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일차의료에서 지질저하제 치료 후 외래방문율 개선효과에 대한 휴대폰 문자메시지와 편지 회상법간의 무작위배정 대조군 비교 임상시험

A Randomized Controlled Trial of SMS Text Messaging versus Postal Reminder to Improve Attendance after Lipid Lowering Therapy in Primary Care

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초록

Background: In the primary care setting, compliance with lipid lowering therapy was relatively low. In order to compare the efficacy of a short messaging service (SMS) text messaging and postal reminder as means of improving attendance rates during the first 24 weeks of lipid-lowering therapy, a randomized controlled trial of 918 patients from 19 family practice clinics was conducted between February 2003 and June 2006. Methods: Patients were randomly assigned into 3 groups: SMS (327), postal (294),and control (297) group. To ascertain attendance rates, patients were followed up at 24 weeks after their treatment. Reminders were sent at 16 weeks from the coordinating center. Results: Overall attendance rate was 74.1%. This differed between groups, with 76.1% attendance for the SMS group,73.5% for the postal group, and 72.4% for the control group. According to a multivariate analysis, the SMS group had a significantly higher attendance rate (Odds ratios [OR] 1.48; 95% confidence interval [CI], 1.01 to 2.16) than the control group, but the postal group (OR, 1.15; 95% CI, 0.79 to 1.69) did not. Moreover, the cost per attendance for the SMS reminder (155 Korean Won [KRW]) was much lower than that for the postal reminder (722 KRW). Conclusion: SMS reminder may be more cost saving method to improve the attendance rate compared with the postal reminder.

Abstract

Background: In the primary care setting, compliance with lipid lowering therapy was relatively low. In order to compare the efficacy of a short messaging service (SMS) text messaging and postal reminder as means of improving attendance rates during the first 24 weeks of lipid-lowering therapy, a randomized controlled trial of 918 patients from 19 family practice clinics was conducted between February 2003 and June 2006. Methods: Patients were randomly assigned into 3 groups: SMS (327), postal (294),and control (297) group. To ascertain attendance rates, patients were followed up at 24 weeks after their treatment. Reminders were sent at 16 weeks from the coordinating center. Results: Overall attendance rate was 74.1%. This differed between groups, with 76.1% attendance for the SMS group,73.5% for the postal group, and 72.4% for the control group. According to a multivariate analysis, the SMS group had a significantly higher attendance rate (Odds ratios [OR] 1.48; 95% confidence interval [CI], 1.01 to 2.16) than the control group, but the postal group (OR, 1.15; 95% CI, 0.79 to 1.69) did not. Moreover, the cost per attendance for the SMS reminder (155 Korean Won [KRW]) was much lower than that for the postal reminder (722 KRW). Conclusion: SMS reminder may be more cost saving method to improve the attendance rate compared with the postal reminder.

참고문헌 (29)

  1. World Health Organization, "The world health report 2002", World Health Organization, ~ (2003)
  2. Frick MH, "Helsinki Heart Study: primary-prevention trial with gemfibrozil in middle-aged men with dyslipidemia. Safety of treatment, changes in risk factors, and incidence of coronary heart disease", N Engl J Med, 317, pp.1237~1245 (1987)
  3. Insull W, "The problem of compliance to cholesterol altering therapy", J Intern Med, 241, pp.317~325 (1997)
  4. Andrade SE, "Discontinuation of antihyperlipidemic drugs--do rates reported in clinical trials reect rates in primary care seings?", N Engl J Med, 332, pp.1125~1131 (1995)
  5. Simons LA, "Apparent discontinuation rates in patients prescribed lipid-lowering drugs", Med J Aust, 164, pp.208~211 (1996)
  6. Kim YS, "Determinants of non-compliance with lipid-lowering therapy in hyperlipidemic patients", Pharmacoepidemiol Drug Saf, 11, pp.593~600 (2002)
  7. Seo HK, "Strategies to improve patients' adherence", J Korean Acad Fam Med, 20, pp.1542~1548 (1999)
  8. Roter DL, "Eectiveness of interventions to improve patient compliance: a meta-analysis", Med Care, 36, pp.1138~1161 (1998)
  9. Nazarian LF, "Effect of a mailed appointment reminder on appointment keeping", Pediatrics, 53, pp.349~352 (1974)
  10. Tanke ED, "Use of automated reminders for tuberculin skin test return", Am J Prev Med, 13, pp.189~192 (1997)
  11. Sansom S, "Hepatitis A and B vaccination in a sexually transmied disease clinic for men who have sex with men", Sex Transm Dis, 30, pp.685~688 (2003)
  12. Saywell RM Jr, "Cost-eectiveness comparison of ve interventions to increase mammography screening", Prev Med, 29, pp.374~382 (1999)
  13. Nystuen P, "Telephone reminders are effective in recruiting nonresponding patients to randomized controlled trials", J Clin Epidemiol, 57, pp.773~776 (2004)
  14. Chen ZW, "Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center: a randomized controlled trial", J Zhejiang Univ Sci B, 9, pp.34~38 (2008)
  15. Dyer O, "Patients will be reminded of appointments by text messages", BMJ, 326, pp.1281~ (2003)
  16. Bos A, "Failed appointments in an orthodontic clinic", Am J Orthod Dentofacial Orthop, 127, pp.355~357 (2005)
  17. "Information of medical care by cellular phone and e-mail" (2003)[URL]
  18. Bender B, "Adherence intervention research: what have we learned and what do we do next?", J Allergy Clin Immunol, 112, pp.489~494 (2003)
  19. Heidenreich PA, "Patient adherence: the next frontier in quality improvement", Am J Med, 117, pp.130~132 (2004)
  20. Shepard DS, "Mailed versus telephoned appointment reminders to reduce broken appointments in a hospital outpatient department", Med Care, 14, pp.268~273 (1976)
  21. Warner KE, "Cost-benefit and cost-effectiveness analysis in health care", pp.78~ (1982), Health Administration Press
  22. Guthrie RM, "The effects of postal and telephone reminders on compliance with pravastatin therapy in a national registry: results of the first myocardial infarction risk reduction program", Clin Ther, 23, pp.970~980 (2001)
  23. Fox MC, "Feasibility study of the use of a daily electronic mail reminder to improve oral contraceptive compliance", Contraception, 68, pp.365~371 (2003)
  24. Balas EA, "Computerized knowledge management in diabetes care", Med Care, 42, pp.610~621 (2004)
  25. Leong KC, "The use of text messaging to improve attendance in primary care: a randomized controlled trial", Fam Pract, 23, pp.699~705 (2006)
  26. Newell A, "A mobile phone text message and Trichomonas vaginalis", Sex Transm Infect, 77, pp.225~ (2001)
  27. Avorn J, "Persistence of use of lipid-lowering medications: a crossnational study", JAMA, 279, pp.1458~1462 (1998)
  28. Kiortsis DN, "Factors associated with low compliance with lipid-lowering drugs in hyperlipidemic patients", J Clin Pharm Ther, 25, pp.445~451 (2000)
  29. Suh YS, "The analysis of clinical contents in primary care in university-based family practice clinics", J Korean Acad Fam Med, 13, pp.327~334 (1992)

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