The aim of this research is to find out if mobile phone text message reminders of appointments can help to address missed appointments in Psychosis Community Services. Another aim is to examine if fewer missed appointments result in clinical benefits for service users and in lower costs for Psychosis Community Services over a period of 6 months. 600 users from 2 London Psychosis Community Services will take part in this research. Each participant will be put into one of two groups, as s/he joins the study: In the first (experimental) group, each participant will receive appointment reminders for 6 months (7 and 1 day/s before each appointment), starting with the first available opportunity upon joining the study. In the second (control) group, each participant will not receive appointment reminders for 6 months. The choice of group for each individual will be made at random by a computer. Clinical information will be collected for 6 months from the time each participant joins the study, using, with his or her consent, their anonymised electronic medical records. The following clinical information will be compared between the experimental and control groups: Attendance of appointments, number of inpatient admissions, number of days in inpatient care, number of inpatient admissions under the mental health treatment act, number of referrals to a home treatment team, number of times patient has changed medication, health and social functioning. Service use, service costs and the cost-effectiveness of the reminder system will also be examined. Towards the end of their participation, service users, as well as mental health professionals, will be invited to express their views, concerns and suggestions in relation to the reminder service by completing a brief anonymised (service users) or anonymous (staff) questionnaire
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
600
A text message reminder service will be sent 7 and 1 days(s) prior to the patients appointment at their Psychosis Community Service.
South London and Maudsley NHS Foundation Trust
London, Greater London, United Kingdom
Outcome of appointment (attended, missed, cancelled by the participant, cancelled by the service)
To assess differences in appointment attendance using online patient records in those who receive the SMS appointment reminders and those that do not
Time frame: From baseline to end of intervention (6 months)
Economic outcome: Use of Psychosis Services and impact on cost
Data on the use of services over the follow-up period will be combined with appropriate unit cost information (Curtis, 2011; Department of health, 2012). Service costs will be compared between the experimental (SMS intervention) and control (No SMS intervention)groups. Cost data often follow a skewed distribution and so bootstrap methods will be employed
Time frame: From baseline to end of intervention (6 months)
Clinical outcome: Number of inpatient admissions
To assess differences in the number of inpatient admissions using online patient records in those who receive the SMS appointment reminders and those that do not
Time frame: From baseline to end of intervention (6 months)
Clinical outcome: Number of days in inpatient care
To assess differences in number of days in inpatient care using online patient records in those who receive the SMS appointment reminders and those that do not
Time frame: From baseline to end of intervention (6 months)
Clinical outcome: Number of inpatient admissions under the mental health treatment act
To assess differences in number of inpatient admissions under the mental health act using online patient records in those who receive the SMS appointment reminders and those that do not
Time frame: From baseline to end of intervention (6 months)
Clinical outcome: Number of referrals to a home treatment team
To assess differences in the number of times a patient has been referred to a home treatment team, using online patient records (a crisis team who further support those with declining mental health) in those who receive the SMS appointment reminders and those that do not
Time frame: From baseline to end of intervention (6 months)
Clinical outcome: Number of times patient has had changes to their medication
To assess differences in the number of times patient has had changes to their medication using online patient records in those who receive the SMS appointment reminders and those that do not
Time frame: From baseline to end of intervention (6 months)
Clinical outcome: Level of health and social functioning, as reflected in the patient's score on the Health of the Nation Outcome Scales (HoNOS)
To assess differences in levels of health and social functioning in those who receive the SMS appointment reminders and those that do not
Time frame: Baseline and 6 months
Economic outcome: cost effectiveness of the SMS intervention
The cost of the actual intervention will be negligible given the extent of general SMS use. However, there could be an impact on service costs and this will be estimated. Data on the use of services over the follow-up period (see below for details) will be combined with appropriate unit cost information (Curtis, 2011; Department of health, 2012). Cost-effectiveness will be assessed by combining the cost data with HoNOS scores using an incremental cost-effectiveness ratio. Uncertainty around the cost-effectiveness estimates will be explored using cost-effectiveness planes and cost-effectiveness acceptability curves.
Time frame: 1 year after baseline
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.