Use of short message service (SMS) reminders to improve the attendance rate of diabetes-related multidisciplinary services in a primary care clinic a randomized controlled trial

2019 ◽  
Author(s):  
Man Chi DAO ◽  
Sau Nga FU ◽  
Carlos King Ho WONG ◽  
Wan LUK
Keyword(s):  
Controlled Trial ◽  
Primary Care Clinic ◽  
Intervention Group ◽  
Control Group ◽  
Short Message ◽  
Attendance Rates ◽  
Care Clinic ◽  
Message Service ◽  
Sms Reminder ◽  
Sms Reminders

Abstract Background: Non-attendance of various non-physician-led multidisciplinary (NPLM) services causes wastage of health care resources. This study determined whether using mobile phone text message reminders by Short Message Service (SMS) in patients with type II diabetes attending a primary care clinic resulted in higher attendance rates of NPLM services when compared with those without SMS reminders. Method: A single centre randomized-controlled trial included adult subjects with type II diabetes who could read Chinese or English, possessed an SMS-capable phone and booked at least NPLM service appointments in study site. The main outcomes were comparing attendance rates between the control group and the intervention group of various NPLM services including nurse complication screening, nurse individual counselling, multidisciplinary group education, dietitian counselling, physiotherapist service, retinopathy screening by optometrist and blood taking sessions Results: 297 eligible subjects were approached, 15 were excluded and 11 refused to participate. 271 subjects were recruited (response rate 96%). Their mean (± standard deviation) age was 63.3±11.3. Their mean duration of DM was 6.9±5.3 years with mean HbA1c 7.37±1.32%. They were randomly assigned to intervention (N=135) or control (N=136) group. The Intervention groups received a standard SMS reminder included appointment name, date and time 24-72 hours prior to the scheduled appointment. The Control groups received no reminder. 733 appointments (intervention N=372, control N=361) were analysed. More subjects used smartphone (82.2%) than mobile phone without internet access (17.8%). All SMS were successfully delivered for the 372 appointments with no adverse event reported. The overall attendance rates were 92.7% in the intervention group and 83.1% in the control group (Odds ratio, OR 2.60, 95% confidence interval, CI 1.61-4.19, p<0.001). In subgroup analysis, SMS reminders were particularly useful in reminding nurse clinic (OR 3.06, 95% CI 1.22-7.66, p=0.017) and optometrist clinic (OR 2.73, 95% CI 1.07-7.01, p=0.037). Conclusion: SMS reminder is a reliable method to increase overall attendance rates and health service utilization of NPLM DM services in outpatient setting.

Short Message Service (SMS)-based strategy to improve antipsychotic adherence in schizophrenia

2011 ◽  
Vol 26 (S2) ◽  
pp. 1454-1454 ◽  
Author(s):  
J.M. Montes ◽  
M. Gómez Beneyto ◽  
A. Tesoro ◽  
T. Díez ◽  
J. Maurino
Keyword(s):  
Antipsychotic Medication ◽  
Short Message Service ◽  
Intervention Group ◽  
Absolute Difference ◽  
Adherence Rate ◽  
Control Group ◽  
Antipsychotic Treatment ◽  
Short Message ◽  
Message Service ◽  
Sms Reminders

ObjectivePoor adherence to antipsychotic treatment is a well-recognized challenge among patients with schizophrenia and is associated with increased morbidity and consumption of health care resources.We evaluated the effect of daily Short Message Service (SMS) reminders on patients’ adherence to antipsychotic medication in schizophrenia.MethodsClinically stabilized outpatients with schizophrenia and considered to be poor adherent (at least one affirmative answer of Morisky-Green questionnaire -MAQ) to antipsychotic monotherapy were included in a multicenter, randomized, open-label, controlled trial. Participants were randomized to receive a daily SMS reminder on their cell phone to take their medication during 3 months or current standard of care. The primary outcome measure was improvement in adherence rate (mean MAQ score) after 3 months.Results254 patients were analysed, 66.5% men. Mean age: 39.7 years (SD = 11.03). Baseline socio-demographic and clinical characteristics were similar between the two groups. No significant differences in baseline mean MAQ scores were observed between groups (2.23, SD = 0.94 and 2.23, SD = 0.85, respectively).At month 3, mean MAQ score in the intervention group was 1.2 and 1.53 in the control group. Absolute difference in mean adherence rate between groups was −0.33 (95%CI −0.62, −0.03; p = 0.03). Largest change from baseline was observed in question 4 of the questionnaire “When you feel better, do you sometimes stop taking your medicine?” (percentage of affirmative answers in the SMS group vs control was 45% and 59%, respectively, p = 0.02).ConclusionsSMS reminders, added to standard interventions for schizophrenia management, may help many patients to improve adherence to antipsychotic medication.

Efektivitas Short Message Service Reminderterhadap Kepatuhan Konsumsi Tablet Besi pada Wanita Hamil

1970 ◽  
Vol 2 (3) ◽  
Author(s):  
Ermiati E ◽  
Imas Rafiyah ◽  
Devi Kusnanti
Keyword(s):  
Short Message Service ◽  
Self Report ◽  
Control Group ◽  
Short Message ◽  
Control Groups ◽  
Chi Square ◽  
Purposive Sampling ◽  
Message Service ◽  
Sms Reminder ◽  
Expectant Mothers

Anemia merupakan salah satu penyebab terjadinya perdarahan dan bisa mengakibatkan kematian pada ibu hamil. Suplementasi besi merupakan program pemerintah dalam mengatasi anemia pada wanita hamil dan beberapa wanita hamil masih ada yang belum patuh dalam mengkonsumsi tablet besi. Oleh karena itu, diperlukan sebuah metode yang bisa meningkatkan kepatuhan wanita hamil dalam mengonsumsi tablet besi yaitu dengan short message service (SMS) reminder. Penelitian ini bertujuan untuk mengidentifikasi efektivitas SMS reminderterhadap kepatuhan konsumsi tablet besi pada ibu hamil di (unit pelayanan terpadu) UPT Puskesmas Cibuntu Kota Bandung. Rancangan penelitian quasi experimentaldengan desain posttest-only with control group designdengan teknik pengambilan sampel yang digunakan adalah purposive sampling. Penelitian ini dilaksanakan dari bulan April–Mei tahun 2014 di Puskesmas X Kota Bandung. Sampel berjumlah 40 orang wanita hamil yang tidak patuh dalam mengonsumsi tablet besi yang dibagi menjadi 20 kelompok intervensi dan 20 kelompok kontrol. Data diperoleh melalui kuesioner dalam bentuk self report.Analisis data yang digunakan adalah analisis deskriptif dan uji chi square. Hasil penelitian menunjukkan sebagian besar kelompok intervensi 17 orang (85%) patuh dan sebagian besar kelompok kontrol 16 orang (80%) tidak patuh. Hasil analisis dengan menggunakan chi squaredidapatkan p(0.000) dengan taraf signifikan <0.05 sehingga dapat disimpulkan bahwa SMS reminder efektif terhadap kepatuhan konsumsi tablet besi pada wanita hamil dan bisa dijadikan bahan pertimbangan bagi pihak Puskesmas untuk menjalin kerjasama dengan pihak provideratau mengajukan dana ke Dinas Kesehatan untuk mengaktifkan SMS reminderdi Puskesmas.Kata kunci: Kepatuhan, SMS reminder,tablet besi, wanita hamil AbstractAnemia is one of the leading causes of hemorrhage during pregnancy, and it can cause death to expectant mothers. Iron supplementation is a government program to overcome anemia among expectant mothers, and some of the expectant mothers still do not obediently consume iron tablets. Therefore, to increase the obedience of the expectant mothers on consuming the iron tablets, SMS reminder is the appropriate method needed. This research aims to identify the effectiveness of SMS reminder to the obedience of iron tablets consumption among expectant mothers at UPT Puskesmas Cibuntu , Bandung. The research employed quasi-experimental design with posttest-only control group design using purposive sampling technique. The research was held on April–May 2014 at UPT Puskesmas Cibuntu, Bandung. Forty expectant mothers consuming iron tablets disobediently divided into 20 intervention groups and 20 control groups were taken as the samples. Questionnaire in form of self report was used to obtain data. In addition, descriptive analysis and chi square test were applied to analyze the data. The result of the research showed that 17 persons (85%) of intervention groups were mostly obedient, and 16 persons (80%) of control groups were mostly disobedient. From the analysis using chi square, it was found the difference of the obedience of iron tablets consumption after SMS reminder (p=0.00) had been delivered with significant level <0.05. Based on the result of this research, SMS reminder had an effective impact toward the obedience of iron tablets consumption among the expectant mothers. The result will be a good consideration for Puskesmas to cooperate with provider or proposed some funds to Dinas Kesehatan to activate SMS reminder.Key words:Expectant mothers, obedience, SMS reminder, iron tablets

scholarly journals Effect of a Mobile Phone–Based Glucose-Monitoring and Feedback System for Type 2 Diabetes Management in Multiple Primary Care Clinic Settings: Cluster Randomized Controlled Trial

10.2196/16266 ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. e16266 ◽  
Author(s):  
Yeoree Yang ◽  
Eun Young Lee ◽  
Hun-Sung Kim ◽  
Seung-Hwan Lee ◽  
Kun-Ho Yoon ◽  
...  
Keyword(s):  
Primary Care ◽  
Mobile Phone ◽  
Diabetes Management ◽  
Primary Care Clinic ◽  
Intervention Group ◽  
Glucose Monitoring ◽  
Feedback System ◽  
Control Group ◽  
Care Clinic ◽  
Cluster Randomized

Background Recent evidence of the effectiveness of mobile phone–based diabetes management systems is generally based on studies conducted in tertiary hospitals or professional diabetes clinics. Objective This study aimed to evaluate the clinical efficacy and applicability of a mobile phone–based glucose-monitoring and feedback system for the management of type 2 diabetes mellitus (T2DM) in multiple primary care clinic settings. Methods In this multicenter, cluster-randomized controlled, open trial, 13 primary care clinics in Seoul and other large cities in South Korea were voluntarily recruited. Overall, 150 (9 clinics) and 97 (4 clinics) participants with T2DM were assigned to the intervention and control groups, respectively (2:1 allocation). Every month, participants in both groups attended face-to-face physicians’ consultation for the management of diabetes in the clinic. For the intervention group, participants were required to upload their daily self-monitoring of blood glucose (SMBG) results using the mobile phone app in addition to outpatient care for 3 months. The results were automatically transmitted to the main server. Physicians had to check their patients’ SMBG results through an administrator’s website and send a short feedback message at least once a week. At baseline and 3 months, both groups had anthropometry and blood tests, including hemoglobin A1c (HbA1c), and responded to questionnaires about treatment satisfaction and compliance. Results At 3 months, participants in the intervention group showed significantly more improvement in HbA1c (adjusted mean difference to control −0.30%, 95% CI −0.50 to −0.11; P=.003) and fasting plasma glucose (−17.29 mg/dL, 95% CI −29.33 to −5.26; P=.005) than those in the control group. In addition, there was significantly more reduction in blood pressure, and the score regarding treatment satisfaction and motivation for medication adherence increased more in the intervention group than in the control group. In the subgroup analyses, the effect on glycemic control was more significant among younger patients and higher baseline HbA1c levels. Conclusions The mobile phone–based glucose-monitoring and feedback system was effective in glycemic control when applied in primary care clinic settings. This system could be utilized effectively with diverse institutions and patients. Trial Registration Clinical Research Information Service (CRIS) https://tinyurl.com/tgqawbz

scholarly journals Perancangan Sistem Informasi Pengingat Perbaikan Komponen Pesawat Berbasis Web

1970 ◽  
Vol 2 (2) ◽  
pp. 119-130
Author(s):  
Al Husain ◽  
Wildan Muhtadin ◽  
Agus Supriadi
Keyword(s):  
Data Storage ◽  
Rural Areas ◽  
Short Message Service ◽  
Short Message ◽  
Information System Design ◽  
Wide Range ◽  
Message Service ◽  
Aircraft Component ◽  
Sms Reminder ◽  
Sms Reminders

Sebagai Pengingat (remainder) menggunakan SMS (Short Message Service) telah banyak dimanfaatkan oleh manusia. Selain memiliki jangkauan luas, hingga mencapai daerah pedesaan, SMS mudah digunakan dan efisien, SMS Gateway adalah suatu komunikasi dua arah dengan menggunakan tarif normal sesuai dengan tarif yang diberlakukan oleh operator. SMS Gateway memiliki berbagai macam jenis, Pada PT. GMF Aeroasia akan diajukan aplikasi Perancangan Sistem Informasi Pengingat Perbaikan Komponen Pesawat yang dapat membantu sistem yang sedang berjalan yaitu SAP Swift , Pada aplikasi ini, penulis memanfaatkan aplikasi SMS Gateway dengan dua fitur, yaitu SMS Pengingat (Reminder) dan SMS Autorespond. Dengan adanya SMS Pengingat, diharapkan dapat membantu para Planner (Perencana) dalam mengingatkan pembuatan Shipment Order komponen yang akan melakukan maintenance(perawatan), sedangkan melalui SMS Autorespond, Planner (Perencana) dapat melakukan pengecekan jadwal kedatangan komponen. Bahasa pemrograman yang digunakan dalam merancang aplikasi SMS ini adalah PHP. Untuk penyimpanan data, penulis menggunakan SAP. Sementara untuk membangun aplikasi SMS, penulis menggunakan Gammu. Hasil dari aplikasi ini, Planner (Perencana) akan mendapatkan SMS pengingat sebanyak empat kali, yaitu pada hari sebelum komponen tiba di gudang yaitu dua hari dan tiga hari selama komponenberada di gudang , pada hari H atau tepat pada batas akhir pembuatan Shipment Order, dan hari satu hari setelah batas akhir pembuatan Shipment Orderoleh Planner (Perencana) tersebut. Kata Kunci : SAP,SMS (Short Message Service), Gammu, SMS Gateway, SMS Reminder. As a reminder (remainder) Using SMS (Short Message Service) has been used by humans. Besides having a wide range, to reach rural areas, easy to use and efficient SMS, SMS Gateway is a two-way communication using the normal rate in accordance with the tariffs applied by operators. SMS Gateway has various types, In. GMF will be filed applications Reminder Information System Design Aircraft Component Repair can help the running system ie SAP Swift, In this application, the authors utilize the SMS Gateway application with two features, namely SMS Reminder (Reminder) and SMS Autorespond. With the SMS Reminders, is expected to help Planner (Planning) in the Order Shipment remind manufacture components that will perform maintenance (maintenance), while via SMS Autorespond, Planners (Planner) can check the schedule of arrival of the components. The programming language used in designing the SMS application is PHP. For data storage, the authors use SAP. While to build SMS application, the author uses Gammu. Results from this application, Planner (Planner) will get SMS reminders four times, ie on the day before the components arrive at the warehouse that is, two days and three days during the components are in the warehouse, on the day or right on the deadline for the manufacture of Shipment Order, and day one day after the deadline for manufacture of Shipment Order by Planner (Planner) is. Keywords: SAP, SMS (Short Message Service), Gammu, SMS Gateway, SMS Reminder.

scholarly journals The Effectiveness of Short Message Service to Assure the Preparation-to-Colonoscopy Interval before Bowel Preparation for Colonoscopy

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Jongha Park ◽  
Tae-Oh Kim ◽  
Nae-Young Lee ◽  
Hyoungjun Kim ◽  
Eun Hee Seo ◽  
...  
Keyword(s):  
Bowel Preparation ◽  
Short Message Service ◽  
Randomized Study ◽  
Multivariate Logistic Regression Analysis ◽  
Cellular Phone ◽  
Short Message ◽  
Message Service ◽  
Sms Reminder ◽  
Sms Reminders ◽  
Improve Compliance

Background/Aims.The preparation-to-colonoscopy (PC) interval is one of several important factors for the bowel preparation. Short message service (SMS) reminder from a cellular phone has been suggested to improve compliance in various medical situations. We evaluated the effectiveness of SMS reminders to assure the PC interval for colonoscopy.Methodology.This prospective randomized study was investigator blinded. In the No-SMS group, patients took the first 2 L polyethylene glycol (PEG) between 6 and 8 PM on the day before colonoscopy and the second 2 L PEG approximately 6 hours before the colonoscopy without SMS. In the SMS group, patients took first 2 L PEG in the same manner as the No-SMS group and the second 2 L PEG after receiving an SMS 6 hours before the colonoscopy.Results.The SMS group had a lower score than the No-SMS group, according to the Ottawa Bowel Preparation Scale(P<0.001). Multivariate logistic regression analysis showed that compliance with diet instructions (odds ratio (OR) 2.109; 95% confidence interval (CI), 1.11–3.99,P=0.022) and intervention using SMS ((OR) 2.329; 95% (CI), 1.34–4.02,P=0.002) were the independent significant factors for satisfactory bowel preparation.Conclusions.An SMS reminder to assure PC interval improved the bowel preparation quality for colonoscopy with bowel preparation.

Effectiveness of the 5A’s Model for Changing Physical Activity Behaviors in Rural Adults Recruited From Primary Care Clinics

2019 ◽  
Vol 16 (12) ◽  
pp. 1138-1146
Author(s):  
Jill R. Reed ◽  
Paul Estabrooks ◽  
Bunny Pozehl ◽  
Kate Heelan ◽  
Christopher Wichman
Keyword(s):  
Physical Activity ◽  
Primary Care ◽  
Primary Care Clinic ◽  
Intervention Group ◽  
Well Being ◽  
Text Messages ◽  
Future Research ◽  
Control Group ◽  
Care Clinic ◽  
Rural Adults

Background: Most rural adults do not meet current guidelines for physical activity (PA). A 12-week feasibility study tested the effectiveness of using the 5A’s model for PA counseling on rural adults’ PA behaviors. Methods: Inactive rural adults recruited from a primary care clinic were randomized to an intervention (n = 30) or control (n = 29) group. All subjects wore a Fitbit to track steps and active minutes. The intervention group completed action plans to improve self-regulatory PA strategies and received weekly motivational text messages to improve PA behaviors. Theory of planned behavior constructs and self-regulatory strategies of planning, goal setting, and tracking (steps and active minutes) were measured with both groups. The control group received the Fitbit only. Results: All individuals became more physically active; however, no significant differences between groups in active minutes or steps were found. All subjects, regardless of group, increased steps (P > .05). There were no statistically significant differences between groups on any of the theoretical variables. Conclusions: It is vitally important to continue to find ways to make PA a priority to improve the overall health and well-being of rural adults. Future research warrants adjusting the intervention dose and strategies to increase PA that can be maintained long term.

scholarly journals Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1428
Author(s):  
Hannah Holmes ◽  
Cristina Palacios ◽  
YanYan Wu ◽  
Jinan Banna
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Low Income ◽  
Short Message Service ◽  
Intervention Group ◽  
Control Group ◽  
Short Message ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Message Service

Objectives: The objective of this trial was to investigate the effect of educational short message service (SMS), or text messages, on excessive gestational weight gain (GWG) in a low-income, predominantly overweight/obese population. Methods: Participants (n = 83) were mostly overweight/obese women recruited at Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics on the island of O’ahu, Hawai’i at 15–20 weeks gestational age. The intervention group received SMS on nutrition and physical activity during pregnancy designed to help them meet Institute of Medicine (IOM) guidelines for GWG and American College of Obstetricians and Gynecologists guidelines for exercise, respectively. The control group received SMS about general health topics during pregnancy, excluding nutrition and physical activity. Both groups received one text message per week for eighteen weeks. GWG was defined as the difference between the last self-reported weight taken before delivery and participants’ self-reported weight before pregnancy. Differences between study groups were examined using t-tests and Chi-square tests. Linear regression models were used to examine association of GWG with study group and other factors. Results: GWG was similar (p = 0.58) in the control group (14.1 ± 11.4 kg) and the intervention group (15.5 ± 11.6 kg). The percentage of participants exceeding IOM guidelines for GWG was similar (p = 0.51) in the control group (50.0%, n = 17) and the intervention group (60.5%, n = 23). Conclusions: GWG was not significantly different between intervention and control groups. Trials that begin earlier in pregnancy or before pregnancy with longer intervention durations and varying message frequency as well as personalized or interactive messages may be needed to produce significant improvements.

scholarly journals Effect of Educational Short Message Service (SMS) on Excessive Gestational Weight Gain (GWG)

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1004-1004
Author(s):  
Hannah Holmes ◽  
Cristina Palacios ◽  
Yan Yan Wu ◽  
Jinan Banna
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Intervention Group ◽  
Text Messages ◽  
Control Group ◽  
Short Message ◽  
Control Groups ◽  
Gestational Weight ◽  
Message Service ◽  
And Control

Abstract Objectives The objective of this trial was to investigate the effect of educational short message service (SMS), or text messages, on gestational weight gain (GWG) in a low-income population. It was expected that the intervention group, which received text messages on nutrition and physical activity during pregnancy, would experience less GWG when compared to the control group. Methods Participants (n = 83) were recruited at WIC clinics on the island of O‘ahu, Hawai‘i at 15–20 weeks gestational age. Eligibility criteria were: body mass index (BMI) of 25–45 kg/m2 in the first trimester, 18 years of age or older at the time of recruitment, and possession of a cellular phone with the ability to receive text messages. After recruitment, participants were randomized into intervention (n = 42) and control (n = 41) groups. The intervention group received SMS on nutrition and physical activity during pregnancy per the Institute of Medicine and American College of Obstetricians and Gynecologists guidelines, respectively. The control group received SMS about general health topics during pregnancy. Both groups received one text message per week for eighteen weeks. GWG was defined as the difference between the last weight taken before delivery and participants’ self-reported weight before pregnancy. GWG in intervention and control groups was compared using a linear regression model. Results Women were age 27.7 ± 5.3y on average, 65.5% were Native Hawaiian, Pacific Islander or American Indian, 54.8% had some college or more and 37.8% were employed. The average weight before pregnancy was higher in the intervention group (80.6 + 17.7 kg) than that in the control group (76.2 + 15.9 kg), but this difference was not significant (P = 0.24). GWG was lower in the control group (14.1 + 11.4 kg) compared to the intervention group (15.5 + 11.6 kg), but this result was not significant (P = 0.58). Conclusions There was no significant difference in gestational weight gain between the intervention and control groups. Trials that begin earlier in pregnancy or before pregnancy with longer interventions and more frequent messages are needed. Funding Sources Mountain West Clinical Translational Research Infrastructure Network under a grant from the National Institute of General Medicine Sciences of the National Institutes of Health.

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