Text-message Support to Improve Oral Antibiotic Adherence After ED Discharge

Feasibility of Using Text-Message Support to Improve Antibiotic Adherence After ED Discharge

Status

Completed

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT01388465

Acronym

ImpACT

Enrollment

200

Registered

2011-07-06

Start date

2011-06-30

Completion date

2011-12-31

Last updated

2012-05-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Medication Adherence

Keywords

Adherence, Intervention

Brief summary

The investigators are testing the hypothesis that patients who are exposed to daily text-message (TM) assessments with feedback will have better adherence to prescription than those patients not exposed to TM-based queries with feedback.

Detailed description

Short course, oral antibiotics are frequently prescribed to patients treated/discharged from the Emergency Department. Medication adherence involves the patient taking the proper daily dosing of prescribed medication for the entire length of time it is prescribed. Previous studies have shown that prescription non-filling rates range from 5 to 20%. Other studies have shown that even if patients fill their prescription, as low as 30-40% will properly take the medication. The purpose of this study is to determine if the proportion of patients discharged from the Emergency Department that are adherent with antibiotics is higher in patients that are provided TM support using self-report.

Interventions

BEHAVIORALMobile phone text messaging

Daily assessment followed by feedback

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

SINGLE (Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Ages 18 and older * Planned discharge form the ED on oral antibiotics

Exclusion criteria

* non-English speaking * Prisoner * No personal mobile phone with text message features

Design outcomes

Primary

Measure	Time frame	Description
Successfully picked up prescription within 24 hours of ED discharge	24 hours post ED discharge	We will compare the proporiton of participants in each group who have picked up their prescription within 24 hours of discharge

Secondary

Measure	Time frame	Description
Complete adherence to oral antibiotics	3-14 days	We will compare the proporiton of participants in either group who have achieved complete adherence to dosing and days of treatment

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026