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Improving attendance in mental health using text message appointment reminders
Dissertation   Open access

Improving attendance in mental health using text message appointment reminders

Michelle D. Beaupre
Doctor of Nursing Practice (D.N.P.), Drexel University
2018
DOI:
https://doi.org/10.17918/D86958
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Abstract

Nursing--Practice Text messages (Cell phone systems) Medical appointments and schedules Patient compliance Nursing
Background: Missed appointments interfere with treatment progress and affect patient outcomes. Additionally, there is an inefficiency in staff productivity and clinic costs. Purpose: To determine if implementing a text message appointment reminder system will improve patient attendance and clinic cost when compared to phone call reminders at an outpatient mental health clinic. Methods: A prospective cohort trial was implemented to compare attendance rates and cost among patients who receive text message appointment reminders to those who receive phone call reminders at a mental health clinic in Harris County, Texas. Evaluation: The data was cleaned, coded and checked for outliers and shape of distribution. Comparison analysis between the two intervention groups were performed using a student t-test. A total of 350 participants were included in the study. 183 (52.3%) participants chose to receive a text message appointment reminder and 167 (47.7%) chose to receive a phone call reminder. There was a total of 112, 32% (m 0.50, SD 0.50) males and 238, 68% (m 0.5, SD 0.497) females. Bivariate correlations were run on all variables. On average, people who received text message appointment reminders were more likely to attend their appointments (m = .96, SE .015) than those who received phone call appointment reminders (m = .72, SE .035). Demographic data analysis was also performed. Clinical Implications: Improving appointment attendance is critical in a multitude of medical settings; reducing failure to attend rates improves quality of patient care which improves patient outcomes. From a business perspective, text message appointment reminders may result in reducing costs.

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