Text-message Support to Improve Oral Antibiotic Adherence After ED Discharge

Not Applicable

Completed

• Conditions: Medication Adherence
• Interventions: Behavioral: Mobile phone text messaging

• Registration Number: NCT01388465
• Lead Sponsor: University of Pittsburgh

Brief Summary

The investigators are testing the hypothesis that patients who are exposed to daily text-message (TM) assessments with feedback will have better adherence to prescription than those patients not exposed to TM-based queries with feedback.

Detailed Description

Short course, oral antibiotics are frequently prescribed to patients treated/discharged from the Emergency Department. Medication adherence involves the patient taking the proper daily dosing of prescribed medication for the entire length of time it is prescribed. Previous studies have shown that prescription non-filling rates range from 5 to 20%. Other studies have shown that even if patients fill their prescription, as low as 30-40% will properly take the medication. The purpose of this study is to determine if the proportion of patients discharged from the Emergency Department that are adherent with antibiotics is higher in patients that are provided TM support using self-report.

Study Timeline

• Study Start: 2011-06
• Study First Submitted: 2011-07-01
• Study First Submitted QC: 2011-07-05
• Study First Posted: 2011-07-06
• Primary Completion: 2011-12
• Study Completion: 2011-12
• Status Verified: 2012-05
• Last Update Submitted: 2012-05-18
• Last Update Posted: 2012-05-21

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 200

Inclusion Criteria

• Ages 18 and older
• Planned discharge form the ED on oral antibiotics

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Exclusion Criteria

• non-English speaking
• Prisoner
• No personal mobile phone with text message features

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Mobile phone text message Intervention	Mobile phone text messaging	Daily assessments with feedback about (1) filling prescription and (2) number of doses taken

Primary Outcome Measures

Name	Time	Method
Successfully picked up prescription within 24 hours of ED discharge	24 hours post ED discharge	We will compare the proporiton of participants in each group who have picked up their prescription within 24 hours of discharge

Secondary Outcome Measures

Name	Time	Method
Complete adherence to oral antibiotics	3-14 days	We will compare the proporiton of participants in either group who have achieved complete adherence to dosing and days of treatment

Trial Locations

Locations (1)

UPMC Mercy Emergency Department; 🇺🇸 Pittsburgh, Pennsylvania, United States