Can wireless text messaging improve adherence to preventive activities? Results of a randomised controlled trial
Can wireless text messaging improve adherence to preventive activities? Results of a randomised controlled trial
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DOI：
10.1016/j.ijmedinf.2008.07.011
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发表时间：
2009-04-01
影响因子：
4.9
通讯作者：
Yuan, Yufei
中科院分区：
文献类型：
--
作者：
Cocosila, Mihail;Archer, Norm;Yuan, Yufei
目的：确定手机无线短信对提高健康行为依从性的有效性。设计：一项随机、非盲、对照试验对102名18岁及以上的受试者进行了研究，每位受试者都有一部手机，并愿意为了预防原因每天服用一片维生素C，持续一个月。干预组的参与者收到短信提醒，并被要求在服用维生素后确认收到了他们的短信，而对照组的参与者没有短信活动。测量方法：自我报告的依从性和参与者确认服用维生素的短信数量。结果：两组在试验后都报告了依从性的增加：干预组增加了246%，对照组增加了131%。在终点，两组之间没有显著差异：在试验的最后一周，遗漏药片的数量平均差异为0.8（干预组为2.5 / 7，对照组为3.3 / 7），幂为0.54。研究显示，干预组参与者发送的短信确认的平均数量与他们在试验的最后一周报告错过的药片数量之间存在显著的相关性（系数= -0.352,sig = 0.01）。结论：这是一项小型随机对照试验，结果不确定但令人鼓舞。它提出了一种新的方法来解决门诊条件下不充分的依从性，并表明使用信息技术工具的依从性值得进一步研究。2008爱思唯尔爱尔兰有限公司版权所有。
Objective: To determine the effectiveness of cell phone wireless text messaging for improving adherence to a healthy behaviour.Design: A randomised, unblinded, controlled trial was conducted with 102 subjects, 18 years or older, each having a cell phone and willing to take 1 vitamin C pill per day for 1 month for preventive reasons. Intervention group participants received text messaging reminders and were asked to acknowledge receiving their messages after taking the vitamins, whereas control group subjects had no text messaging activity.Measurements: Self-reported adherence and the, number of participant text messages acknowledging vitamins taken.Results: Both groups reported an increased adherence after the trial: by 246% for the intervention group and by 131% for the control group. There was a non-significant difference between the two groups at endpoint: an average difference of 0.8 between the number of pills missed in the last week of the trial (2.5 out of 7 in the intervention and 3.3 out of 7 in the control group) with a power of 0.54. The study revealed a significant correlation (coefficient= -0.352, sig. = 0.01) between the average number of text messaging acknowledgements sent by the intervention group participants and the number of pills they reported missed during the last week of the trial.Conclusion: This was a small randomised controlled trial with inconclusive but encouraging results. It suggests a new approach in addressing insufficient adherence in outpatient conditions and shows that the use of information technology tools for compliance warrants further research. (c) 2008 Elsevier Ireland Ltd. All rights reserved.