{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T16:47:34Z","timestamp":1782406054058,"version":"3.54.5"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T00:00:00Z","timestamp":1777420800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J GEN INTERN MED"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Healthcare systems use electronic patient reminders to encourage preventive care receipt. We used an innovative randomized testing approach to identify reminder design elements associated with improved patient responsiveness.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Improve patient response to electronic preventive care screening reminders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting and Participants<\/jats:title>\n                    <jats:p>Outpatient clinics affiliated with NYU Langone Health (NYULH) and their patients. Included patients were due for retinal, hemoglobin A1c (HbA1c), or mammography screening.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Program<\/jats:title>\n                    <jats:p>Iterative EHR reminder redesign using a behaviorally informed framework, testing improvements based on randomized implementation. We randomized patients for each screening type to intervention (redesigned) or control (existing) reminders. Outcomes were scheduling or completion of indicated test. Plan-Do-Study-Act Cycle #1 tested all three redesigned reminders. Cycle #2 tested a personalized reminder versus the redesigned mammography reminder from Cycle #1.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Cycle #1: Redesigned mammography reminders showed greater adherence (25\/212 [11.8%] vs. 13\/212 [6.1%]) compared to controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.04). Redesigned retinal and HbA1c reminders showed no difference. Cycle #2: Scheduling adherence for mammography was similar for personalized and non-personalized reminders (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.68).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Iterative, randomized testing of re-designed electronic preventive care reminders was feasible within a large, complex healthcare system and showed the value of brief messages with a scheduling link for mammography.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s11606-026-10452-0","type":"journal-article","created":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:34:32Z","timestamp":1777498472000},"page":"2624-2628","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Bridging the Gap: Portal Messages as a Tool to Improve Breast Cancer and Diabetes Screening Rates"],"prefix":"10.1007","volume":"41","author":[{"given":"Holly","family":"Krelle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2289-6576","authenticated-orcid":false,"given":"William C.","family":"King","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Tsuruo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathan","family":"Klapheke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeremy","family":"Lu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyra","family":"Rosen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simon","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blaire","family":"Holman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily","family":"Pazand","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Diller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Meringolo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leora I.","family":"Horwitz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,29]]},"reference":[{"issue":"4","key":"10452_CR1","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1377\/hlthaff.2022.00575","volume":"42","author":"AE Makhoul","year":"2023","unstructured":"Makhoul AE, Hatcher JB, Sulieman L, Johnson D, Anderson DM. Patient cost exposure and use of preventive care among ACA-compliant individual plans. Health Aff. 2023;42(4):531-536","journal-title":"Health Affairs."},{"issue":"6","key":"10452_CR2","doi-asserted-by":"publisher","first-page":"925","DOI":"10.1377\/hlthaff.2017.1248","volume":"37","author":"A Borsky","year":"2018","unstructured":"Borsky A, Zhan C, Miller T, Ngo-Metzger\u00a0 Q, Bierman AS, Meyers D. Few Americans receive all high-priority, appropriate clinical preventive services. Health Affairs. 2018;37(6):925-928","journal-title":"Health Affairs."},{"key":"10452_CR3","doi-asserted-by":"publisher","first-page":"E30","DOI":"10.5888\/pcd16.180625","volume":"16","author":"S Levine","year":"2019","unstructured":"Levine S, Malone E, Lekiachvili A, Briss P. Health care industry insights: why the use of preventive services is still low. Prev Chronic Dis. 2019;16:E30","journal-title":"Prev Chronic Dis."},{"issue":"12","key":"10452_CR4","doi-asserted-by":"publisher","first-page":"1175","DOI":"10.1056\/NEJMsb1900856","volume":"381","author":"LI Horwitz","year":"2019","unstructured":"Horwitz LI, Kuznetsova M, Jones SA. Creating a learning health system through rapid-cycle randomized testing. N Engl J Med. 2019;381(12):1175-1179","journal-title":"Randomized Testing. N Engl J Med."},{"issue":"5","key":"10452_CR5","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1136\/bmjqs-2024-017893","volume":"34","author":"K Rosen","year":"2025","unstructured":"Rosen K, Krelle H, King WC.\u00a0Effect of text message reminders to improve paediatric immunisation rates: a randomised controlled quality improvement project. BMJ Qual Saf. 2025;34(5):339-348","journal-title":"BMJ Qual Saf."},{"key":"10452_CR6","doi-asserted-by":"crossref","unstructured":"Korostoff-Larsson O, King WC, Pelegri E, et al. Behaviorally informed text messaging to promote colon cancer screening. JAMA Network Open. 2025; In press","DOI":"10.1001\/jamanetworkopen.2026.7122"},{"key":"10452_CR7","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1146\/annurev-publhealth-071521-025758","volume":"44","author":"LI Horwitz","year":"2023","unstructured":"Horwitz LI, Krelle HA. Using rapid randomized trials to improve health care systems. Annu Rev Public Health. 2023;44:445-457","journal-title":"Annu Rev Public Health."},{"key":"10452_CR8","unstructured":"Behavioural Insights Team. EAST: Four simple ways to apply behavioural insights. 2014."},{"issue":"6","key":"10452_CR9","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1016\/S1364-6613(00)01662-4","volume":"5","author":"F Gobet","year":"2001","unstructured":"Gobet F, Lane PC, Croker S. Chunking mechanisms in human learning. Trends Cogn Sci. 2001;5(6):236-243","journal-title":"Trends Cogn Sci."},{"key":"10452_CR10","unstructured":"Dolan P, Hallsworth M, Halpern D, King D, Metcalfe R, Vlaev I. MINDSPACE: Influencing Behaviour Through Public Policy. London, UK: Institute for Government; 2010. https:\/\/www.instituteforgovernment.org.uk\/sites\/default\/files\/publications\/MINDSPACE-Practical-guide-final-Web_1.pdf. Accessed June 2024"},{"issue":"4","key":"10452_CR11","doi-asserted-by":"publisher","first-page":"718","DOI":"10.1002\/pam.21717","volume":"32","author":"LC Haynes","year":"2013","unstructured":"Haynes LC, Green DP, Gallagher\u00a0 R, John P, Torgerson DJ. Collection of delinquent fines: an adaptive randomized trial to assess the effectiveness of alternative text messages. J Policy Anal Manag. 2013;32(4):718-730","journal-title":"Journal of Policy Analysis and Management."},{"key":"10452_CR12","unstructured":"Department for Work and Pensions. Automatic Enrolment Opt-Out Rates: Findings from Research with Large Employers. London, UK: Department for Work and Pensions; 2013. https:\/\/www.gov.uk\/government\/statistics\/automatic-enrolment-opt-out-rates-findings-from-research-with-large-employers. Accessed June 2024"},{"key":"10452_CR13","unstructured":"Revenue\u00a0 HM, Customs. Qualitative research to explore tax credits customers' renewal behaviour. 2012; https:\/\/www.gov.uk\/government\/publications\/qualitative-research-to-explore-tax-credits-customers-renewal-behaviour. Accessed June 2024."}],"container-title":["Journal of General Internal Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10452-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11606-026-10452-0","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11606-026-10452-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T16:05:59Z","timestamp":1782403559000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11606-026-10452-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,29]]},"references-count":13,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["10452"],"URL":"https:\/\/doi.org\/10.1007\/s11606-026-10452-0","relation":{},"ISSN":["0884-8734","1525-1497"],"issn-type":[{"value":"0884-8734","type":"print"},{"value":"1525-1497","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,29]]},"assertion":[{"value":"21 April 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 April 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval and Consent to Participate"}},{"value":"The authors declare that they do not have a conflict of interest.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"Not applicable.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical Trial Number"}}]}}