Short Message Service Based Patient Education in Spine Patients

NCT ID: NCT04458428

Last Updated: 2024-11-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 192 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-07-28
• Study Completion Date: 2024-06-03

Brief Summary

The investigators primary objective is to evaluate whether an SMS based patient education program improves patient satisfaction.

Detailed Description

Back and neck related complaints effect as much as 11% of the U.S. population and are one of the most common presenting complaints at health care visits. A small subset of these patients receive spine surgery of various types in the hopes of alleviating symptoms that are recalcitrant to conservative management. The utilization of spine surgery has been rapidly increasing.2 An estimated 413,000 spinal fusions were performed in the U.S. in 2008 accounting for almost $34 billion in charges.

Patient satisfaction has become an increasingly important measure of healthcare quality. This paradigm shift is evident in the changing reimbursement models used by the Centers for Medicare and Medicaid Services (CMS). Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a survey-based assessment of patient satisfaction that was initially developed in 2002. Currently, HCAHPS provides the ability to compare patient satisfaction with the care they receive at various healthcare systems across the country. These scores are used as part of a value-based purchasing initiative that can lead to a hospital gaining or losing as much as 1.5% of their annual medicare revenue as a result of patient satisfaction based incentives. This presents an important opportunity to optimize patient satisfaction in order to both improve patient care and preserve hospital income.

A number of novel text-message based applications have been developed for healthcare use in various settings. In the surgical setting text messaging has been used to provide pre-operative education modules, as well as to track medication adherence after transplant. This study aims to develop and critically evaluate, a text-messaging based patient education system aimed at improving patient satisfaction with the post-operative course after spine surgery.

Conditions

Patient Satisfaction

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: OTHER
• Blinding Strategy: NONE

Study Groups

Control

No other non-standard of care activities will be performed

Group Type: NO_INTERVENTION

No interventions assigned to this group

Intervention

Will be signed up for the automated short message service (SMS)

Group Type: EXPERIMENTAL

SMS

Intervention Type: OTHER

Patients who are randomized to the intervention arm will be signed up for the automated SMS program. This cohort will receive text messages after surgery, timed from the day of discharge through 14 days post-op. Patients in this cohort will receive text messages each day. The number of text messages varies on patient interest and "yes" responses to see additional information.

Interventions

SMS

Patients who are randomized to the intervention arm will be signed up for the automated SMS program. This cohort will receive text messages after surgery, timed from the day of discharge through 14 days post-op. Patients in this cohort will receive text messages each day. The number of text messages varies on patient interest and "yes" responses to see additional information.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients 18 years and over undergoing spine surgery at the University of Utah

Exclusion Criteria

• Patients under 18 years of age.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 90 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Utah

OTHER

Sponsor Role: lead

Responsible Party

Ryan Spiker

Principle Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Ryan Spiker, M.D.

Role: PRINCIPAL_INVESTIGATOR

University of Utah

Locations

University of Utah Orthopedics

Salt Lake City, Utah, United States

Countries

United States

Other Identifiers

98177

Identifier Type: -

Identifier Source: org_study_id