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Text4Peds: Short Message Service Evaluating Medical Student Education

Text4Peds: Randomized Controlled Trial Evaluating Medical Student Education

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT03346616
Enrollment
162
Registered
2017-11-17
Start date
2016-05-02
Completion date
2017-04-28
Last updated
2017-11-17

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

Conditions

Education, Medical, Undergraduate, SMS

Brief summary

In this study, third year medical students on the pediatric clerkship will be randomized to receive either only written educational material (review journal articles) or written educational material plus daily text messages consisting of board style questions with online answers. The students' performance on the National Board of Medical Examiners (NBME) Pediatric Subject Evaluation will be compared between the two groups.

Detailed description

In the last decade, the use of smartphone and text messaging (SMS) has increased significantly; during this time, text messaging has become the primary means of communication in some instances. Despite the popularity, text messaging and smartphones have been rarely utilized in the context of medical education. Few studies have been performed examining the effect of text messaging as an adjunct to traditional medical education. A previous study with the Saint Louis University (SLU) Pediatric Residency program, showed the feasibility of using text messaging to deliver medical information to pediatric residents through the Text4Peds program. This study aims to expand Text4Peds to third NBME Pediatric Subject Evaluation performance. The NBME Pediatric Subject Evaluation is a national, standardized pediatric knowledge based exam from the NBME taken by all medical students at the end of their pediatric clerkship.

Interventions

See above in arm/group description

OTHERNon Texting Group

See above in arm/group description

Sponsors

St. Louis University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE

Intervention model description

Participants were randomly assigned to a Texting Group or a Non-Texting Group using a random number generator. The texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up answer text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2pm and 3pm. To minimize perceived impropriety, the non-texting group received access to the journal articles from which the content was derived, but did not receive any text messages or any of the synthesized material. The primary outcome was performance on the NBME Pediatric Subject Examination.

Eligibility

Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
Yes

Inclusion criteria

* Third year medical students on the Pediatric Clerkship at Saint Louis University School of Medicine

Exclusion criteria

* Third year medical students who did not have a mobile phone capable of receiving a short message service (SMS) text message

Design outcomes

Primary

MeasureTime frameDescription
National Board of Medical Examiners Pediatric Subject ExaminationAssessed at end of intervention (after 8 weeks)The NBME pediatrics subject examination is used to assess medical student knowledge and is a common component of the pediatric clerkship grade. It is also used to compare medical student performance to a national benchmark. NBME scores are on a scale of 0-100 (% correct); mean score for this exam during year of evaluation was 75.7 (SD 8.7).

Countries

United States

Outcome results

None listed

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