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Text-message Support to Improve Oral Antibiotic Adherence After ED Discharge (ImpACT)

This study has been completed.
Information provided by (Responsible Party):
University of Pittsburgh Identifier:
First received: July 1, 2011
Last updated: May 18, 2012
Last verified: May 2012
The investigators are testing the hypothesis that patients who are exposed to daily text-message (TM) assessments with feedback will have better adherence to prescription than those patients not exposed to TM-based queries with feedback.

Condition Intervention
Medication Adherence
Behavioral: Mobile phone text messaging

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Supportive Care
Official Title: Feasibility of Using Text-Message Support to Improve Antibiotic Adherence After ED Discharge

Resource links provided by NLM:

Further study details as provided by University of Pittsburgh:

Primary Outcome Measures:
  • Successfully picked up prescription within 24 hours of ED discharge [ Time Frame: 24 hours post ED discharge ]
    We will compare the proporiton of participants in each group who have picked up their prescription within 24 hours of discharge

Secondary Outcome Measures:
  • Complete adherence to oral antibiotics [ Time Frame: 3-14 days ]
    We will compare the proporiton of participants in either group who have achieved complete adherence to dosing and days of treatment

Enrollment: 200
Study Start Date: June 2011
Study Completion Date: December 2011
Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Mobile phone text message Intervention
Daily assessments with feedback about (1) filling prescription and (2) number of doses taken
Behavioral: Mobile phone text messaging
Daily assessment followed by feedback
No Intervention: Control
No TM queries or feedback

Detailed Description:
Short course, oral antibiotics are frequently prescribed to patients treated/discharged from the Emergency Department. Medication adherence involves the patient taking the proper daily dosing of prescribed medication for the entire length of time it is prescribed. Previous studies have shown that prescription non-filling rates range from 5 to 20%. Other studies have shown that even if patients fill their prescription, as low as 30-40% will properly take the medication. The purpose of this study is to determine if the proportion of patients discharged from the Emergency Department that are adherent with antibiotics is higher in patients that are provided TM support using self-report.

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Ages 18 and older
  • Planned discharge form the ED on oral antibiotics

Exclusion Criteria:

  • non-English speaking
  • Prisoner
  • No personal mobile phone with text message features
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01388465

United States, Pennsylvania
UPMC Mercy Emergency Department
Pittsburgh, Pennsylvania, United States
Sponsors and Collaborators
University of Pittsburgh
  More Information

Responsible Party: University of Pittsburgh Identifier: NCT01388465     History of Changes
Other Study ID Numbers: PRO11020492
Study First Received: July 1, 2011
Last Updated: May 18, 2012

Keywords provided by University of Pittsburgh:

Additional relevant MeSH terms:
Anti-Bacterial Agents
Anti-Infective Agents processed this record on April 28, 2017