Automated alerts and reminders targeting patients: A review of the literature

Perri-Moore, Seneca; Kapsandoy, Seraphine; Doyon, Katherine; Hill, Brent; Archer, Melissa; Shane‐McWhorter, Laura; Bray, Bruce E.; Zeng‐Treitler, Qing

doi:10.1016/j.pec.2015.12.010

Cited by 41 publications

(27 citation statements)

References 53 publications

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“…All of them also indicated that the SMS reminder system supported their clients in their everyday life. This is to our mind good signs of a potential use of similar systems in the future, as well as in line with findings by Perri-Moore et al [5] who mentioned that “Automated technology may reliably assist clients to adhere to their health regimen, increase attendance rates, supplement discharge instructions, decrease readmission rates, and potentially reduce clinic costs”.…”

Section: Discussionsupporting

confidence: 86%

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User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation

Fors

Kamwesiga

Eriksson

et al. 2019

BMC Med Inform Decis Mak

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Background According to WHO stroke is a growing societal challenge and the third leading cause of global disease-burden estimated using disability-adjusted life years. Rehabilitation after stroke is an area of mutual interest for health care in many countries. Within the health care sector there is a growing emphasis on ICT services to provide clients with easier access to information, self-evaluation, and self-management. ICT-supported care programs possible to use in clients’ home environments are also recommended when there are long distances to the health care specialists. The aim of this study was to evaluate the technical usability of a SMS-based reminder system as well as user opinions when using such a system to assist clients to remember to perform daily rehabilitation activities, to rate their performance and to allow Occupational therapists (OT’s) to track and follow-up clients’ results over time. Methods Fifteen persons with stroke were invited to participate in the study and volunteered to receive daily SMS-based reminders regarding three activities to perform on a daily basis as well as answer daily SMS-based questions about their success rate during eight weeks. Clients, a number of family members, as well as OTs were interviewed to evaluate their opinions of using the reminder system. Results All clients were positive to the reminder system and felt that it helped them to regain their abilities. Their OTs agreed that the reminder and follow-up system was of benefit in the rehabilitation process. However, some technical and other issues were limiting the use of the system for some clients. The issues were mostly linked to the fact that the SMS system was based on a Swedish phone number, so that all messages needed to be sent internationally. Conclusion In conclusion, it seems that this type of SMS-based reminder systems could be of good use in the rehabilitation process after stroke, even in low income counties where few clients have access to Internet or smart phones, and where access to healthcare services is limited. However, since the results are based on clients’, OTs’ and family members’ expressed beliefs, we suggest that future research objectively investigate the intervention’s beneficial effects on the clients’ physical and cognitive health. Electronic supplementary material The online version of this article (10.1186/s12911-019-0847-3) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 86%

“…Within the healthcare sector there is a growing emphasis on ICT-based services to provide clients with easier access to information, self-evaluation, and self-management. ICT-supported programs in clients’ home environment are also recommended when there are long distances to the health care specialists [5].…”

Section: Introductionmentioning

confidence: 99%

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation

Fors

Kamwesiga

Eriksson

et al. 2019

BMC Med Inform Decis Mak

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“…Subsequently, an HVE goal for sending reminders to at least 20 percent of patients due for chronic and preventive services was developed. A post-trial targeted search revealed a systematic review on reminders that found 42 out of 51 studies had positive outcomes across preventive and chronic illnesses [35].…”

Section: Resultsmentioning

confidence: 99%

Defining High Value Elements for Reducing Cost and Utilization in Patient-Centered Medical Homes for the TOPMED Trial

Anastas

Wagner

Ross

et al. 2019

eGEMs

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Introduction: Like most patient-centered medical home (PCMH) models, Oregon’s program, the Patient-Centered Primary Care Home (PCPCH), aims to improve care while reducing costs; however, previous work shows that PCMH models do not uniformly achieve desired outcomes. Our objective was to describe a process for refining PCMH models to identify high value elements (HVEs) that reduce cost and utilization. Methods: We performed a targeted literature review of each PCPCH core attribute. Value-related concepts and their metrics were abstracted, and studies were assessed for relevance and strength of evidence. Focus groups were held with stakeholders and patients, and themes related to each attribute were identified; calculation of HVE attainment versus PCPCH criteria were completed on eight primary care clinics. Analyses consisted of descriptive statistics and criterion validity with stakeholder input. Results: 2,126 abstracts were reviewed; 22 met inclusion criteria. From these articles and focus groups of stakeholders/experts (n = 49; 4 groups) and patients (n = 7; 1 group), 12 HVEs were identified that may reduce cost and utilization. At baseline, clinics achieved, on average, 31.3 percent HVE levels compared to an average of 87.9 percent of the 35 PCMH measures. Discussion: A subset of measures from the PCPCH model were identified as “high value” in reducing cost and utilization. HVE performance was significantly lower than standard measures, and may better calibrate clinic ability to reduce costs. Conclusion: Through literature review and stakeholder engagement, we created a novel set of high value elements for advanced primary care likely to be more related to cost and utilization than other models.

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“… 17 Appointment reminder types that have been shown to be effective include mail, phone calls, email, and text messaging. 11 , 21 – 25 Our objectives are to explore why patients miss appointments, to evaluate patient preferences for reminders, and to consider the use of patient-centered appointment reminders to reduce missed appointments. We hypothesize customizing appointment reminders to meet patients’ needs and preferences may improve appointment attendance.…”

Section: Introductionmentioning

confidence: 99%

Getting patients in the door: medical appointment reminder preferences

Crutchfield¹,

Kistler

2017

PPA

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PurposeBetween 23% and 34% of outpatient appointments are missed annually. Patients who frequently miss medical appointments have poorer health outcomes and are less likely to use preventive health care services. Missed appointments result in unnecessary costs and organizational inefficiencies. Appointment reminders may help reduce missed appointments; particular types may be more effective than other types. We used a survey with a discrete choice experiment (DCE) to learn why individuals miss appointments and to assess appointment reminder preferences.MethodsWe enrolled a national sample of adults from an online survey panel to complete demographic and appointment habit questions as well as a 16-task DCE designed in Sawtooth Software’s Discover tool. We assessed preferences for four reminder attributes – initial reminder type, arrival of initial reminder, reminder content, and number of reminders. We derived utilities and importance scores.ResultsWe surveyed 251 adults nationally, with a mean age of 43 (range 18–83) years: 51% female, 84% White, and 8% African American. Twenty-three percent of individuals missed one or more appointments in the past 12 months. Two primary reasons given for missing an appointment include transportation problems (28%) and forgetfulness (26%). Participants indicated the initial reminder type (21%) was the most important attribute, followed by the number of reminders (10%). Overall, individuals indicated a preference for a single reminder, arriving via email, phone call, or text message, delivered less than 2 weeks prior to an appointment. Preferences for reminder content were less clear.ConclusionThe number of missed appointments and reasons for missing appointments are consistent with prior research. Patient-centered appointment reminders may improve appointment attendance by addressing some of the reasons individuals report missing appointments and by meeting patients’ needs. Future research is necessary to determine if preferred reminders used in practice will result in improved appointment attendance in clinical settings.

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Automated alerts and reminders targeting patients: A review of the literature

Cited by 41 publications

References 53 publications

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation

User evaluation of a novel SMS-based reminder system for supporting post-stroke rehabilitation

Defining High Value Elements for Reducing Cost and Utilization in Patient-Centered Medical Homes for the TOPMED Trial

Getting patients in the door: medical appointment reminder preferences

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