Improving Primary Care Follow-up for Patients With Pelvic Inflammatory Disease

Sponsor

Children's Hospital of Philadelphia (Other)

Overall Status

Completed

CT.gov ID

NCT01299259

Collaborator

(none)

Enrollment

Location

Arms

Duration (Months)

2.2

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The investigators hypothesize that text message reminders to girls diagnosed with pelvic inflammatory disease (PID) in the emergency department (ED) will improve follow-up to their primary care provider (PCP) after being discharged from the ED.

Condition or Disease	Intervention/Treatment	Phase
Pelvic Inflammatory Disease	Behavioral: Text Message Reminders	N/A

Detailed Description

The Centers for Disease Control (CDC) recommends that patients diagnosed with pelvic inflammatory disease (PID) receive follow-up care within 72 hours of diagnosis. However, recent studies show that the majority of teenage girls diagnosed with PID do not receive this follow-up care within 72 hours. We hypothesize that text message reminders to girls diagnosed with PID in the emergency department (ED) will improve follow-up to their primary care provider (PCP) after being discharged from the ED.

Study Design

Study Type:

Interventional

Actual Enrollment :

95 participants

Allocation:

Randomized

Intervention Model:

Single Group Assignment

Masking:

Single (Care Provider)

Primary Purpose:

Treatment

Official Title:

Improving Primary Care Follow-up for Adolescents With PID: A Randomized Controlled Trial Using Text Message Reminders

Study Start Date :

Feb 1, 2011

Actual Primary Completion Date :

Oct 1, 2014

Actual Study Completion Date :

Oct 1, 2014

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Text Message Reminders Subjects randomized to the the intervention group will receive a total of 4 text messages on days 2 through 5 to remind them to schedule and attend a PCP follow-up appointment	Behavioral: Text Message Reminders Patients in the intervention group will receive text messages on their cell phones following discharge from the emergency department reminding them to make an appointment with their primary care provider. Text messages will be sent daily for 4 days after discharge from the ED.
No Intervention: Control Group The control group will not receive any additional reminders to follow-up with PCP.

Arm

Intervention/Treatment

Experimental: Text Message Reminders

Subjects randomized to the the intervention group will receive a total of 4 text messages on days 2 through 5 to remind them to schedule and attend a PCP follow-up appointment

Behavioral: Text Message Reminders

Patients in the intervention group will receive text messages on their cell phones following discharge from the emergency department reminding them to make an appointment with their primary care provider. Text messages will be sent daily for 4 days after discharge from the ED.

No Intervention: Control Group

The control group will not receive any additional reminders to follow-up with PCP.

Outcome Measures

Primary Outcome Measures

PCP follow-up rates will be used to evaluate the efficacy of text message reminders. [PCP follow-up rates will be assessed 7-14 days after discharge from the ED.]

Secondary Outcome Measures

Number of adolescents who accept text message reminders as an measure of feasibility and acceptability. [7-14 days after discharge from the ED]
The acceptability among adolescents of using text message reminders after ED discharge in adolescents treated in a pediatric ED.
Number of adolescents satisfied with ED care between the control group and intervention group as a measure of patient satisfaction. [7-14 days after ED discharge]
Patient satisfaction of ED care when receiving text message reminders.
Type of participant characteristics associated with PCP follow-up as a measure of behavior change, compliance and rate of follow-up care [7-14 days after ED discharge]
Patient characteristics associated with PCP follow-up
Barriers to PCP follow-up from an ED visit to measure use of text message technology and rate of change in follow-up care between groups [7-14 days after ED visit]
Types of barriers encountered to PCP follow-up from an ED visit for PID care to measure rate of change in follow-up care between groups

Eligibility Criteria

Criteria

Ages Eligible for Study:

15 Years and Older

Sexes Eligible for Study:

Female

Accepts Healthy Volunteers:

Inclusion Criteria:

Females aged 15 years and older
New diagnosis of PID, as defined by the 2006 CDC minimum criteria for diagnosis of PID, on current ED encounter
Determined by attending physician to be appropriate for outpatient treatment

Exclusion Criteria:

Patient does not have a cell phone that is capable of receiving text messages
Developmental disability
Non-English speaking
Pregnancy
Patient who was enrolled in this study on a prior ED visit

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	The Children's Hospital of Philadelphia	Philadelphia	Pennsylvania	United States	19104

Sponsors and Collaborators

Children's Hospital of Philadelphia

Investigators

Principal Investigator: Cynthia Mollen, MD, MSCE, Children's Hospital of Philadelphia
Study Director: Frances Balamuth, MD, PhD, Children's Hospital of Philadelphia