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

NCT01299259 | Completed DMC

• 1 other identifier: 10-007744
• Study Type: interventional
• Target: 95
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Pelvic Inflammatory Disease

Keywords

Text message reminders; Pelvic inflammatory disease; PID; Primary care follow-up; Emergency department care; Discharge instructions

Outcome Measures

Primary Outcomes (1)

• 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.

Secondary Outcomes (4)

• Number of adolescents who accept text message reminders as an measure of feasibility and acceptability.

  7-14 days after discharge from the ED

• Number of adolescents satisfied with ED care between the control group and intervention group as a measure of patient satisfaction.

  7-14 days after ED discharge

• Type of participant characteristics associated with PCP follow-up as a measure of behavior change, compliance and rate of follow-up care

  7-14 days after ED discharge

• 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

  7-14 days after ED visit

Study Arms (2)

Text Message Reminders

EXPERIMENTAL

Subjects randomized to the the intervention group will receive a total of 4 text messages on days 2 through 5 to remind them to schedule and attend a PCP follow-up appointment

Behavioral: Text Message Reminders

Control Group

NO INTERVENTION

The control group will not receive any additional reminders to follow-up with PCP.

Interventions

Text Message Reminders BEHAVIORAL

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.

Text Message Reminders

Eligibility Criteria

• Age: 15 Years+
• Sex: female
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Children's Hospital of Philadelphia: lead

Study Sites (1)

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, 19104, United States

Location

Related Publications (9)

• 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.

  PMID: 16888612 BACKGROUND

• 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. doi: 10.1097/01.pec.0000169432.14067.eb.

  PMID: 16027575 BACKGROUND

• 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. doi: 10.1016/j.jadohealth.2005.08.008.

  PMID: 16781961 BACKGROUND

• 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.

  PMID: 18619710 BACKGROUND

• 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.

  PMID: 19917951 BACKGROUND

• 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.

  PMID: 18653444 BACKGROUND

• 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.

  PMID: 19822583 BACKGROUND

• 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.

  PMID: 18809542 BACKGROUND

• Wolff M, Balamuth F, Sampayo E, Mollen C. Improving Adolescent Pelvic Inflammatory Disease Follow-up From the Emergency Department: Randomized Controlled Trial With Text Messages. Ann Emerg Med. 2016 May;67(5):602-609.e3. doi: 10.1016/j.annemergmed.2015.10.022. Epub 2015 Dec 11.

  PMID: 26686262 DERIVED

MeSH Terms

Conditions

Pelvic Inflammatory Disease

Condition Hierarchy (Ancestors)

Pelvic Infection; Infections; Adnexal Diseases; Genital Diseases, Female; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Genital Diseases

Study Officials

• Cynthia Mollen, MD, MSCE

  Children's Hospital of Philadelphia

  PRINCIPAL INVESTIGATOR

• Frances Balamuth, MD, PhD

  Children's Hospital of Philadelphia

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 30, 2010
• First Posted: February 18, 2011
• Study Start: February 1, 2011
• Primary Completion: October 1, 2014
• Study Completion: October 1, 2014
• Last Updated: October 28, 2014

Record last verified: 2014-10

Locations

US (1)