Mobile messaging with patients

Martinengo, Laura; Spinazze, Pier; Car, Josip

doi:10.1136/bmj.m884

Cited by 19 publications

(20 citation statements)

References 32 publications

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“…We had to rely on a traditional method of communication such as postal service which has its inherent drawbacks. Mass communication with novel methods such as video-embedded text messages, social media and email would have been a better option for speedy communication and assessment [10][11][12]. However, the lack of accessibility and set-up of these modes of communication were a limiting factor.…”

Section: Discussionmentioning

confidence: 99%

Challenges in delivering rheumatology care during COVID-19 pandemic

et al. 2020

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COVID-19 has significantly affected healthcare systems around the world. To prepare for this unprecedented emergency, elective patient care was put on hold across the National Health Service (NHS). Rheumatology service had to be reorganised with a cancellation of elective clinics and clinical reconfiguration to continue to deliver care to patients, support frontline, and prevent viral transmission. The rheumatology community's responsibility of providing a continuity of care for patients had to be balanced with measures to reduce the risk of viral transmission and also protection of both the patients and staff. We describe our experience of delivering rheumatology service as recommended by the National Institute for Health and Care Excellence (NICE NG167) guidelines at a district general hospital during the current pandemic.

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Section: Discussionmentioning

confidence: 99%

Challenges in delivering rheumatology care during COVID-19 pandemic

et al. 2020

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“…This work is compliant with European Union General Data Protection Regulation; no additional consent for sending healthcare SMS messages is required. [14].…”

Section: Methodsmentioning

confidence: 99%

The impact of COVID-19 on rheumatology patients in a large UK centre using an innovative data collection technique: prevalence and effect of social shielding

et al. 2021

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Objectives We sought to gain insight into the prevalence of COVID-19 and the impact stringent social distancing (shielding) has had on a large cohort of rheumatology (RD) follow-up patients from a single large UK centre. Methods We linked COVID-19-related deaths, screening and infection rates to our RD population (1.2.20-1.5.20) and audited active rheumatology follow-up patients through survey data communicated via a linked mobile phone SMS message. We assessed epidemiology, effect of stringent social distancing (shielding) and quality of life (HRQoL) by Short Form 12 (SF12). Results There were 10,387 active follow-up patients, 7911 had linked mobile numbers. 12/10,387 RD patients died from COVID-19 (0.12%); local population 4131/7,415,149 (0.12%). For patients with mobile phones, 1693/7911 (21%) responded and of these, 1605 completed the SF12. Inflammatory arthritis predominated 1174/1693 (69%); 792/1693 (47%) were shielding. Advice on shielding/distancing was followed by 1372/1693(81%). 61/1693 (4%) reported COVID-19 (24/61 shielding); medication distribution was similar in COVID and non-COVID patients. Mental SF12 (MCS) but not physical (PCS) component scores were lower in COVID (60) vs. non-COVID (1545), mean differences: MCS, − 3.3; 95% CI − 5.2 to − 1.4, P < 0.001; PCS, − 0.4; 95% CI, − 2.1 to 1.3). In 1545 COVID-negative patients, those shielding had lower MCS (− 2.1; 95% CI − 2.8 to − 1.4) and PCS (− 3.1, 95% CI − 3.7 to − 2.5), both P < 0.001. Conclusions Our full RD cohort had no excess of COVID deaths compared to the general local population. Our survey data suggest that shielding adversely affects both mental and physical health in RD. These data broaden our understanding of shielding, indicating need for further study.

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“…Therefore, there is a need to consider issues surrounding security, access, and convenience when developing best practices related to the use of text messaging within HIV clinics. Recently, efforts have been made to clarify best practices regarding text messaging use in health care settings [ 43 - 45 ]. For the intervention informed by this formative study, the clinic ultimately chose to use the secure messaging app but also allowed for standard SMS text messaging for patients without smartphones to maximize both security and access.…”

Section: Discussionmentioning

confidence: 99%

Patient-Provider Text Messaging and Video Calling Among Case-Managed Patients Living With HIV: Formative Acceptability and Feasibility Study

Fonner¹,

Kennedy²,

Desai³

et al. 2021

JMIR Form Res

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Background Patient-provider communication is critical for engaging and retaining people living with HIV in care, especially among medically case-managed patients in need of service coordination and adherence support. Expanding patient-provider communication channels to include mobile health modalities, such as text messaging and video calling, has the potential to facilitate communication and ultimately improve clinical outcomes. However, the implementation of these communication modalities in clinical settings has not been well characterized. Objective The purpose of this study is to understand patient and provider perspectives on the acceptability of and preferences for using text messaging and video calling as a means of communication; perceived factors relevant to adoption, appropriateness, and feasibility; and organizational perspectives on implementation within an HIV clinic in South Carolina. Methods We conducted 26 semistructured in-depth interviews among patients receiving case management services (n=12) and clinic providers (n=14) using interview guides and content analysis informed by the Proctor taxonomy of implementation outcomes and the Consolidated Framework for Implementation Research. Participants were purposefully sampled to obtain maximum variation in terms of age and gender for patients and clinic roles for providers. The data were analyzed using quantitative and qualitative content analyses. Results Most patients (11/12, 92%) and providers (12/14, 86%) agreed that they should have the capacity to text message and/or video call each other. Although consensus was not reached, most preferred using a secure messaging app rather than standard text messaging because of the enhanced security features. Perceived benefits to adoption included the added convenience of text messaging, and potential barriers included the cost and access of smartphone-based technology for patients. From an organizational perspective, some providers were concerned that offering text messaging could lead to unreasonable expectations of instant access and increased workload. Conclusions Patients and providers perceived text messaging and video calling as acceptable, appropriate, and feasible and felt that these expanded modes of communication could help meet patients’ needs while being safe and not excessively burdensome. Although patients and providers mostly agreed on implementation barriers and facilitators, several differences emerged. Taking both perspectives into account when using implementation frameworks is critical for expanding mobile health–based communication, especially as implementation requires active participation from providers and patients.

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Mobile messaging with patients

Cited by 19 publications

References 32 publications

Challenges in delivering rheumatology care during COVID-19 pandemic

Challenges in delivering rheumatology care during COVID-19 pandemic

The impact of COVID-19 on rheumatology patients in a large UK centre using an innovative data collection technique: prevalence and effect of social shielding

Patient-Provider Text Messaging and Video Calling Among Case-Managed Patients Living With HIV: Formative Acceptability and Feasibility Study

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