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Updated: Jun 20, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Using email and text messaging to improve patient compliance with blood monitoring
Helen Ludlow1, Joanna Hurley, Sunil Dolwani
1University Hospital Llandough, Cardiff and Vale NHS Trust.
Background:
Patients with inflammatory bowel disease may need immunosuppressant therapy. This involves frequent blood tests to ensure results are within safe limits.
Aim:
To investigate whether the use of email and text messaging to remind patients to have blood tests might result in better compliance than using more conventional methods of communication.
Method:
Patients were divided into three groups by self-selection: one wanted email reminders; one wanted texts; while a control group received telephone calls and letters. Data on the delays was analysed.
Results:
In all groups receiving email, text messages or traditional phone call reminders, delays were reduced. Patients in the email/text messaging groups overwhelmingly found these methods helpful and wished them to continue.
Discussion And Conclusion:
The use of email and text messaging helped to reduce delays in monitoring and patients who selected these methods found it helpful. We aim to continue this service.
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