Pelvic Inflammatory Disease
Conditions
Keywords
Text message reminders, Pelvic inflammatory disease, PID, Primary care follow-up, Emergency department care, Discharge instructions
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.
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.
Interventions
BEHAVIORALText 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.
Sponsors
Children's Hospital of Philadelphia
Study design
Allocation
RANDOMIZED
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
SINGLE (Caregiver)
Eligibility
Sex/Gender
FEMALE
Age
15 Years to No maximum
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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
| Measure | Time frame | Description |
|---|---|---|
| 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 |
Countries
United States
Outcome results
None listed