Automated SMS-Based Appointment Validation Tool
An Automated SMS-Based Reminder and Rescheduling Tool to Improve Appointment Adherence Rates and Glycemic Control Among Diabetes Patients in San Mateo County
1 other identifier
interventional
300
1 country
1
Brief Summary
Medic Mobile conceptualized and proposed the creation of an SMS-based appointment validation tool to automate appointment confirmation and rescheduling. Working in parallel with the San Mateo Medical Center (SMMC) electronic medical records (EMR) system, the software tool will automate reminders that request text responses from patients to either confirm or request to reschedule their upcoming appointments. While simple in concept, this tool aims to free up scarce clinical resources which are currently allocated to daily patient phone call reminders. With funding from a Bay Area foundation, the investigators will develop and pilot this open-source software tool in a 12-month randomized-controlled trial, slated to begin in October 2012. The endpoints of the study will aim to demonstrate improvements in both appointment adherence and glycemic control.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for early_phase_1 diabetes-mellitus-type-2
Started Oct 2012
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 20, 2012
CompletedFirst Posted
Study publicly available on registry
August 23, 2012
CompletedStudy Start
First participant enrolled
October 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2013
CompletedAugust 23, 2012
August 1, 2012
1 year
August 20, 2012
August 22, 2012
Conditions
Outcome Measures
Primary Outcomes (1)
Glycemic Control (hemoglobin A1c)
The hemoglobin A1c (HbA1c) levels of study participants will be measured at the time of enrollment and at the end of the 6-9 month follow-up period.
6-9 months post-enrollment
Secondary Outcomes (1)
Appointment Adherence Rate
6-9 month post-enrollment
Study Arms (2)
SMS Appointment Reminders
EXPERIMENTAL150 patients will be randomly assigned to the intervention arm of the study and receive text reminders about their upcoming appointments.
Existing Reminder Protocol
NO INTERVENTION150 patients will be randomly assigned to the control arm of the study and will not receive SMS reminders about their upcoming appointments. They will, however, be subject to the clinics' existing reminder protocol (phone call reminders by either clinic personnel or computer machine).
Interventions
The 150 patients in the intervention arm of the study will receive SMS reminders regarding their upcoming appointments. Working in parallel with the SMMC electronic medical records system, the software tool will automate reminders that request text responses from patients to either confirm or request to reschedule their upcoming appointments. This bidirectional text messaging system would not interfere with the clinics' existing reminder protocol.
Eligibility Criteria
You may qualify if:
- Belong to Willow Clinic or Fair Oaks Clinic under the San Mateo Medical Center
- Have a diagnosis of type 2 diabetes as indicated by ICD-9 code of 249.xx or 250.xx
- Have a most recent hemoglobin A1c (HbA1c) level greater than 7%
- Are at least 18 years of age
- Have access to cell phone
- Are literate or live with a friend/family member who is literate and willing to handle associated text messages
You may not qualify if:
- Have a terminal illness and prognosis of less than one year
- Are unable to demonstrate the ability to reply to an SMS and lack an appropriate proxy
- Are pregnant or expect to be pregnant in the next 6-9 months
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Medic Mobilelead
- San Mateo Medical Centercollaborator
Study Sites (1)
San Mateo Medical Center
San Mateo, California, 94403, United States
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nadim Mahmud
Medic Mobile
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- early phase 1
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 20, 2012
First Posted
August 23, 2012
Study Start
October 1, 2012
Primary Completion
October 1, 2013
Study Completion
December 1, 2013
Last Updated
August 23, 2012
Record last verified: 2012-08