The use of text messaging to improve attendance in primary care: a randomized controlled trial

Leong, K.C. and Chen, W.S. and Leong, K.W. and Mastura, I. and Mimi, O. and Sheikh, M.A. and Zailinawati, A.H. and Ng, C.J. and Phua, K.L. and Teng, C.L. (2006) The use of text messaging to improve attendance in primary care: a randomized controlled trial. Family Practice, 23 (6). pp. 699-705. ISSN 0263-2136,

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Background. Non-attendance is common in primary care and previous studies have reported that reminders were useful in reducing broken appointments. Objective. To determine the effectiveness of a text messaging reminder in improving attendance in primary care. Design. Multicentre three-arm randomized controlled trial. Setting. Seven primary care clinics in Malaysia. Participants. Patients (or their caregivers) who required follow-up at the clinics between 48 hours and 3 months from the recruitment date. Interventions. Two intervention arms consisted of text messaging and mobile phone reminders 24-48 hours prior to scheduled appointments. Control group did not receive any intervention. Outcome measures. Attendance rates and costs of interventions. Results. A total of 993 participants were eligible for analysis. Attendance rates of control, text messaging and mobile phone reminder groups were 48.1, 59.0 and 59.6, respectively. The attendance rate of the text messaging reminder group was significantly higher compared with that of the control group (odds ratio 1.59, 95 confidence interval 1.17 to 2.17, P = 0.005). There was no statistically significant difference in attendance rates between text messaging and mobile phone reminder groups. The cost of text messaging reminder (RM 0.45 per attendance) was lower than mobile phone reminder (RM 0.82 per attendance). Conclusions. Text messaging reminder system was effective in improving attendance rate in primary care. It was more cost-effective compared with the mobile phone reminder.

Item Type: Article
Additional Information: ISI Document Delivery No.: 108WR Times Cited: 80 Cited Reference Count: 19 Leong, Kwok Chi Chen, Wei Seng Leong, Kok Weng Mastura, Ismail Mimi, Omar Sheikh, Mohd Amin Zailinawati, Abu Hassan Ng, Chirk Jenn Phua, Kai Lit Teng, Cheong Lieng Oxford univ press Oxford
Uncontrolled Keywords: Reminder primary care non-attendance text messaging randomized controlled trial (RCT) general-practice appointments
Subjects: R Medicine
Divisions: Faculty of Medicine
Depositing User: Ms azrahani halim
Date Deposited: 04 Nov 2014 03:12
Last Modified: 08 Aug 2019 01:48

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