Text Messaging Follow-up From ED
| Status: | Not yet recruiting |
|---|---|
| Healthy: | No |
| Age Range: | 18 - Any |
| Updated: | 1/13/2019 |
| Start Date: | March 1, 2019 |
| End Date: | December 31, 2020 |
| Contact: | Brooks Obr, MD |
| Email: | brooks-obr@uiowa.edu |
| Phone: | 319-353-6360 |
The Role of Text Messaging in Follow-up Appointments for Patients Discharged From the Emergency Department
Ensuring follow-up for patients after discharge from the emergency department (ED) has long
been a concern for ED care providers. The current technology of text messaging may be able to
assist us in improving follow-up rates. In addition, having a quick and easy communication
tool to be in touch with providers may improve overall patient satisfaction. This study is
designed to evaluate the usage of text messaging to improve follow-up appointment compliance
from the Emergency Department. In this study, a prospective randomized controlled trial (RCT)
will be performed (involving patients scheduled by Emergency Department Nurse Navigators to
follow up with Family Medicine) in which patients will be randomized to a texting appointment
reminder versus standard-of-care (no texting reminder) group. Texted patients will receive
reminders 3 days and 1 day prior to their follow-up appointment. In addition, the patients
will have the ability to text back-and-forth with the Nurse Navigators in order to ask
questions/request clarification if needed. Chart review will be performed of both groups to
evaluate the number of follow-up appointments that patients attended versus rescheduled
versus did not attend/reschedule. These values will then be compared to the retrospective
chart review previously performed to evaluate for non-inferiority of text messaging as a
means of improving patient attendance at follow-up appointments.
been a concern for ED care providers. The current technology of text messaging may be able to
assist us in improving follow-up rates. In addition, having a quick and easy communication
tool to be in touch with providers may improve overall patient satisfaction. This study is
designed to evaluate the usage of text messaging to improve follow-up appointment compliance
from the Emergency Department. In this study, a prospective randomized controlled trial (RCT)
will be performed (involving patients scheduled by Emergency Department Nurse Navigators to
follow up with Family Medicine) in which patients will be randomized to a texting appointment
reminder versus standard-of-care (no texting reminder) group. Texted patients will receive
reminders 3 days and 1 day prior to their follow-up appointment. In addition, the patients
will have the ability to text back-and-forth with the Nurse Navigators in order to ask
questions/request clarification if needed. Chart review will be performed of both groups to
evaluate the number of follow-up appointments that patients attended versus rescheduled
versus did not attend/reschedule. These values will then be compared to the retrospective
chart review previously performed to evaluate for non-inferiority of text messaging as a
means of improving patient attendance at follow-up appointments.
Inclusion Criteria:
1. At least 18 years old
2. Able to read, write and communicate in English - English as the primary language
3. Has a phone with capabilities for text messaging
4. Identifies oneself as someone who is comfortable with text messaging.
5. To follow-up with Family Medicine as outpatient (Scheduled through Emergency
Department Nurse Navigators).
6. Evaluated in the University of Iowa Hospitals and Clinics Emergency Department
Exclusion Criteria:
1. Absence of one or more inclusion criteria
2. Not able to provide informed consent or participate due to limited decision-making
ability.
3. Prisoner
4. Previously has followed with the University of Iowa Hospitals and Clinics Family
Medicine (i.e., would not be a "new" patient establishing care).
We found this trial at
1
site
200 Hawkins Dr,
Iowa City, Iowa 52242
Iowa City, Iowa 52242
866-452-8507
Phone: 319-353-6360
University of Iowa Hospitals and Clinics University of Iowa Hospitals and Clinics—recognized as one of...
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