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Lessons Learned From iCare: A Postexamination Text-Messaging-Based Program With Sexual Assault Patients.

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Mobile text interventions can inform sexual assault patients about services, but rarely increase their use of post-care resources. Further research is needed to understand patient needs for better engagement.

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Area of Science:

  • Digital health interventions
  • Sexual assault patient care
  • Mobile health (mHealth)

Background:

  • Few sexual assault survivors access crucial post-examination healthcare or counseling.
  • Mobile technology offers potential for improving patient engagement in postcare.
  • Limited research exists on patient utilization of mobile health interventions for sexual assault survivors.

Purpose of the Study:

  • To examine patient engagement with a 4-week postassault text message program (iCare).
  • To assess patient safety, well-being, and needs for nonoccupational postexposure prophylaxis, pregnancy, and STI testing.
  • To evaluate patient experiences with the criminal justice system via text.

Main Methods:

  • Pilot study involving 40 adult patient records and nurse-patient text communications.
  • Descriptive statistics were used to analyze patient program utilization patterns.

Main Results:

  • 65% of patients responded at least once; only 2 responded throughout.
  • 22.5% opted out early; 42.5% ceased responding by the third message.
  • While communication increased, patients rarely utilized offered assistance (counseling, advocacy).

Conclusions:

  • Text interventions effectively relay information to sexual assault patients.
  • Their effectiveness in increasing postexamination service utilization is limited.
  • Future research should identify patient needs for improved text intervention design.