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Implementation of a Text Message to Improve Adherence to Clinic and Social Service Appointments
Nishal Anthony1, Jennifer Molokwu2, Ogechika Alozie3,4
11 Resident Physician Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX, USA.
Introduction:
Attendance to clinic appointments and compliance with treatment plans are essential components of HIV/AIDS care. Compliance is especially important in young and minority individuals living with HIV/AIDS. We assessed the effectiveness of a text-based reminder system compared with usual care in improving the attendance to clinic and social work appointments at a Ryan White-funded clinic based in an academic institution.
Methods:
Convenience sample looking at 2 periods, 6 months before initiation of text messages and 6 months after initiation of text messages.
Results:
Following a 6-month postintervention period, we found a statistically significant reduction in our no-show rates (individuals failing to keep scheduled appointments) of 24.8% versus 17.7%, P value .05.
Conclusion:
Using an inexpensive online text messaging system, we were able to significantly decrease no-show rates in a primarily younger, low-income, and uninsured population.
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