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# Digital outreach on lung screening eligibility reached 11% of invitees in North Carolina
- URL: https://www.coios.me/digital-outreach-on-lung-screening-eligibility-reached-11/
- Published: 2026-10-16T13:08:40.000Z
- Updated: 2026-10-17T08:14:42.000Z
- Description: Of 26,909 adults invited by patient portal or text, 11% completed lung screening eligibility questions within 16 weeks, with lower reach among Black and Hispanic patients.
- Author: Daniel Ryan
- Tags: Behavioural science, Smoking and vaping, Cancer, Health systems and access, United States, #peer-reviewed, #refines, #item, #source-2026-10, #score-68

This secondary analysis of a pragmatic randomised trial tested digital outreach for lung cancer screening eligibility in North Carolina. Adults aged 50 to 77 with a smoking history were invited by patient portal message or text. Of 26,909 invited, 3,049 (11%) completed eligibility questions within 16 weeks. Portal messages were read by 65.5% of recipients; adding texts raised those reached from 2,445 to 3,409\. Reach was 12.8% in White, 8.6% in Black and 8.0% in Hispanic participants. Reach was also higher in women and urban residents. Only completion of eligibility questions was measured, not subsequent screening or outcomes.

*Why it is interesting: Quantifies how far portal and text outreach reaches across a whole eligible population. The socio-demographic gradient in response shows where digital-first strategies under-perform.*

Source

[Journal of General Internal Medicine, 13 October 2026](https://doi.org/10.1007/s11606-026-10895-5?ref=coios.me)

Paper

Using Digital Outreach to Identify Individuals Eligible for Lung Cancer Screening: A Secondary Analysis of a Randomized Trial

Authors

Bundy R, Snavely AC, Miller DP, Reuland DS, Ferrari RM, Bellinger C et al.

DOI

10.1007/s11606-026-10895-5

Type

Peer-reviewed article

Design

Secondary analysis of a pragmatic multisite randomised trial; 26,909 invited adults aged 50-77 with smoking history, two North Carolina health systems, 16-week reach window; trial registered 2019

Verdict

Refines prior evidence

Driver

[Smoking and vaping](https://www.coios.me/d-smoking-vaping/)

Driver

[Cancer](https://www.coios.me/d-cancer/)

Driver

[Health systems and access](https://www.coios.me/d-health-systems/)