Feasibility of Using Text-Message Support to Improve Antibiotic Adherence After ED Discharge
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Pittsburgh
- Enrollment
- 200
- Locations
- 1
- Primary Endpoint
- Successfully picked up prescription within 24 hours of ED discharge
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Ages 18 and older
- •Planned discharge form the ED on oral antibiotics
Exclusion Criteria
- •non-English speaking
- •No personal mobile phone with text message features
Arms & Interventions
Mobile phone text message Intervention
Daily assessments with feedback about (1) filling prescription and (2) number of doses taken
Intervention: Mobile phone text messaging (Behavioral)
Control
No TM queries or feedback
Outcomes
Primary Outcomes
Successfully picked up prescription within 24 hours of ED discharge
Time Frame: 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 Outcomes
- Complete adherence to oral antibiotics(3-14 days)