Improving Primary Care Follow-up for Patients With Pelvic Inflammatory Disease

Not Applicable

Completed

• Conditions: Pelvic Inflammatory Disease
• Interventions: Behavioral: Text Message Reminders

• Registration Number: NCT01299259
• Lead Sponsor: Children's Hospital of Philadelphia

Brief Summary

The investigators hypothesize that text message reminders to girls diagnosed with pelvic inflammatory disease (PID) in the emergency department (ED) will improve follow-up to their primary care provider (PCP) after being discharged from the ED.

Detailed Description

The Centers for Disease Control (CDC) recommends that patients diagnosed with pelvic inflammatory disease (PID) receive follow-up care within 72 hours of diagnosis. However, recent studies show that the majority of teenage girls diagnosed with PID do not receive this follow-up care within 72 hours. We hypothesize that text message reminders to girls diagnosed with PID in the emergency department (ED) will improve follow-up to their primary care provider (PCP) after being discharged from the ED.

Study Timeline

• Study First Submitted: 2010-11-30
• Study Start: 2011-02
• Study First Submitted QC: 2011-02-17
• Study First Posted: 2011-02-18
• Status Verified: 2014-10
• Primary Completion: 2014-10
• Study Completion: 2014-10
• Last Update Submitted: 2014-10-27
• Last Update Posted: 2014-10-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 95

Inclusion Criteria

• Females aged 15 years and older
• New diagnosis of PID, as defined by the 2006 CDC minimum criteria for diagnosis of PID, on current ED encounter
• Determined by attending physician to be appropriate for outpatient treatment

Exclusion Criteria

• Patient does not have a cell phone that is capable of receiving text messages
• Developmental disability
• Non-English speaking
• Pregnancy
• Patient who was enrolled in this study on a prior ED visit

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Text Message Reminders	Text Message Reminders	Subjects randomized to the the intervention group will receive a total of 4 text messages on days 2 through 5 to remind them to schedule and attend a PCP follow-up appointment

Primary Outcome Measures

Name	Time	Method
PCP follow-up rates will be used to evaluate the efficacy of text message reminders.	PCP follow-up rates will be assessed 7-14 days after discharge from the ED.

Secondary Outcome Measures

Name	Time	Method
Number of adolescents satisfied with ED care between the control group and intervention group as a measure of patient satisfaction.	7-14 days after ED discharge	Patient satisfaction of ED care when receiving text message reminders.
Barriers to PCP follow-up from an ED visit to measure use of text message technology and rate of change in follow-up care between groups	7-14 days after ED visit	Types of barriers encountered to PCP follow-up from an ED visit for PID care to measure rate of change in follow-up care between groups
Number of adolescents who accept text message reminders as an measure of feasibility and acceptability.	7-14 days after discharge from the ED	The acceptability among adolescents of using text message reminders after ED discharge in adolescents treated in a pediatric ED.
Type of participant characteristics associated with PCP follow-up as a measure of behavior change, compliance and rate of follow-up care	7-14 days after ED discharge	Patient characteristics associated with PCP follow-up

Trial Locations

Locations (1)

The Children's Hospital of Philadelphia; 🇺🇸 Philadelphia, Pennsylvania, United States