Improving Primary Care Follow-up for Patients With Pelvic Inflammatory Disease

Study Overview
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Brief Summary
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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
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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.

Official Title
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Improving Primary Care Follow-up for Adolescents With PID: A Randomized Controlled Trial Using Text Message Reminders

Conditions
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Pelvic Inflammatory Disease

Intervention / Treatment
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* Behavioral: Text Message Reminders


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 15 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Text Message Reminders<br>Subjects randomized to the the intervention group will receive a total of 4 text messages on days 2 through 5 to remind them to schedule and attend a PCP follow-up appointment | Behavioral: Text Message Reminders<br>* 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.<br>|
| No Intervention: Control Group<br>The control group will not receive any additional reminders to follow-up with PCP. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of adolescents who accept text message reminders as an measure of feasibility and acceptability. | The acceptability among adolescents of using text message reminders after ED discharge in adolescents treated in a pediatric ED. | 7-14 days after discharge from the ED | 
| Number of adolescents satisfied with ED care between the control group and intervention group as a measure of patient satisfaction. | Patient satisfaction of ED care when receiving text message reminders. | 7-14 days after ED discharge | 
| Type of participant characteristics associated with PCP follow-up as a measure of behavior change, compliance and rate of follow-up care | Patient characteristics associated with PCP follow-up | 7-14 days after ED discharge | 
| 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 | 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 | 7-14 days after ED visit | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Text message reminders, Pelvic inflammatory disease, PID, Primary care follow-up, Emergency department care, Discharge instructions