simple, scalable way to boost breast cancer screening rates, catching cancers earlier and saving lives.
- What could go wrong
- The trial tests behavioral nudges, not a new medical treatment, so the impact may be modest. Results depend on how well patients and clinicians respond to reminders, and may not apply to all healthcare settings.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
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Locations
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Case Western Reserve University/University Hospitals
Cleveland, Ohio, 44106, United States
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University of Pennsylvania Health System
Philadelphia, Pennsylvania, 19104, United States
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