Feasibility of text message follow-up for pediatric asthma care after an emergency department visit
Background: Many children seen in the Emergency Department (ED) for asthma do not follow-up with their primary care provider. Text messaging via short message service (SMS) is a ubiquitous, but untested means of providing post-ED asthma follow-up care.Objective: To evaluate responses to an asthma assessment survey via SMS following an ED visit and estimate the likelihood of response by sociodemographic and clinical characteristics. Methods: We recruited 173 parents of children 2-17 years-old presenting for ED asthma care to receive a follow-up text (participation rate: 85%). One month later, parents received via SMS a 22-item survey that assessed asthma morbidity. We assessed response rates overall and by various sociodemographic and clinical characteristics, including age, parental education, and indicators of asthma severity.Results: Overall, 55% of parents (n = 95) responded to the SMS survey. In multivariable logistic regression (MLR), parents who graduated high school had a four-fold higher response rate compared to parents with less than a high school degree (OR: 4.05 (1.62, 10.13)). More parents of children with oral steroid use in the prior 12 months responded to survey items (OR: 2.53 (1.2, 5.31)). Reported asthma characteristics included: 48% uncontrolled, 22% unimproved/worse, 21% with sleep disruption, and 10% who were hospitalized for asthma.Conclusions: Text messaging may be a viable strategy to improve post-ED asthma assessment and to identify children with persistent symptoms in need of enhanced care or modification of care plans.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:61 |
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| Enthalten in: |
The Journal of asthma : official journal of the Association for the Care of Asthma - 61(2024), 2 vom: 29. Jan., Seite 140-147 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Hall, Kaitlin [VerfasserIn] |
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| Links: |
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| Themen: |
Emergency department |
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| Anmerkungen: |
Date Completed 10.01.2024 Date Revised 10.01.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1080/02770903.2023.2248507 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM361086695 |
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| 245 | 1 | 0 | |a Feasibility of text message follow-up for pediatric asthma care after an emergency department visit |
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| 500 | |a Date Completed 10.01.2024 | ||
| 500 | |a Date Revised 10.01.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Background: Many children seen in the Emergency Department (ED) for asthma do not follow-up with their primary care provider. Text messaging via short message service (SMS) is a ubiquitous, but untested means of providing post-ED asthma follow-up care.Objective: To evaluate responses to an asthma assessment survey via SMS following an ED visit and estimate the likelihood of response by sociodemographic and clinical characteristics. Methods: We recruited 173 parents of children 2-17 years-old presenting for ED asthma care to receive a follow-up text (participation rate: 85%). One month later, parents received via SMS a 22-item survey that assessed asthma morbidity. We assessed response rates overall and by various sociodemographic and clinical characteristics, including age, parental education, and indicators of asthma severity.Results: Overall, 55% of parents (n = 95) responded to the SMS survey. In multivariable logistic regression (MLR), parents who graduated high school had a four-fold higher response rate compared to parents with less than a high school degree (OR: 4.05 (1.62, 10.13)). More parents of children with oral steroid use in the prior 12 months responded to survey items (OR: 2.53 (1.2, 5.31)). Reported asthma characteristics included: 48% uncontrolled, 22% unimproved/worse, 21% with sleep disruption, and 10% who were hospitalized for asthma.Conclusions: Text messaging may be a viable strategy to improve post-ED asthma assessment and to identify children with persistent symptoms in need of enhanced care or modification of care plans | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a SMS | |
| 650 | 4 | |a Text messaging | |
| 650 | 4 | |a emergency department | |
| 650 | 4 | |a follow-up | |
| 650 | 4 | |a pediatric asthma | |
| 700 | 1 | |a Barry, Frances |e verfasserin |4 aut | |
| 700 | 1 | |a Thompson, Lindsey R |e verfasserin |4 aut | |
| 700 | 1 | |a Ravandi, Bahareh |e verfasserin |4 aut | |
| 700 | 1 | |a Hall, Jeanine E |e verfasserin |4 aut | |
| 700 | 1 | |a Chang, Todd P |e verfasserin |4 aut | |
| 700 | 1 | |a Halterman, Jill S |e verfasserin |4 aut | |
| 700 | 1 | |a Szilagyi, Peter G |e verfasserin |4 aut | |
| 700 | 1 | |a Okelo, Sande O |e verfasserin |4 aut | |
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