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Bidirectional Text Messaging to Improve Adherence to Recommended Lipid Testing.

Laura-Mae Baldwin1, Caitlin Morrison2, Jonathan Griffin2

  • 1From the Department of Family Medicine, University of Washington, Seattle, WA (LMB); Kaiser Permanente Washington Health Research Institute, Seattle (CM); Blue Cross and Blue Shield of IL, MT, NM, OK, TX (JG); Department of Public Health Sciences, University of California-Davis, Davis, CA (NA); Department of Bioethics and Humanities, University of Washington, Seattle (KE); Prognosis Data, LLC, Guilford, CT (JG); St. Lukes Health System, Boise, ID (CW); Northwest EHR Collaborative, Anaconda, MT (WR). lmb@uw.edu.

Journal of the American Board of Family Medicine : JABFM
|September 20, 2017
PubMed
Summary

Bidirectional text messaging is a feasible and acceptable way to remind patients about important tests like lipid testing. This technology can effectively reach many patients in clinical settings.

Keywords:
AdherenceHealth Information TechnologyPatient EngagementQuality ImprovementRural Health

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Area of Science:

  • Health Informatics
  • Digital Health
  • Patient Engagement

Background:

  • Technological advancements are increasingly integrated into US healthcare.
  • Opportunities exist to use technology for enhancing patient care.
  • Population health management tools are crucial for proactive healthcare.

Purpose of the Study:

  • To test the feasibility of using bidirectional text messaging for patient reminders.
  • To assess patient acceptance and response to text message health interventions.
  • To explore patient experiences with text messaging for health management.

Main Methods:

  • Development of a text messaging management tool by a collaborative team.
  • Implementation and testing of bidirectional text messaging for lipid testing reminders.
  • Measurement of patient response rates and qualitative interviews with participants.

Main Results:

  • A significant portion of patients lacked cell phone or text messaging capabilities (29.4%).
  • Two-thirds of participating patients (67.9%) responded to text message reminders.
  • The majority of interviewed patients (7/8) reported positive experiences with text messaging.

Conclusions:

  • Bidirectional text messaging is a viable communication method for health reminders.
  • The approach is largely acceptable to patients and has potential for broad clinical application.
  • Text messaging can improve adherence to recommended health screenings like lipid testing.