Effect of Telemedecine on Post -Trauma Pain Medication Adherence .

University of Monastir1,350 enrolled

Overview

The impact of telemonitoring on patients' adherence to post trauma pain treatment , their satisfaction and pain relief after discharge from the ED.

This is a prospective, multicenter, randomized trial . Participants are recruited from the emergency departement of Fattouma Bourguiba Monastir. This study is a seven day three-arm parallel group trial . Participants inculded are aged more than 16 years old who presented to the ED for minor trauma and discharged with analgesic treatment. They are randomized to one of two trial TM intervention groups (SMS and TM) or usual care group (control) in a 1 :1 :1 allocation ratio. For all inculded patients, demographic characteristics were collected as well as clinical examination findings. The interventional care provided at the ED was mentioned. At ED discharge the pain Visual Analogue Scale (VAS) was evaluated and the analgesic treatment prescribed was noted.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

1,350

Conditions

Post-traumatic Pain

Interventions

SMS remindingOTHER

patients received SMS at day 2 , day 4 and day 7 after emergency departement discharge to remind them to take their treatment .

telemonitoringOTHER

Patients received a phone call on day 2 and day 4 to evaluate the adherence , to detect any problem that can affect the adherence to the treatment and modify the analgesic protocol treatment if needed.

Eligibility

Sex: ALLMin age: 16 YearsMax age: 90 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Age \>16 years old with minor trauma and discharged with an analgesic treatment. * Included patients should have regular access to a mobile phone ,were able to interact with SMS or could do so with help of a relative. * Patients who accepted to participate to the study. * No contraindication to analgesic medication Exclusion Criteria: * Swallowing disorder or inability to swallow. * Unsuitable for follow-up.

Locations (2)

Fattouma Bourguiba Monastir University Hospital Center

Monastir, Tunisia

Fattouma Bourguiba University Hospital of Monastir

Monastir, Tunisia

Outcomes

Primary Outcomes

Visual analog scale after 7 days of follow-up

Patient's adherence to analgesics treatment which was assessed by calling patients or by sending SMS in day 2, day 4,and day 7 in SMS group and the telemonitoring group respectively.

Time frame: at seven day after ED discharge .

Secondary Outcomes

Likert scale

Patients' satisfaction which was assessed through likert scale. minimum=1(strongly disagree) , maximum=5 (strongly agree)

Time frame: at seven day post ED discharge .

Data from ClinicalTrials.gov

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