Brian Suffoletto|Jaclyn Calabria|A. Ross|Clifton W. Callaway|Donald M. Yealy
A Mobile Phone Text Message Program to Measure Oral Antibiotic Use and Provide Feedback on Adherence to Patients Discharged From the Emergency Department
University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh|University of Pittsburgh
nonadherence prescribed medications impairs therapeutic benefits authors measured ability automated text messaging short message service sms system improve adherence postdischarge antibiotic prescriptionsthis randomized controlled trial urban emergency department ed annual census 65000 convenience sample adult patients discharged prescription oral antibiotics enrolled participants received either daily sms query prescription pickup dosage taken educational feedback based responses intervention usual printed discharge instructions control standardized phone followup interview used day intended completion date determine antibiotic adherence 1 participant filled prescription within 24 hours discharge 2 antibiotic pills left day intended completion prescriptionof 200 patients agreed participate followup completed 144 72 144 26 95 confidence interval ci 19 34 failed fill discharge prescriptions first 24 hours 37 95 ci 29 45 pills left resulting 49 95 ci 40 57 nonadherent patients differences adherence intervention participants controls 57 vs 45 p 01 african american race greater twicedaily dosing selfidentifying expecting difficulty filling taking antibiotics baseline associated nonadherencealmost onehalf 49 patients adhere antibiotic prescriptions ed discharge future work improve design deployment sms interventions optimize effect improving adherence medication ed discharge