Use of an Automated Mobile Phone Messaging Robot in Postoperative Patient Monitoring

Abstract

We find that a mobile phone messaging software robot allows for effective data collection of postoperative pain and pain medication use. Patients undergoing common ambulatory hand procedures utilized an average of 16 tablets of opioid medication in the first postoperative week.

Patient Engagement and Cost Savings Achieved by Automated Telemonitoring Systems Designed to Prevent and Identify Surgical Site Infections After Joint Replacement

“…These numbers are higher than those for similar interventions mentioned in the literature. 18,19 Self-reported measures of adherence to our decolonization protocol were higher than adherence rates that have been previously reported for similar decolonization therapies, 6,20 although the validity of patient-reported adherence rates could be questioned. We believe that adherence to the chlorhexidine cleanser aspect of EpxDecol may be an underestimate of true adherence.…”

Acceptance and Commitment Therapy Delivered via a Mobile Phone Messaging Robot to Decrease Postoperative Opioid Use in Patients With Orthopedic Trauma: Randomized Controlled Trial

“…Improved mood symptoms, less pain interference, and faster cessation of opioid pain medication are some of the recognized benefits of using ACT in clinic-based, interdisciplinary approaches to pain management after surgery [ 17 , 18 ]. Previous investigations have used automated mobile phone messaging robots to deliver PROs [ 20 , 23 ], improve communication with patients [ 27 , 31 ], deliver postoperative orthopedic care [ 32 ], and inquire about pain and opioid utilization [ 4 , 19 , 33 ]. In this study, we used ACT and a mobile phone messaging robot to assess whether these tools in combination could decrease opioid utilization and improve individuals’ perception of their early recovery from injury.…”

“…Evolving communication methods, such as automated mobile phone messaging [ 4 , 19 - 21 ], for health care purposes are increasingly important, as patients prefer these communication methods for delivering and receiving medical information [ 22 ]. Software-driven, automated mobile phone messaging robots (also called chatbots or conversational agents) are low-cost tools that can deliver predefined text-based information and receive incoming responses with high reliability when patients either prefer it or it is necessary to communicate at distance [ 19 , 23 ].…”

“…Evolving communication methods, such as automated mobile phone messaging [ 4 , 19 - 21 ], for health care purposes are increasingly important, as patients prefer these communication methods for delivering and receiving medical information [ 22 ]. Software-driven, automated mobile phone messaging robots (also called chatbots or conversational agents) are low-cost tools that can deliver predefined text-based information and receive incoming responses with high reliability when patients either prefer it or it is necessary to communicate at distance [ 19 , 23 ]. This technology demonstrates high efficacy as part of the treatment of conditions ranging from hypertension to substance abuse [ 24 - 26 ], and it has also proved effective in increasing perioperative communication after hip and knee arthroplasty [ 27 ] and collecting pain and opioid medication data from patients following orthopedic trauma and hand procedures [ 4 , 19 ].…”

“…Software-driven, automated mobile phone messaging robots (also called chatbots or conversational agents) are low-cost tools that can deliver predefined text-based information and receive incoming responses with high reliability when patients either prefer it or it is necessary to communicate at distance [ 19 , 23 ]. This technology demonstrates high efficacy as part of the treatment of conditions ranging from hypertension to substance abuse [ 24 - 26 ], and it has also proved effective in increasing perioperative communication after hip and knee arthroplasty [ 27 ] and collecting pain and opioid medication data from patients following orthopedic trauma and hand procedures [ 4 , 19 ]. In addition, automated mobile phone messaging robots have been validated in the collection of PROs in patients undergoing orthopedic hand [ 20 ] and hip preservation procedures [ 23 ].…”