Text4Peds: Short Message Service Evaluating Medical Student Education

NCT03346616 | Completed

• 1 other identifier: 26458
• Study Type: interventional
• Target: 162
• Locations: 1 country
• Sites: 1

Brief Summary

In this study, third year medical students on the pediatric clerkship will be randomized to receive either only written educational material (review journal articles) or written educational material plus daily text messages consisting of board style questions with online answers. The students' performance on the National Board of Medical Examiners (NBME) Pediatric Subject Evaluation will be compared between the two groups.

Conditions

Education, Medical, Undergraduate; SMS

Outcome Measures

Primary Outcomes (1)

• National Board of Medical Examiners Pediatric Subject Examination

  The NBME pediatrics subject examination is used to assess medical student knowledge and is a common component of the pediatric clerkship grade. It is also used to compare medical student performance to a national benchmark. NBME scores are on a scale of 0-100 (% correct); mean score for this exam during year of evaluation was 75.7 (SD 8.7).

  Assessed at end of intervention (after 8 weeks)

Study Arms (2)

Texting Group

EXPERIMENTAL

The texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up "answer" text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2 pm and 3 pm.

Other: Texting Group

Non Texting Group

ACTIVE COMPARATOR

The non-texting group received access to the journal articles from which the text message content was derived, but did not receive any text messages or any of the online material or question stems.

Other: Non Texting Group

Interventions

Texting Group OTHER

See above in arm/group description

Texting Group

Non Texting Group OTHER

See above in arm/group description

Non Texting Group

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Third year medical students on the Pediatric Clerkship at Saint Louis University School of Medicine

You may not qualify if:

• Third year medical students who did not have a mobile phone capable of receiving a short message service (SMS) text message

Sponsors & Collaborators

• St. Louis University: lead

Study Sites (1)

St Louis University

St Louis, Missouri, 63104, United States

Location

Related Publications (11)

• Gavali MY, Khismatrao DS, Gavali YV, Patil KB. Smartphone, the New Learning Aid amongst Medical Students. J Clin Diagn Res. 2017 May;11(5):JC05-JC08. doi: 10.7860/JCDR/2017/20948.9826. Epub 2017 May 1.

  PMID: 28658804 BACKGROUND

• Stockwell MS, Kharbanda EO, Martinez RA, Lara M, Vawdrey D, Natarajan K, Rickert VI. Text4Health: impact of text message reminder-recalls for pediatric and adolescent immunizations. Am J Public Health. 2012 Feb;102(2):e15-21. doi: 10.2105/AJPH.2011.300331. Epub 2011 Dec 15.

  PMID: 22390457 BACKGROUND

• Goodarzi M, Ebrahimzadeh I, Rabi A, Saedipoor B, Jafarabadi MA. Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran. J Diabetes Metab Disord. 2012 Aug 31;11(1):10. doi: 10.1186/2251-6581-11-10.

  PMID: 23497632 BACKGROUND

• Hall AK, Cole-Lewis H, Bernhardt JM. Mobile text messaging for health: a systematic review of reviews. Annu Rev Public Health. 2015 Mar 18;36:393-415. doi: 10.1146/annurev-publhealth-031914-122855.

  PMID: 25785892 BACKGROUND

• Sabin LL, Larson Williams A, Le BN, Herman AR, Viet Nguyen H, Albanese RR, Xiong W, Shobiye HO, Halim N, Tran LTN, McNabb M, Hoang H, Falconer A, Nguyen TTT, Gill CJ. Benefits and Limitations of Text Messages to Stimulate Higher Learning Among Community Providers: Participants' Views of an mHealth Intervention to Support Continuing Medical Education in Vietnam. Glob Health Sci Pract. 2017 Jun 27;5(2):261-273. doi: 10.9745/GHSP-D-16-00348. Print 2017 Jun 27.

  PMID: 28655802 BACKGROUND

• Gill CJ, Le Ngoc B, Halim N, Nguyen Viet H, Larson Williams A, Nguyen Van T, McNabb M, Tran Thi Ngoc L, Falconer A, An Phan Ha H, Rohr J, Hoang H, Michiel J, Nguyen Thi Thanh T, Bird L, Pham Vu H, Yeshitla M, Ha Van N, Sabin L. The mCME Project: A Randomized Controlled Trial of an SMS-Based Continuing Medical Education Intervention for Improving Medical Knowledge among Vietnamese Community Based Physicians' Assistants. PLoS One. 2016 Nov 18;11(11):e0166293. doi: 10.1371/journal.pone.0166293. eCollection 2016.

  PMID: 27861516 BACKGROUND

• Chen Y, Yang K, Jing T, Tian J, Shen X, Xie C, Ma B, Liu Y, Yao L, Cao X. Use of text messages to communicate clinical recommendations to health workers in rural China: a cluster-randomized trial. Bull World Health Organ. 2014 Jul 1;92(7):474-81. doi: 10.2471/BLT.13.127076. Epub 2014 Mar 25.

  PMID: 25110372 BACKGROUND

• Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R, Car J. Mobile phone messaging reminders for attendance at healthcare appointments. Cochrane Database Syst Rev. 2013 Dec 5;2013(12):CD007458. doi: 10.1002/14651858.CD007458.pub3.

  PMID: 24310741 BACKGROUND

• Mount HR, Zakrajsek T, Huffman M, Deffenbacher B, Gallagher K, Skinker B, Rivard G, Benson S, Dancel R, Buckman F, Hayes M, Jackson J, Viera AJ. Text messaging to improve resident knowledge: a randomized controlled trial. Fam Med. 2015 Jan;47(1):37-42.

  PMID: 25646876 BACKGROUND

• Draper L, Kuklinski C, Ladley A, Adamson G, Broom M. Texting preferences in a Paediatric residency. Clin Teach. 2017 Dec;14(6):401-406. doi: 10.1111/tct.12590. Epub 2017 Jan 12.

  PMID: 28078778 BACKGROUND

• Broom MA, Adamson GT, Draper LR. Text messaging in medical education. Pediatrics. 2014 Mar;133(3):e491-3. doi: 10.1542/peds.2013-1529. Epub 2014 Feb 17. No abstract available.

  PMID: 24534409 BACKGROUND

Study Officials

• Christopher Brownsworth, MD

  St. Louis University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Pediatrics

Model Details: Participants were randomly assigned to a Texting Group or a Non-Texting Group using a random number generator. The texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up "answer" text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2pm and 3pm. To minimize perceived impropriety, the non-texting group received access to the journal articles from which the content was derived, but did not receive any text messages or any of the synthesized material. The primary outcome was performance on the NBME Pediatric Subject Examination.

Study Record Dates

• First Submitted: October 30, 2017
• First Posted: November 17, 2017
• Study Start: May 2, 2016
• Primary Completion: April 28, 2017
• Study Completion: April 28, 2017
• Last Updated: November 17, 2017

Record last verified: 2017-11

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)