Text messaging reminders to reduce non-attendance in chronic disease follow-up: A clinical trial

Su May Liew, Tong Seng Fah, Verna Kar Mun Lee, Chirk Jenn Ng, Kwok Chi Leong, Cheong Lieng Teng

Research output: Contribution to journalArticle

79 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)916-920
Number of pages5
JournalBritish Journal of General Practice
Volume59
Issue number569
DOIs
Publication statusPublished - Dec 2009

Fingerprint

Text Messaging
Telephone
Chronic Disease
Clinical Trials
Appointments and Schedules
Reminder Systems
Odds Ratio
Confidence Intervals
Malaysia
Primary Health Care
Patient Care
Randomized Controlled Trials
Demography
Control Groups

Keywords

  • Cellular phone
  • Non attendance
  • Primary health care
  • Randomised controlled trial (RCT)
  • Reminder systems

ASJC Scopus subject areas

  • Family Practice

Cite this

Text messaging reminders to reduce non-attendance in chronic disease follow-up : A clinical trial. / Liew, Su May; Seng Fah, Tong; Lee, Verna Kar Mun; Ng, Chirk Jenn; Leong, Kwok Chi; Teng, Cheong Lieng.

In: British Journal of General Practice, Vol. 59, No. 569, 12.2009, p. 916-920.

Research output: Contribution to journalArticle

Liew, Su May ; Seng Fah, Tong ; Lee, Verna Kar Mun ; Ng, Chirk Jenn ; Leong, Kwok Chi ; Teng, Cheong Lieng. / Text messaging reminders to reduce non-attendance in chronic disease follow-up : A clinical trial. In: British Journal of General Practice. 2009 ; Vol. 59, No. 569. pp. 916-920.
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abstract = "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.",
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