In:
Frontiers in Digital Health, Frontiers Media SA, Vol. 5 ( 2023-2-23)
Abstract:
Traditional methods for obtaining outcomes for patients after acute stroke are resource-intensive. This study aimed to examine the feasibility, reliability, cost, and acceptability of collecting outcomes after acute stroke with a short message service (SMS)-text messaging program. Methods Patients were enrolled in an SMS-text messaging program at acute stroke hospitalization discharge. Participants were prompted to complete assessments including the modified Rankin scale (mRS) and Patient-Reported Outcomes Measurement (PROM) Information System Global-10 at 30, 60, and 90 days postdischarge via SMS-text. Agreement and cost of SMS-text data collection were compared to those obtained from traditional follow-up methods ( via phone or in the clinic). Participant satisfaction was surveyed upon program conclusion. Results Of the 350 patients who agreed to receive SMS texts, 40.5% responded to one or more assessments. Assessment responders were more likely to have English listed as their preferred language ( p = 0.009), have a shorter length of hospital stay ( p = 0.01), lower NIH stroke scale upon admission ( p & lt; 0.001), and be discharged home ( p & lt; 0.001) as compared to nonresponders. Weighted Cohen’s kappa revealed that the agreement between SMS texting and traditional methods was almost perfect for dichotomized (good vs. poor) ( κ = 0.8) and ordinal levels of the mRS score ( κ = 0.8). Polychoric correlations revealed a significant association for PROM scores ( ρ = 0.4, p & lt; 0.01 and ρ = 0.4, p & lt; 0.01). A cost equation showed that gathering outcomes via SMS texting would be less costly than phone follow-up for cohorts with more than 181 patients. Nearly all participants (91%) found the program acceptable and not burdensome (94%), and most (53%) felt it was helpful. Poststroke outcome data collection via SMS texting is feasible, reliable, low-cost, and acceptable. Reliability was higher for functional outcomes as compared to PROMs. Conclusions While further validation is required, our findings suggest that SMS texting is a feasible method for gathering outcomes after stroke at scale to evaluate the efficacy of acute stroke treatments.
Type of Medium:
Online Resource
ISSN:
2673-253X
DOI:
10.3389/fdgth.2023.1043806
DOI:
10.3389/fdgth.2023.1043806.s001
Language:
Unknown
Publisher:
Frontiers Media SA
Publication Date:
2023
detail.hit.zdb_id:
3017798-4
Permalink