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

Study Overview
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Brief Summary
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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
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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.

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

Conditions
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Medication Adherence

Intervention / Treatment
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* Behavioral: Mobile phone text messaging


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

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: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mobile phone text message Intervention<br>Daily assessments with feedback about (1) filling prescription and (2) number of doses taken | Behavioral: Mobile phone text messaging<br>* Daily assessment followed by feedback<br>|
| No Intervention: Control<br>No TM queries or feedback | |

What is the study measuring?
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Primary Outcome Measures

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

Secondary Outcome Measures

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

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Adherence, Intervention