The impact of text message (SMS) reminders on helmet use among motorcycle drivers in Dar es Salaam, Tanzania: A randomized, controlled trial (Preprint)

2021 ◽  
Author(s):  
Ben Campbell ◽  
Jesse Heitner ◽  
Peter Amos ◽  
Alexis Fogel ◽  
Vaidehi Mujumdar ◽  
...  
Keyword(s):  
Multiple Testing ◽  
Road Traffic ◽  
Control Group ◽  
Short Message ◽  
Fear Appeal ◽  
Helmet Use ◽  
The Social ◽  
Message Service ◽  
Sms Reminders ◽  
Social Norming

BACKGROUND Road traffic injury (RTI) is a pressing public health issue in Tanzania. Men are particularly at high risk of RTI because nearly all drivers of motorcycle taxis (“bodabodas,” in Kiswahili, or “bodas” for short), a major form of public transportation in the country, are men. Studies have shown that helmet use can significantly reduce disability and death resulting from road traffic injuries. Efforts have been made by the Tanzanian government to develop tighter helmet use laws. However, adherence to helmet use has remained dangerously low throughout the country. One promising intervention to promote helmet use is the introduction of persuasive short message service (SMS) reminders delivered to boda drivers. OBJECTIVE To evaluate the comparative impact of two different types text messages, also known as short message service (SMS) reminders, on motorcycle helmet use. METHODS Participants were 391 commercial motorcycle taxi drivers in Dar es Salaam, Tanzania. Participants were randomized into three groups, each receiving a different set of messages: 1) social-norming messages aimed at emphasizing society’s positive stance on helmet wearing, 2) fear appeal messages that emphasized the dangers of riding without a helmet, and 3) control group messages, which included basic road safety messages unrelated to helmet use. Every participant received the control messages. Adherence to helmet use was evaluated by self-report through surveys conducted at baseline, 3 weeks and 6 weeks. RESULTS At 6 weeks, the odds of self-reporting consistent helmet use was estimated to be 1.58 times higher in the social-norming group than in the control group (P=.043), though this difference is not significant after accounting for multiple testing. There was little difference between fear appeal and control group recipients (OR= 1.03, P=.466). Subgroup analysis suggests that both fear control and social-norming message types might have been associated with increased helmet use among participants who did not consistently wear helmets at baseline (OR= 1.66 & OR=1.84), but this was not significant (P=.109 & P=.071). Amongst those who were consistent wearers at baseline, the social-norming messages performed better than the fear appeal messages, and this difference reached traditional significance (P=.029), but is not significant after accounting for multiple testing. CONCLUSIONS The use of SMS reminders may improve helmet use among motorcycle drivers when framed as social-norming messages. Given that nearly half of the drivers in our sample did not consistently wear their helmets on every trip, strategies to increase consistent usage could be an important benefit to public safety. CLINICALTRIAL clinicaltrials.gov Identifier: NCT02120742 https://clinicaltrials.gov/ct2/show/NCT02120742

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 THE EFFECT OF SHORT MESSAGE SERVICE (SMS) TEXTING ON MEDICATION ADHERENCE AMONG TUBERCULOSIS PATIENTS

2019 ◽  
Vol 13 (1) ◽  
pp. 49
Author(s):  
Yunus Adhy Prasetyo
Keyword(s):  
Medication Adherence ◽  
Short Message Service ◽  
T Test ◽  
Control Group ◽  
Short Message ◽  
Tuberculosis Patients ◽  
The Public ◽  
Significant Difference ◽  
Message Service ◽  
Experimental Group

The study was conducted to examine the effect of Short Message Service (SMS) Texting on medication adherence among tuberculosis patients. 68 persons diagnosed with tuberculosis and registered in the public health center in Klari, Karawang, West Java, Indonesia, were randomly appointed to an experimental or control group; 34 persons assigned to each group. Participants in the experimental group received routine SMS Texting, while those in the control group receive none. Data were analyzed using Dependent t-test and Independent t-test. The results indicated that after participating by receiving SMS texting, there was a significant improvement in medication adherence in TB patients in the experimental group, which was shown by significant difference in mean score of medication adherence. In addition, after participating in the program, there was a meaningful difference in mean scores of medication adherence between the experimental group (X=6.38, SD=0.85) and the control group (X=3.64, SD=1.04), p<0.01. The SMS Texting method appears to be effective in improving medication adherence among TB patients.

scholarly journals Reminder dengan Short Message Service (SMS) Untuk Meningkatkan Kepatuhan Kunjungan K4 dan Kemampuan Deteksi Dini Tanda Bahaya Ibu Hamil Trimester III

2020 ◽  
Vol 5 (2) ◽  
pp. 94-103
Author(s):  
Dewi Afidatul Ummah ◽  
Gita Kostania ◽  
Rosalina Rosalina
Keyword(s):  
Health Center ◽  
Short Message Service ◽  
Control Group ◽  
P Value ◽  
Short Message ◽  
Danger Sign ◽  
Third Trimester ◽  
Trimester Pregnancy ◽  
Management Of Complications ◽  
Message Service

Background: Low K4 rate coverage and management of complications in pregnancy is a problem in Klaten, caused by lack of information and motivation in antenatal care. Short Message Service (SMS) can be used as a support intervention to increase information. This research aims to determine effects of SMS toward K4 compliance and screening danger sign ability among third trimester pregnancy in Wedi Public Health Center. Methods: type of research is a quasy experimental with post-test only non-equivalent control group. The sampling technique used Quota sampling, obtain 52 respondents in the third trimester of pregnancy. Data analysis techniques used Mann Whitney and Chi Square with a significance level of 0.05. Result: K4 compliance of pregnancy could be classified as disobedient of 59,6% and screening danger sign ability among third trimester pregnancy is considered relatively of 53.8%. SMS had a strong impact toward K4 compliance with a p value= 0,002 (p<0,05). SMS also affected screening danger sign ability among third trimester pregnancy with a p value = 0.001 (p<0.05). Conclusion: There is significant effects between SMS toward K4 compliance and screening danger sign ability among third trimester pregnancy in Wedi Pubic Health Center, Klaten Regency.

The Risks of Social Noise Exposure in the Vulnerable Population in Slovakia

2016 ◽  
Vol 41 (3) ◽  
pp. 535-541 ◽  
Author(s):  
Lubica Argalasova ◽  
Alexandra Filova ◽  
Katarina Hirosova ◽  
Diana Vondrova ◽  
Martin Samohyl ◽  
...  
Keyword(s):  
University Students ◽  
Noise Exposure ◽  
Road Traffic ◽  
Sound Level ◽  
Vulnerable Groups ◽  
Control Group ◽  
Road Traffic Noise ◽  
The Social ◽  
Significant Difference ◽  
Housing Facility

Abstract The study is aimed to quantify the effects of social noise exposure (personal music players (PMP), events with high noise exposure) and the exposure to the other environmental noise sources in the selected sample of Slovak university students. The validated ICBEN methodology was used to assess noise annoyance. The measurement of ambient noise levels was done using hand-held sound level analyzer. There were 526 university students (143 males and 383 females, average age 23±2.2) enrolled into the study so far, 192 in the exposed housing facility to road traffic noise and 326 in the control housing facility in Bratislava. The social noise exposure was quantified and followed according to the authorized methodology of the study Ohrkan. From the total sample 416 (79.4%) students reported the use of PMP in the last week for the average time of 314 minutes. There was a significant difference in PMP use between the exposed (85.34%) and the control group (76.31%) (p = 0.01). Among PMP users 28.1% exceeded the LAV (lower action value for industry = 80 dB). The results showed the importance of road traffic and the social noise as well and the need for prevention and intervention in these vulnerable groups.

scholarly journals Impact of Pre-appointment contact and Short Message Service alerts in reducing ‘Did Not Attend’ (DNA) rate on rapid access new breast clinics: A DGH perspective

2020 ◽  
Author(s):  
Pasupathy Kiruparan ◽  
Nanthesh Kiruparan ◽  
Debasish Debnath
Keyword(s):  
Short Message Service ◽  
District General Hospital ◽  
Short Message ◽  
Breast Clinic ◽  
North West ◽  
Rapid Access ◽  
The North ◽  
Message Service ◽  
Sms Reminders ◽  
The Impact

Abstract Background: Failure to attend the clinic without prior intimation, known as “Did Not Attend” (DNA) is a significant global issue. There have been no published studies attempting to reduce DNA rates in breast clinics. We aimed to assess the impact of contacting patients prior to clinic attendance and Short Message Service (SMS) reminder on DNA rates in rapid access new breast clinics, evaluate ‘Could Not Attend’ (CNA) rate, and explore any correlation between age, sex, clinic days and sessions.Methods: Initially, DNAs at the rapid access new breast clinic between 01/04/2018 and 31/03/2019 at a district general hospital in the North-West of England was assessed (Cycle 1). Changes were introduced in terms of contacting patients prior to offering appointments, followed by SMS reminders nearer the clinic dates. Subsequently, DNA was reassessed between 01/10/2019 and 31/03/2020 (Cycle 2). Results: Following implementation of changes, DNA rate reduced from 8.2% to 4.1% (p<0.00001). CNA rates were 0.9% (Cycle 1) and 1.1% (Cycle 2) [p=0.36]. Evening clinics had the lowest DNA rates throughout. DNA patients in cycle 2 were significantly older than those in cycle 1 (p=0.002). Conclusions: Contacting patients prior to clinic appointments and sending SMS reminders helped reduce DNA rates significantly in rapid access new breast clinics. Scheduling clinic sessions with least DNA rates, such as evening clinics, should be contemplated. One should be cautious of Mobile phone technology that conveys SMS, which can potentially disadvantage the older age group. This model could be considered across the board to improve DNA rates.

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