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Use of Short Message Service (SMS) in a Chronic Kidney Disease Screening Programme: A Feasibility Study
Emmanuel Edet Effa1, Henry Ohem Okpa1, Obiageli Chiezey Onwusaka2
1Department of Internal Medicine, Faculty of Clinical Sciences, University of Calabar & University of Calabar Teaching Hospital, Nigeria.
Summary
Community screening for chronic kidney disease (CKD) using SMS reminders had low patient response for follow-up screenings. Further study is needed to understand factors influencing participation in CKD screening programs.
Area of Science:
- Nephrology
- Public Health
- Telehealth
Background:
- Community screening for chronic kidney disease (CKD) often relies on single measurements.
- Telehealth services, like short message service (SMS), can aid in evaluating kidney dysfunction and risk factors.
Purpose of the Study:
- To assess the effectiveness of SMS reminders for CKD screening follow-up.
- To determine the point prevalence of CKD and associated risk factors in two communities.
Main Methods:
- A cross-sectional study screened 230 participants for CKD and risk factors.
- SMS was used to invite participants for rechecking kidney function.
- CKD was defined by estimated glomerular filtration rate (eGFR) <60ml/min/1.73m² and/or proteinuria.
Main Results:
- The initial point prevalence of CKD was 24.3%, with an adjusted prevalence of 20.1%.
- Over 60% of participants were overweight or obese.
- Low response rates (24% and 45.4%) were observed for follow-up screenings via SMS.
Conclusions:
- Mobile phone SMS reminders showed a low response rate for CKD rescreening.
- Further research is required to identify determinants of participation in kidney disease screening.
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