A Text-message Appointment Reminder System to Improve Patient Adherence With Outpatient Follow-up Appointments
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 374
- Locations
- 1
- Primary Endpoint
- Adherence with scheduled appointments within 30 days post-enrollment
Study Overview
Brief Summary
This project proposes administer and evaluate via a randomized controlled trail a text message-based appointment reminder system to promote attendance at clinic appointments after ED discharge.
Detailed Description
Failure to attend scheduled clinic appointments causes inefficiency within the healthcare system, and frequently results in ED visits for non-emergent conditions such as medication refills, ambulatory care sensitive conditions which are potentially preventable with appropriate outpatient management (e.g. foot infections). Many patients seen in the ED report they were unaware of past or future outpatient appointments for which they had been scheduled. These patients are clearly in need of primary care, yet fail to attend 30% of all scheduled outpatient appointments. Patients most often report that they failed to attend scheduled appointments as a result of forgetfulness or confusion regarding dates, times, or locations. National data confirmed by our previous work in the LAC+USC ED demonstrates that > 80% of this population reports using a text-capable mobile device. The investigators believe a system of text message appointment reminders has tremendous potential to facilitate clinic attendance among these patients in desperate need of primary care.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Able to provide consent and read in English or Spanish
- •Have a text message capable mobile phone
- •Know how to receive text messages
- •Have upcoming scheduled clinic appointments
Exclusion Criteria
- •Unable to provide written informed consent
- •Incarcerated
- •Critically ill
- •Altered Mental Status
Arms & Interventions
Control
Patients randomized to the control arm will not receive text message reminder regarding their upcoming appointment.
Text message appointment reminder
Patients randomized to the intervention arm will receive text message appointment reminders including date, time, and location seven, three and one day prior to their scheduled clinic appointments. All appointment reminders will then be delivered automatically.
Intervention: Text message appointment reminder (Other)
Outcomes
Primary Outcomes
Adherence with scheduled appointments within 30 days post-enrollment
Time Frame: 30 days
Secondary Outcomes
- Adherence with scheduled appointments within 6 months post-enrollment(6 months)
Investigators
Sanjay Arora
MD
University of Southern California