RT Journal Article
SR Electronic
T1 Text messaging reminders to reduce non-attendance in chronic disease follow-up: a clinical trial
JF British Journal of General Practice
JO Br J Gen Pract
FD British Journal of General Practice
SP 916
OP 920
DO 10.3399/bjgp09X472250
VO 59
IS 569
A1 Su-May Liew
A1 Seng Fah Tong
A1 Verna Kar Mun Lee
A1 Chirk Jenn Ng
A1 Kwok Chi Leong
A1 Cheong Lieng Teng
YR 2009
UL http://bjgp.org/content/59/569/916.abstract
AB Background Non-attendance results in administrative problems and disruption in patient care. Several interventions have been used to reduce non-attendance, with varying degree of success. A relatively new intervention, text messaging, has been shown to be as effective as telephone reminders in reducing non-attendance. However, no study has looked specifically at using text messaging reminders to reduce non-attendance in chronic disease care.Aim To determine if text messaging would be effective in reducing non-attendance in patients on long-term follow-up, compared with telephone reminders and no reminder.Design of study A randomised controlled trial with three arms: text messaging reminder, telephone reminder, and control.Setting Two primary care clinics in Malaysia.Method A total of 931 subjects who had been on at least 6 months of follow-up were randomised into the three groups. Demographic variables were recorded at the first visit. In the intervention arms, a reminder was sent 24–48 hours prior to the appointment. Non-attendance rate was documented at the second visit. Non-attenders were defined as those who did not attend, attended early, or attended late without rescheduling their appointment. Attenders were defined as participants who had turned up for their scheduled appointment and those who had changed or cancelled their appointment with notification.Results The non-attendance rates in the text messaging group (odds ratio [OR] = 0.62, 95% confidence interval [CI] = 0.41 to 0.93, P = 0.020) and the telephone reminder group (OR = 0.53, 95% CI = 0.35 to 0.81), P = 0.003) were significantly lower than the control group. The absolute non-attendance rate for telephone reminders was lower by 2% compared to the text messaging group. This difference was not found to be statistically significant (P = 0.505).Conclusion Text messaging was found to be as effective as telephone reminder in reducing non-attendance in patients who required long-term follow-up for their chronic illnesses in this study. It could be used as an alternative to conventional reminder systems.