Featured Research

from universities, journals, and other organizations

The doctor will text you now: Post-ER follow-up that works

Date:
November 11, 2013
Source:
American College of Emergency Physicians
Summary:
Diabetic patients treated in the emergency department who were enrolled in a program in which they received automated daily text messages improved their level of control over their diabetes and their medication adherence, according to a study.

For patients who received the text messages, blood glucose levels decreased by 1.05 percent and self-reported medication adherence improved from 4.5 to 5.4 (on an eight-point scale).
Credit: © WavebreakmediaMicro / Fotolia

Diabetic patients treated in the emergency department who were enrolled in a program in which they received automated daily text messages improved their level of control over their diabetes and their medication adherence, according to a study published online today in Annals of Emergency Medicine.

"Our results were especially pronounced for Latinos, who are twice as likely as non-Latinos to develop diabetes," said lead study author Sanjay Arora, MD, of the Keck School of Medicine at the University of Southern California in Los Angeles. "These patients, when followed up by text messages for 6 months, improved enough to reduce their dependence on the emergency department for care of their diabetes. Text messaging is effective, low-cost and widely available for our patients who often have no other source of medical care."

Adult patients with poorly controlled diabetes who visited an urban, public emergency department for care received two daily text messages for 6 months. For patients who received the text messages, blood glucose levels decreased by 1.05 percent and self-reported medication adherence improved from 4.5 to 5.4 (on an eight-point scale). Effects were even larger among Spanish speakers for both medication adherence and blood glucose levels. The proportion of patients who visited the emergency department was lower in the text messaging group (35.9 percent) than in the control group (51.6 percent). Almost all (93.6 percent) patients enrolled in the program reported enjoying it and 100 percent reported that they would recommend it to family and friends.

The text messaging program, called TExT-MED, included daily motivational messages such as "Having diabetes can lead to a heart attack or stroke -- but it doesn't have to" and "Eat more fruits, vegetables, beans and whole grains and less salt and fat." In addition, it provided three medication reminders per week, two healthy living challenges per week and two trivia questions per week, designed to build diabetes awareness (sample: "Trivia" Eating too much sugar and other sweet foods is a cause of diabetes. A. True. B. False.").

"Diabetes is emerging as a public health epidemic, particularly in low-income, underserved inner city and minority populations who depend on safety-net systems for medical care," said Dr Arora. "Our goal is to transition our patients from crisis management to long-term diabetes management. In the absence of other health care options, reaching our patients by text message makes us partners in handling their disease and improves their quality of life."


Story Source:

The above story is based on materials provided by American College of Emergency Physicians. Note: Materials may be edited for content and length.


Journal Reference:

  1. Sanjay Arora, Anne L. Peters, Elizabeth Burner, Chun Nok Lam, Michael Menchine. Trial to Examine Text Message–Based mHealth in Emergency Department Patients With Diabetes (TExT-MED): A Randomized Controlled Trial. Annals of Emergency Medicine, 2013; DOI: 10.1016/j.annemergmed.2013.10.012

Cite This Page:

American College of Emergency Physicians. "The doctor will text you now: Post-ER follow-up that works." ScienceDaily. ScienceDaily, 11 November 2013. <www.sciencedaily.com/releases/2013/11/131111161518.htm>.
American College of Emergency Physicians. (2013, November 11). The doctor will text you now: Post-ER follow-up that works. ScienceDaily. Retrieved August 22, 2014 from www.sciencedaily.com/releases/2013/11/131111161518.htm
American College of Emergency Physicians. "The doctor will text you now: Post-ER follow-up that works." ScienceDaily. www.sciencedaily.com/releases/2013/11/131111161518.htm (accessed August 22, 2014).

Share This




More Health & Medicine News

Friday, August 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Drug Used To Treat 'Ebola's Cousin' Shows Promise

Newsy (Aug. 21, 2014) — An experimental drug used to treat Marburg virus in rhesus monkeys could give new insight into a similar treatment for Ebola. Video provided by Newsy
Powered by NewsLook.com
Two US Ebola Patients Leave Hospital Free of the Disease

Two US Ebola Patients Leave Hospital Free of the Disease

AFP (Aug. 21, 2014) — Two American missionaries who were sickened with Ebola while working in Liberia and were treated with an experimental drug are doing better and have left the hospital, doctors say on August 21, 2014. Duration: 01:05 Video provided by AFP
Powered by NewsLook.com
Cadavers, a Teen, and a Medical School Dream

Cadavers, a Teen, and a Medical School Dream

AP (Aug. 21, 2014) — Contains graphic content. He's only 17. But Johntrell Bowles has wanted to be a doctor from a young age, despite the odds against him. He was recently the youngest participant in a cadaver program at the Indiana University NW medical school. (Aug. 21) Video provided by AP
Powered by NewsLook.com
American Ebola Patients Released: What Cured Them?

American Ebola Patients Released: What Cured Them?

Newsy (Aug. 21, 2014) — It's unclear whether the American Ebola patients' recoveries can be attributed to an experimental drug or early detection and good medical care. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
 
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:  

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:  

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile iPhone Android Web
Follow Facebook Twitter Google+
Subscribe RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins