Pilot and Feasibility Test of Adolescent-Controlled Text Messaging Reminders

Britto, Maria T.; Munafo, Jennifer Knopf; Schoettker, Pamela J.; Vockell, Anna-Liisa B.; Wimberg, Janet; Yi, Michael S.

doi:10.1177/0009922811412950

Cited by 46 publications

(35 citation statements)

References 37 publications

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“…Alternatively, text messaging has been used successfully to deliver information, including reminders for immunizations and medication adherence and healthy preventive tips. [27][28][29][30][31] Given the variety of smartphone functions and the previous success of text messaging, innovation related to expanded text, including links to Web sites, photos, and videos, could enhance the quality of information distributed and create more effective messages for patients. The rapid evolution of digital technology highlights the importance of closely following usage trends.…”

Section: Discussionmentioning

confidence: 99%

Access to Digital Technology Among Families Coming to Urban Pediatric Primary Care Clinics

DeMartini¹,

Beck

Klein

et al. 2013

Pediatrics

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WHAT'S KNOWN ON THIS SUBJECT: Internet, smartphones, and online social media offer new platforms for health promotion and disease management. Few studies have evaluated the use of digital technology among families receiving care in an urban pediatric primary care setting.WHAT THIS STUDY ADDS: Caregivers in an urban pediatric primary care setting have access to and frequently use the Internet, smartphones, and online social media. These technologies may help reach a traditionally hard-to-reach population.abstract OBJECTIVE: Digital technologies offer new platforms for health promotion and disease management. Few studies have evaluated the use of digital technology among families receiving care in an urban pediatric primary care setting. METHODS:A self-administered survey was given to a convenience sample of caregivers bringing their children to 2 urban pediatric primary care centers in spring 2012. The survey assessed access to home Internet, e-mail, smartphone, and social media (Facebook and Twitter). A "digital technology" scale (0-4) quantified the number of available digital technologies and connections. Frequency of daily use and interest in receiving medical information digitally were also assessed. RESULTS:The survey was completed by 257 caregivers. The sample was drawn from a clinical population that was 73% African American and 92% Medicaid insured with a median patient age of 2.9 years (interquartile range 0.8-7.4). Eighty percent of respondents reported having Internet at home, and 71% had a smartphone. Ninety-one percent reported using e-mail, 78% Facebook, and 27% Twitter. Ninety-seven percent scored $1 on the digital technology scale; 49% had a digital technology score of 4. The digital technology score was associated with daily use of digital media in a graded fashion (P , .0001). More than 70% of respondents reported that they would use health care information supplied digitally if approved by their child' s medical provider.CONCLUSIONS: Caregivers in an urban pediatric primary care setting have access to and frequently use digital technologies. Digital connections may help reach a traditionally hard-to-reach population.

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Section: Discussionmentioning

confidence: 99%

Access to Digital Technology Among Families Coming to Urban Pediatric Primary Care Clinics

DeMartini¹,

Beck

Klein

et al. 2013

Pediatrics

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“…The primary outcome measure was the percentage of patients with optimally well-controlled asthma, defined as the best score (16) on our modified asthma control score questionnaire. 47 Our score was based on the Asthma Control Test 48 but was adapted to be consistent with the 2007 National Heart, Lung, and Blood Institute asthma guidelines. 13 When CCHMC transitioned to an electronic health record, to be consistent across the medical center, we began using the top score of 25 on the original Asthma Control Test 48 for our measure of optimally well-controlled and 20 for the usual Asthma Control Test cutoff for well controlled.…”

Section: Outcomes Of Interestmentioning

confidence: 99%

Improving Outcomes for Underserved Adolescents With Asthma

et al. 2014

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BACKGROUND AND OBJECTIVE: Asthma is the most common chronic disease of childhood. Treatment adherence by adolescents is often poor, and their outcomes are worse than those of younger patients. We conducted a quality improvement initiative to improve asthma control and outcomes for high-risk adolescents treated in a primary care setting. METHODS:Interventions were guided by the Chronic Care Model and focused on standardized and evidence-based care, care coordination and active outreach, self-management support, and community connections. RESULTS:Patients with optimally well-controlled asthma increased from ∼10% to 30%. Patients receiving the evidence-based care bundle (condition/severity characterized in chart and, for patients with persistent asthma, an action plan and controller medications at the most recent visit) increased from 38% to at or near 100%. Patients receiving the required self-management bundle (patient selfassessment, stage-of-readiness tool, and personal action plan) increased from 0% to ∼90%. Patients and parents who were confident in their ability to manage their or their adolescent' s asthma increased from 70% to ∼85%. Patient satisfaction and the mean proportion of patients with asthma-related emergency department visits or hospitalizations remained stable at desirable levels.CONCLUSIONS: Implementing interventions focused on standardized and evidence-based care, self-management support, care coordination and active outreach, linkage to community resources, and enhanced followup for patients with chronically not-well-controlled asthma resulted in sustained improvement in asthma control in adolescent patients. Additional interventions are likely needed for patients with chronically poor asthma control. Pediatrics 2014;133:e418-e427 Drs Britto and Byczkowski conceptualized and designed the project, contributed to the acquisition of the data and analysis and interpretation of the results, and drafted the initial manuscript; Ms Vockell, Ms Munafo, Ms Wimberg, and Mr Pruett contributed to the conception and design the project, the acquisition of the data, and analysis and interpretation of the results; Ms Schoettker contributed to the analysis and interpretation of the results and drafted the initial manuscript; Dr Yi contributed to the conception and design of the project and helped to draft the initial manuscript; and all authors approved the final manuscript as submitted.www.pediatrics.org/cgi

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“…[10][11][12][13] Medication adherence and provision of education to enable self-regulation were the focus of articles investigating the use of CPBMI by asthma patients and healthcare providers. [14][15][16][17] Active participation in lifestyle management and the feedback regarding blood glucose levels were mainly discussed in studies of CPBMI in diabetes patients and healthcare providers. [18][19][20][21][22][23][24] Notably, many articles reported the use of CPBMI in enabling lifestyle modification in the treatment of all three diseases, but they described the use of different services in accordance with the characteristics of each disease.…”

Section: Current Clinical Usementioning

confidence: 99%

Future Prospects of Health Management Systems Using Cellular Phones

Kim

Hwang

Lee

et al. 2014

Telemedicine and e-Health

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Background: Cellular phones enable communication between healthcare providers and patients for prevention, diagnosis, and treatment of diseases. However, few studies have examined the userfriendliness or effectiveness of cellular phone-based medical informatics (CPBMI) for healthcare. Materials and Methods: This study investigated the use of CPBMI to identify its current status within the medical field, advantages and disadvantages, practicability, clinical effectiveness, costs, and cost-saving potential. Results: CPBMI was validated in terms of practicality and provision of medical benefits. It is critical to use CPBMI in accordance with the different features of each disease and condition. Use of CPBMI is expected to be especially useful for patients with chronic disease. Conclusions: We discussed the current status of the clinical use, benefits, and risks of CPBMI. CPBMI and information technology-based health management tools are anticipated to become useful and effective components of healthcare management in the future.

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Pilot and Feasibility Test of Adolescent-Controlled Text Messaging Reminders

Abstract: Allowing teens to control the timing and content of reminder text messages may support self-management of chronic disease.

Cited by 46 publications

References 37 publications

Access to Digital Technology Among Families Coming to Urban Pediatric Primary Care Clinics

Access to Digital Technology Among Families Coming to Urban Pediatric Primary Care Clinics

Improving Outcomes for Underserved Adolescents With Asthma

Future Prospects of Health Management Systems Using Cellular Phones

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