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Increasing appointment compliance through telephone reminders: does it ring true?

B Cromer, M Chacko, S Phillips

    Journal of Developmental and Behavioral Pediatrics : JDBP
    |June 1, 1987
    PubMed
    Summary
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    Telephone reminders did not improve gonorrhea follow-up appointments overall. However, patients successfully contacted by phone kept appointments more often, suggesting sociobehavioral factors like phone ownership are key for appointment compliance.

    Area of Science:

    • Public Health
    • Infectious Diseases
    • Health Services Research

    Background:

    • Gonorrhea treatment requires effective follow-up to prevent reinfection and transmission.
    • Young people diagnosed with gonorrhea may face barriers to attending scheduled appointments.

    Purpose of the Study:

    • To assess the impact of telephone reminders on appointment-keeping rates in young patients treated for gonorrhea.
    • To identify factors influencing follow-up compliance in this demographic.

    Main Methods:

    • A three-phase study (baseline, intervention with telephone reminders, repeat baseline) involving 339 gonorrhea patients.
    • Appointment compliance was tracked, and patient contactability and telephone ownership were recorded.

    Main Results:

    Related Experiment Videos

    • Overall appointment compliance showed no significant improvement during the telephone reminder intervention phase (31% vs. 32% baseline).
    • Patients successfully reached by telephone during the intervention had higher appointment-keeping rates (44%) compared to those not reached (20%).
    • Among patients not receiving reminders, telephone ownership correlated with higher return rates (32% vs. 18%).

    Conclusions:

    • Telephone reminders alone did not significantly enhance gonorrhea follow-up compliance in young patients.
    • Sociobehavioral factors, particularly telephone ownership, appear to be stronger predictors of appointment compliance than direct telephone reminders.