DELIVERY OF COMMON KNEE PATIENT-REPORTED OUTCOME INSTRUMENTS BY AUTOMATED MOBILE PHONE TEXT MESSAGING IN PEDIATRIC SPORTS MEDICINE

Background: Patient-reported outcome (PRO) instruments measure a patient’s health status in a variety of domains, including physical, mental and social well-being. The delivery of such instruments has become an integral part of healthcare, commonly employed to assess treatment efficacy and outcomes in sports medicine. With the proliferation of mobile phones, administration of PROs across patient-friendly platforms (e.g. apps, text messaging) may increase completion rates, particularly among younger patients. The purpose of this study was to validate the collection of common knee PROs with text messaging in sports medicine, by correlating text messaging responses with traditional paper delivery in adolescents and young adults. Methods: Patients presenting to a hospital-based pediatric orthopaedic sports medicine clinic with a knee injury were enrolled in this prospective investigation. Patients were excluded if they were undergoing a same-day office procedure, underwent surgery within the previous 90 days, and/or had no access to a mobile phone. Paper versions of the Pediatric International Knee Documentation Committee (Pedi-IKDC) Subjective Knee Evaluation Form and the Pediatric Functional Activity Brief Scale (Pedi-Fab Scale) questionnaires were completed during the patients’ initial clinic visit. Over the next 72 hours, the patients subsequently completed the mobile phone portion of the study outside of the clinic (Figure 1), which included text message delivery of the Pedi-IKDC and Pedi-Fab Scale, assigned in a random order. Correlations between paper and text message delivery of the two PROs were assessed. Secondary analyses were conducted to examine overall completion time and associations between patient demographics and text compliance. Results: Of the 91 patients (Age M=16.0 ±2.0 years; 48% female) initially enrolled in the study, 55 (60.4%) completed the text Pedi-Fab Scale, 48 (52.7%) completed the text Pedi-IKDC, and 39 (42.9%) completed both PROs. Among the evaluable sample, the intraclass correlation coefficient (ICC) between the paper and mobile phone delivery of the Pedi-Fabs was 0.95 (95% CI, 0.91-0.97). The ICC between the paper and mobile phone delivery of the Pedi-IKDC was 0.96 (95% CI, 0.93-0.98). Average Pedi-Fab scores on paper (M=12.7) and mobile phone (M=12.3) were not significantly different (p=0.52). Similarly, average Pedi-IKDC scores on paper (M=68.8) and mobile phone (M=67.7) were not significantly different (p=0.41). A Bland-Altman plot and linear regression revealed there was no proportional bias between the mean and difference for the Pedi-Fab scores (p=0.55) and Pedi-IKDC scores (p=0.56). The average completion time for the text delivered Pedi-Fab and Pedi-IKDC were 102±224 minutes and 159±155 minutes, respectively. For Pedi-Fab, there were no patient demographics that were significantly associated with text completion. However, high school students (p=0.025), female sex (p=0.036), and race (p=0.002), were significantly associated with the text completion of Pedi-IKDC. In addition, order of the delivery of the questionnaires and paper scores were not associated with text completion for either survey. Conclusion: Text message delivery using mobile phones permits valid assessment of Pedi-IKDC and Pedi-Fabs scores in this prospective observational study. Questionnaire delivery by automated text messaging allows asynchronous response and may increase compliance among high school students while also reducing the labor cost of collecting PROs.

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Collection of Common Knee Patient-reported Outcome Instruments by Automated Mobile Phone Text Messaging in Pediatric Sports Medicine

Journal of Pediatric Orthopaedics ◽

10.1097/bpo.0000000000001403 ◽

2020 ◽

Vol 40 (2) ◽

pp. e91-e95 ◽

Cited By ~ 3

Author(s):

Xochitl Mellor ◽

Matthew J. Buczek ◽

Alexander J. Adams ◽

J. Todd R. Lawrence ◽

Theodore J. Ganley ◽

...

Keyword(s):

Mobile Phone ◽

Sports Medicine ◽

Text Messaging ◽

Patient Reported Outcome ◽

Pediatric Sports Medicine ◽

Patient Reported

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Delivery of Patient-Reported Outcome Instruments by Automated Mobile Phone Text Messaging

Hand ◽

10.1177/1558944716672201 ◽

2016 ◽

Vol 12 (6) ◽

pp. 614-621 ◽

Cited By ~ 10

Author(s):

Christopher A. Anthony ◽

Ericka A. Lawler ◽

Natalie A. Glass ◽

Katelyn McDonald ◽

Apurva S. Shah

Keyword(s):

Mobile Phone ◽

Mobile Phones ◽

Short Form ◽

Text Message ◽

Patient Reported Outcome ◽

Text Messages ◽

Composite Score ◽

Message Delivery ◽

Patient Reported ◽

Automated Delivery

Background: Patient-reported outcome (PRO) instruments allow patients to interpret their health and are integral in evaluating orthopedic treatments and outcomes. The purpose of this study was to define: (1) correlation between PROs collected by automated delivery of text messages on mobile phones compared with paper delivery; and (2) patient use characteristics of a technology platform utilizing automated delivery of text messages on mobile phones. Methods: Paper versions of the 12-Item Short Form Health Survey (SF-12) and the short form of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) were completed by patients in orthopedic hand and upper extremity clinics. Over the next 48 hours, the same patients also completed the mobile phone portion of the study outside of the clinic which included text message delivery of the SF-12 and QuickDASH, assigned in a random order. Correlations between paper and text message delivery of the 2 PROs were assessed. Results: Among 72 patients, the intraclass correlation coefficient (ICC) between the written and mobile phone delivery of QuickDASH was 0.91 (95% confidence interval [CI], 0.85-0.95). The ICC between the paper and mobile phone delivery of the SF-12 physical health composite score was 0.88 (95% CI, 0.79-0.93) and 0.86 (95% CI, 0.75-0.92) for the SF-12 mental health composite score. Conclusions: We find that text message delivery using mobile phones permits valid assessment of SF-12 and QuickDASH scores. The findings suggest that software-driven automated delivery of text communication to patients via mobile phones may be a valid method to obtain other PRO scores in orthopedic patients.

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Correction: Validation and Implementation of 4-domain Patient-reported Outcome Measures (PROMs) Tailored for Orthopedic Sports Medicine

International Journal of Sports Medicine ◽

10.1055/a-1372-4862 ◽

2021 ◽

Author(s):

Sérgio Rocha Piedade ◽

Mark R. Hutchinson ◽

Daniel Miranda Ferreira ◽

Mario Ferretti ◽

Nicola Maffulli

Keyword(s):

Outcome Measures ◽

Sports Medicine ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Patient Reported

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Factors associated with mental health among high school students in Iran: Does mobile phone overuse associate with poor mental health?

Journal of Child and Adolescent Psychiatric Nursing ◽

10.1111/jcap.12202 ◽

2018 ◽

Vol 31 (1) ◽

pp. 6-13 ◽

Cited By ~ 5

Author(s):

Hassan Mahmoodi ◽

Haidar Nadrian ◽

Abdolreza Shaghaghi ◽

Mohammad Asghari Jafarabadi ◽

Asad Ahmadi ◽

...

Keyword(s):

Mental Health ◽

High School ◽

High School Students ◽

Mobile Phone ◽

Poor Mental Health ◽

School Students ◽

Factors Associated

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Deaf Adolescents' Textisms

Encyclopedia of Mobile Phone Behavior ◽

10.4018/978-1-4666-8239-9.ch112 ◽

2015 ◽

pp. 1419-1430

Author(s):

Yoshiko Okuyama

Keyword(s):

High School ◽

High School Students ◽

Mobile Communication ◽

Scientific Knowledge ◽

Text Message ◽

Text Messages ◽

Detailed Account ◽

Residential School ◽

School Students ◽

The U.S

This article starts with an overview of the existing literature on mobile communication and then presents a more detailed account of the current scientific knowledge in mobile communication and deaf studies, followed by a summary of the findings from the two case studies that the author recently conducted. The first study investigated how texting was used by deaf adolescents in Japan. The second study examined text messages written by U.S. deaf adolescents. Both studies collected a small corpus of dyadic messages exchanged via cell phone between two deaf high-school students at each residential school to examine the unconventional spellings typically used in text messages, or “textisms.” The characteristics of each text-message corpus (356 messages produced by the Japanese pair, and 370 messages by the U.S. pair) were analyzed in order to explore the features of textisms adopted by these deaf adolescents.

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Children's Text Messaging and Traditional Literacy

Handbook of Research on New Media Literacy at the K-12 Level ◽

10.4018/978-1-60566-120-9.ch032 ◽

2009 ◽

pp. 492-504 ◽

Cited By ~ 1

Author(s):

Beverly Plester ◽

Clare Wood ◽

Samantha Bowyer

Keyword(s):

Mobile Phone ◽

Text Messaging ◽

Reading Ability ◽

School Achievement ◽

Text Message ◽

Text Messages ◽

Standard English ◽

Verbal Reasoning ◽

Mobile Phone Use ◽

Lack Of Knowledge

The authors present three investigations into pre-teen children’s text message language and measures of their standard literacy abilities. The children translated sentences, from standard English into text, and from text into standard English , and wrote text messages appropriate to a set of scenarios. They categorised text abbreviations used and calculated the proportion of abbreviations to total words. The children completed a questionnaire about their mobile phone use. Text messaging facility was positively associated with verbal reasoning, vocabulary, school achievement in English, and reading ability across the three studies. Texting provides opportunity for children to communicate in writing without the constraints of standard English, and we propose that the playful variants on words that they use in texting, and their ability to encode spoken slang graphically, show not a lack of knowledge of English, but a light hearted use of phonological and alphabetic decoding principles that also underpin standard English.

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VALIDATION OF A COMPUTER-BASED SYSTEM FOR THE COLLECTION OF PATIENT REPORTED OUTCOME MEASURES IN PEDIATRIC SPORTS MEDICINE

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967119s00037 ◽

2019 ◽

Vol 7 (3_suppl) ◽

pp. 2325967119S0003

Author(s):

Meagan J. Sabatino ◽

Catherine V. Gans ◽

Aaron J. Zynda ◽

Chan-Hee Jo ◽

Jane Chung ◽

...

Keyword(s):

Outcome Measures ◽

Sports Medicine ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Electronic Format ◽

Pediatric Sports Medicine ◽

Patient Reported ◽

Computer Based ◽

Activity Scale ◽

Tegner Activity Scale

Background: In orthopedics, patient reported outcome measures (PROMs) have become popularized due to an increase in patient-centered research and pay for performance reimbursement models. Most pediatric PROMs have been utilized and validated in paper format. However, the use of a computer-based system may improve patient and physician efficiency, decrease cost, ensure completion, provide instantaneous information, and minimize inconvenience. The purpose of the study is to validate the use, evaluate patient satisfaction, and review differences of electronic compared to paper PROMs in a pediatric sports medicine practice. Methods: New patients between 12 – 19 years of age with a knee-related primary complaint were identified prior to their appointment. Patients were then randomized into two groups to complete standard clinical PROMs; including the Pedi-IKDC, HSS Pedi-FABS, Tegner Activity Scale, Visual Analogue Scale (VAS) and PedsQL-Teen. Group 1 completed paper forms followed by electronic, while Group 2 received the electronic format followed by paper, with a 10-minute break between formats in each group. Following the completion of PROMs, subjects completed a satisfaction survey. A Pearson’s correlation was used to calculate the association between the measures and a paired t-test to compare means between electronic and paper forms. Reliability analysis was conducted using an ICC calculation. Results: 87 subjects were enrolled with one excluded due to incomplete PROMs, for a total of 86. 54 subjects were female and 32 were male with an average age of 14.3 years (range 12-18). A high degree of reliability was found when comparing the paper and electronic versions of the Pedi-IKDC, HSS Pedi-FABS, PedsQL 13-18 and the Tegner activity scale (Figure 1). Differences were noted between the VAS scores, with paper scores being significantly higher than electronic (5.3 vs 4.6, p<0.001). Excluding the 10-minute break, it took subjects an average of 21.3 minutes to complete the PROMs. Although not significant, electronic PROMs took less time than paper on average (10.0 min vs 11.2 min, p=0.096). All subjects endorsed that PROMs captured on paper were the same as electronic with 69.8% of subjects preferring the electronic PROMs. 67.4% of subjects reported they felt the electronic format was faster, with only 5.8% of patients reporting the electronic forms were hard or confusing. 93.0% stated they would complete forms at home prior to appointments if it were an option and 91.8% were not concerned about the safety/privacy of electronic forms. Conclusion/Significance: PROMs captured electronically were reliable and valid when compared to paper, with differences noted only on the VAS. Electronic PROMs may be quicker, will not require manual scoring, and are preferred by patients. Electronic PROMs will improve the clinician’s ability to collect complete and validated data while reducing the burden on the clinical staff and patients. [Figure: see text]

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