Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: Stepwise Strategy to Improve Cervical Cancer Screening Adherence (SCAN-CC): Automatic Text Messages, Phone Calls and Face-to-face Interviews
Brief Summary: This study aims to assess the effectiveness of a stepwise approach, with increasing complexity and cost, to improve adherence to organized cervical cancer screening: step 1a - customized text message invitation; step 1b - customized automatic phone call invitation; step 2 - secretary phone call; step 3 - health professionals face-to-face appointment.

A population-based randomized controlled trial will be implemented in Portuguese urban and rural areas. Women eligible for cervical cancer screening will be randomized (1:1) to intervention and control. In the intervention group, women will be invited for screening through text messages, automatic phone calls, manual phone calls and health professional appointments, to be applied sequentially to participants remaining non-adherent after each step. Control will be the standard of care (invitation by written letter).

As primary objectives, we intend to test the superiority of interventions based on step 1 (1a+1b) and multistage interventions based on steps 1 and 2 and steps 1 to 3, based on intention-to-treat analyses.


Options:
A: Arm Label: Early Intervention; Type: EXPERIMENTAL; Interventions: Behavioral: Lay health advisor visits and newsletter | Arm Label: Delayed Intervention; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: Lay health advisor visits and newsletter; Assigned to Arm(s): Early Intervention
B: Arm Label: Stepwise intervention; Type: EXPERIMENTAL; Interventions: Other: Customized text message invitation ( Step 1a), Other: Customized automatic phone call invitation (Step 1b), Other: Secretary phone call (Step 2), Other: Health professional face-to-face appointment (Step 3) | Arm Label: Written Letter; Type: ACTIVE_COMPARATOR; Interventions: Other: Written Letter | Intervention Type: OTHER; Name: Customized text message invitation ( Step 1a); Assigned to Arm(s): Stepwise intervention | Intervention Type: OTHER; Name: Customized automatic phone call invitation (Step 1b); Assigned to Arm(s): Stepwise intervention | Intervention Type: OTHER; Name: Secretary phone call (Step 2); Assigned to Arm(s): Stepwise intervention | Intervention Type: OTHER; Name: Health professional face-to-face appointment (Step 3); Assigned to Arm(s): Stepwise intervention | Intervention Type: OTHER; Name: Written Letter; Assigned to Arm(s): Written Letter
C: Arm Label: Usual Care mailing intervention; Type: ACTIVE_COMPARATOR; Interventions: Other: Usual care mailing intervention | Arm Label: CIS support mailing intervention; Type: EXPERIMENTAL; Interventions: Other: CIS support mailing intervention | Intervention Type: OTHER; Name: Usual care mailing intervention; Assigned to Arm(s): Usual Care mailing intervention | Intervention Type: OTHER; Name: CIS support mailing intervention; Assigned to Arm(s): CIS support mailing intervention
D: Arm Label: Printed Educational Material (PEM) only; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Printed Educational Materials (PEM) | Arm Label: Coach Training (COACH); Type: EXPERIMENTAL; Interventions: Behavioral: Coach Training (COACH) | Intervention Type: BEHAVIORAL; Name: Coach Training (COACH); Assigned to Arm(s): Coach Training (COACH) | Intervention Type: BEHAVIORAL; Name: Printed Educational Materials (PEM); Assigned to Arm(s): Printed Educational Material (PEM) only

Answer: B