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

Children's Hospital of Philadelphia95 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pelvic Inflammatory Disease

Interventions

Text Message RemindersBEHAVIORAL

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.

Eligibility

Sex: FEMALEMin age: 15 Years

Medical Language ↔ Plain English

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

Locations (1)

The Children's Hospital of Philadelphia

Philadelphia, Pennsylvania, United States

Outcomes

Primary Outcomes

PCP follow-up rates will be used to evaluate the efficacy of text message reminders.

Time frame: PCP follow-up rates will be assessed 7-14 days after discharge from the ED.

Secondary Outcomes

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.

Time frame: 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.

Time frame: 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

Time frame: 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

Time frame: 7-14 days after ED visit

Data from ClinicalTrials.gov

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