Post-traumatic Pain
Conditions
Keywords
Telemedecine, Adherence, post- traumatic pain
Brief summary
The impact of telemonitoring on patients' adherence to post trauma pain treatment , their satisfaction and pain relief after discharge from the ED.
Detailed description
This is a prospective, multicenter, randomized trial . Participants are recruited from the emergency departement of Fattouma Bourguiba Monastir. This study is a seven day three-arm parallel group trial . Participants inculded are aged more than 16 years old who presented to the ED for minor trauma and discharged with analgesic treatment. They are randomized to one of two trial TM intervention groups (SMS and TM) or usual care group (control) in a 1 :1 :1 allocation ratio. For all inculded patients, demographic characteristics were collected as well as clinical examination findings. The interventional care provided at the ED was mentioned. At ED discharge the pain Visual Analogue Scale (VAS) was evaluated and the analgesic treatment prescribed was noted.
Interventions
OTHERSMS reminding
patients received SMS at day 2 , day 4 and day 7 after emergency departement discharge to remind them to take their treatment .
OTHERtelemonitoring
Patients received a phone call on day 2 and day 4 to evaluate the adherence , to detect any problem that can affect the adherence to the treatment and modify the analgesic protocol treatment if needed.
Sponsors
University of Monastir
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Included patients were randomized to one of the 3 groups: 1. Usual care (control) group Patients enrolled in this group were discharged and they didn't undergo any intervention within the treatment period. 2. SMS group Or short message service (SMS) group: patients received SMS at day 2 every day to remind them to take their treatment . 3. Telemonitoring group: Patients received a phone call on day 2 and day 4 to evaluate the adherence , to detect any problem that can affect the adherence to the treatment and modify the analgesic protocol treatment if needed according to an algorithm: At each call (day 2 and day 4), the VAS was assessed. If VAS ≥ 3 we looked for a medication discontinuation, inadequate dose or change of the prescribed treatment and the patient was instructed to take action accordingly . If the problem is related to side effects, the analgesic treatment was changed or associated to another analgesic
Eligibility
Sex/Gender
ALL
Age
16 Years to 90 Years
Healthy volunteers
Yes
Inclusion criteria
* Age \>16 years old with minor trauma and discharged with an analgesic treatment. * Included patients should have regular access to a mobile phone ,were able to interact with SMS or could do so with help of a relative. * Patients who accepted to participate to the study. * No contraindication to analgesic medication
Exclusion criteria
* Swallowing disorder or inability to swallow. * Unsuitable for follow-up.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual analog scale after 7 days of follow-up | at seven day after ED discharge . | Patient's adherence to analgesics treatment which was assessed by calling patients or by sending SMS in day 2, day 4,and day 7 in SMS group and the telemonitoring group respectively. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Likert scale | at seven day post ED discharge . | Patients' satisfaction which was assessed through likert scale. minimum=1(strongly disagree) , maximum=5 (strongly agree) |
Countries
Tunisia
Outcome results
None listed