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

Pelvic Inflammatory Disease Clinical Trial

Official title:

Improving Primary Care Follow-up for Adolescents With PID: A Randomized Controlled Trial Using Text Message Reminders

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01299259
• Other study ID #: 10-007744
• Status: Completed
• Phase: N/A
• First received: November 30, 2010
• Last updated: October 27, 2014
• Start date: February 2011
• Est. completion date: October 2014

Study information

• Verified date: October 2014
• Source: Children's Hospital of Philadelphia
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial 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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 95
• Est. completion date: October 2014
• Est. primary completion date: October 2014
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 15 Years and older

Eligibility

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

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Caregiver), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Pelvic Inflammatory Disease

Intervention

Behavioral:
• Text Message Reminders
Patients in the intervention group will receive text messages on their cell phones following discharge from the emergency department reminding them to make an appointment with their primary care provider. Text messages will be sent daily for 4 days after discharge from the ED.

Locations

Country	Name	City	State
United States	The Children's Hospital of Philadelphia	Philadelphia	Pennsylvania

Sponsors (1)

Lead Sponsor	Collaborator
Children's Hospital of Philadelphia

Country where clinical trial is conducted

United States, 

References & Publications (8)

Armstrong AW, Watson AJ, Makredes M, Frangos JE, Kimball AB, Kvedar JC. Text-message reminders to improve sunscreen use: a randomized, controlled trial using electronic monitoring. Arch Dermatol. 2009 Nov;145(11):1230-6. doi: 10.1001/archdermatol.2009.269. — View Citation

Centers for Disease Control and Prevention, Workowski KA, Berman SM. Sexually transmitted diseases treatment guidelines, 2006. MMWR Recomm Rep. 2006 Aug 4;55(RR-11):1-94. Erratum in: MMWR Recomm Rep. 2006 Sep 15;55(36):997.. — View Citation

Engel KG, Heisler M, Smith DM, Robinson CH, Forman JH, Ubel PA. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Ann Emerg Med. 2009 Apr;53(4):454-461.e15. doi: 10.1016/j.annemergmed.2008.05.016. Epub 2008 Jul 10. — View Citation

Franklin VL, Greene A, Waller A, Greene SA, Pagliari C. Patients' engagement with "Sweet Talk" - a text messaging support system for young people with diabetes. J Med Internet Res. 2008 Jun 30;10(2):e20. doi: 10.2196/jmir.962. — View Citation

Miloh T, Annunziato R, Arnon R, Warshaw J, Parkar S, Suchy FJ, Iyer K, Kerkar N. Improved adherence and outcomes for pediatric liver transplant recipients by using text messaging. Pediatrics. 2009 Nov;124(5):e844-50. doi: 10.1542/peds.2009-0415. Epub 2009 Oct 12. — View Citation

Riley W, Obermayer J, Jean-Mary J. Internet and mobile phone text messaging intervention for college smokers. J Am Coll Health. 2008 Sep-Oct;57(2):245-8. doi: 10.3200/JACH.57.2.245-248. — View Citation

Trent M, Ellen JM, Walker A. Pelvic inflammatory disease in adolescents: care delivery in pediatric ambulatory settings. Pediatr Emerg Care. 2005 Jul;21(7):431-6. — View Citation

Trent M, Judy SL, Ellen JM, Walker A. Use of an institutional intervention to improve quality of care for adolescents treated in pediatric ambulatory settings for pelvic inflammatory disease. J Adolesc Health. 2006 Jul;39(1):50-6. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	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.	No
Secondary	Number of adolescents who accept text message reminders as an measure of feasibility and acceptability.	The acceptability among adolescents of using text message reminders after ED discharge in adolescents treated in a pediatric ED.	7-14 days after discharge from the ED	No
Secondary	Number of adolescents satisfied with ED care between the control group and intervention group as a measure of patient satisfaction.	Patient satisfaction of ED care when receiving text message reminders.	7-14 days after ED discharge	No
Secondary	Type of participant characteristics associated with PCP follow-up as a measure of behavior change, compliance and rate of follow-up care	Patient characteristics associated with PCP follow-up	7-14 days after ED discharge	No
Secondary	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	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	7-14 days after ED visit	No

External Links

•   Pew Internet & American Life Project