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Utilization of Text Messages to Supplement Rounding Communication: a Randomized Feasibility Study.

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Summary
This summary is machine-generated.

A text message platform improved hospital communication, increasing patient and trainee understanding of care plans and patient goals. This pilot study showed feasibility and acceptability, suggesting potential for better healthcare decision-making.

Keywords:
graduate medical educationhospital medicinepatient communicationroundingtechnology

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Area of Science:

  • Health Communication
  • Medical Informatics
  • Patient Engagement

Background:

  • Fragmented hospital communication leads to patient confusion regarding daily clinical plans.
  • Bidirectional communication between healthcare teams, patients, and families is crucial for effective care.

Purpose of the Study:

  • To pilot a text message-based platform to enhance bidirectional communication about clinical plans and patient goals.
  • To assess the feasibility and acceptability of a novel communication intervention in inpatient settings.

Main Methods:

  • A randomized controlled trial involving 30 adult patients, 30 pediatric patient caregivers, and their treating interns.
  • Daily text messages were used for patients/caregivers to report goals and assess understanding of the clinical plan.
  • Interns received daily texts to report the clinical plan and assess understanding of patient goals.

Main Results:

  • Feasibility was met with high survey response rates across all participant groups (58%-80%).
  • Patients and caregivers in the intervention group showed significantly higher understanding of medication changes (76% vs 50%) and new consultations (90% vs 61%).
  • Interns demonstrated improved understanding of patient goals (93% vs 40%), especially for adult patients (97% vs 17%). Caregivers reported better communication for decision-making.

Conclusions:

  • The text message-based communication intervention was feasible and acceptable to patients, caregivers, and trainees.
  • Preliminary evidence suggests improved understanding of clinical plans, medication changes, and patient goals.
  • Further large-scale randomized trials are warranted to confirm the efficacy of this communication strategy.