Improving Primary Care Follow-up for Patients With Pelvic Inflammatory Disease
27 oktober 2014 uppdaterad av: Children's Hospital of Philadelphia
Improving Primary Care Follow-up for Adolescents With PID: A Randomized Controlled Trial Using Text Message Reminders
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.
Studieöversikt
Status
Avslutad
Betingelser
Intervention / Behandling
Detaljerad beskrivning
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.
Studietyp
Interventionell
Inskrivning (Faktisk)
95
Fas
- Inte tillämpbar
Kontakter och platser
Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.
Studieorter
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Pennsylvania
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Philadelphia, Pennsylvania, Förenta staterna, 19104
- The Children's Hospital of Philadelphia
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Deltagandekriterier
Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.
Urvalskriterier
Åldrar som är berättigade till studier
15 år och äldre (Barn, Vuxen, Äldre vuxen)
Tar emot friska volontärer
Nej
Kön som är behöriga för studier
Kvinna
Beskrivning
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
Studieplan
Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Enda
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
|---|---|
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Experimentell: Text Message Reminders
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
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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.
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Inget ingripande: Control Group
The control group will not receive any additional reminders to follow-up with PCP.
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Vad mäter studien?
Primära resultatmått
Resultatmått |
Tidsram |
|---|---|
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PCP follow-up rates will be used to evaluate the efficacy of text message reminders.
Tidsram: PCP follow-up rates will be assessed 7-14 days after discharge from the ED.
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PCP follow-up rates will be assessed 7-14 days after discharge from the ED.
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Number of adolescents who accept text message reminders as an measure of feasibility and acceptability.
Tidsram: 7-14 days after discharge from the ED
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The acceptability among adolescents of using text message reminders after ED discharge in adolescents treated in a pediatric ED.
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7-14 days after discharge from the ED
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Number of adolescents satisfied with ED care between the control group and intervention group as a measure of patient satisfaction.
Tidsram: 7-14 days after ED discharge
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Patient satisfaction of ED care when receiving text message reminders.
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7-14 days after ED discharge
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Type of participant characteristics associated with PCP follow-up as a measure of behavior change, compliance and rate of follow-up care
Tidsram: 7-14 days after ED discharge
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Patient characteristics associated with PCP follow-up
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7-14 days after ED discharge
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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
Tidsram: 7-14 days after ED visit
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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
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7-14 days after ED visit
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Samarbetspartners och utredare
Det är här du hittar personer och organisationer som är involverade i denna studie.
Utredare
- Huvudutredare: Cynthia Mollen, MD, MSCE, Children's Hospital of Philadelphia
- Studierektor: Frances Balamuth, MD, PhD, Children's Hospital of Philadelphia
Publikationer och användbara länkar
Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.
Allmänna publikationer
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Studieavstämningsdatum
Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.
Studera stora datum
Studiestart
1 februari 2011
Primärt slutförande (Faktisk)
1 oktober 2014
Avslutad studie (Faktisk)
1 oktober 2014
Studieregistreringsdatum
Först inskickad
30 november 2010
Först inskickad som uppfyllde QC-kriterierna
17 februari 2011
Första postat (Uppskatta)
18 februari 2011
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
28 oktober 2014
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
27 oktober 2014
Senast verifierad
1 oktober 2014
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- 10-007744
Denna information hämtades direkt från webbplatsen clinicaltrials.gov utan några ändringar. Om du har några önskemål om att ändra, ta bort eller uppdatera dina studieuppgifter, vänligen kontakta register@clinicaltrials.gov. Så snart en ändring har implementerats på clinicaltrials.gov, kommer denna att uppdateras automatiskt även på vår webbplats .
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