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Study of the Effect on Clinical Outcomes Using Secure Text Messaging

Primary Purpose

Congestive Heart Failure, Diabetes, Renal Failure

Status
Withdrawn
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Secure text messaging
Sponsored by
University of Pennsylvania
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Congestive Heart Failure focused on measuring mhealth, text messaging, secure text messaging, communication

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Admission to one of the hospital floors or services in the study at the Hospital of the University of Pennsylvania

Exclusion Criteria:

  • Discharges against medical advice
  • Discharges to hospice

Sites / Locations

  • University of Pennsylvania

Arms of the Study

Arm 1

Arm 2

Arm Type

No Intervention

Experimental

Arm Label

Usual care

Secure text messaging

Arm Description

Patients admitted to hospital floors without any other intervention.

Patients admitted to hospital floors on which physicians and other staff are able to communicate with each other (not to the patient) using mobile secure text messaging.

Outcomes

Primary Outcome Measures

Change in length of stay
Change in inpatient length of stay from baseline to 6 months
Change in 30 day hospital readmissions
Change in 30 day hospital readmissions from baseline to 6 months
Change in inpatient mortality
Change in inpatient mortality from baseline to 6 months

Secondary Outcome Measures

Change in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPs) scores
Change in HCAP scores from baseline to 6 months

Full Information

First Posted
October 2, 2015
Last Updated
April 6, 2017
Sponsor
University of Pennsylvania
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1. Study Identification

Unique Protocol Identification Number
NCT02568514
Brief Title
Study of the Effect on Clinical Outcomes Using Secure Text Messaging
Official Title
Study of the Effect on Clinical Outcomes Using Secure Text Messaging
Study Type
Interventional

2. Study Status

Record Verification Date
April 2017
Overall Recruitment Status
Withdrawn
Study Start Date
August 2016 (undefined)
Primary Completion Date
March 2017 (Anticipated)
Study Completion Date
March 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
University of Pennsylvania

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
In this study, the investigators will conduct a randomized, controlled trial to evaluate the impact of offering mobile secure text messaging on clinical outcomes.
Detailed Description
Inpatient health care providers such as physicians and nurses spend up to one-third of their time communicating with other health care providers. Many of these communications have shifted mediums from handwritten notes and face-to-face conversations to phone calls and paging systems. More recently the rapid adoption of smartphones has led to the use of mobile-enabled technologies using smartphones such as text messaging and email. While these technologies may offer ease and fit better within the clinical workflow, they often send patient information through unsecure cellular or internet connections. Mobile secure text messaging may address these issues by encrypting data and allowing for asynchronous or synchronous communication between individual providers or groups of providers. In this study, the investigators will conduct a randomized, controlled trial to evaluate the impact of offering mobile secure text messaging on clinical outcomes.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Congestive Heart Failure, Diabetes, Renal Failure, Copd
Keywords
mhealth, text messaging, secure text messaging, communication

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Investigator
Allocation
Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Usual care
Arm Type
No Intervention
Arm Description
Patients admitted to hospital floors without any other intervention.
Arm Title
Secure text messaging
Arm Type
Experimental
Arm Description
Patients admitted to hospital floors on which physicians and other staff are able to communicate with each other (not to the patient) using mobile secure text messaging.
Intervention Type
Device
Intervention Name(s)
Secure text messaging
Intervention Description
A smartphone and web application that allows physicians and other health care professionals to communicate to each other by secure text message
Primary Outcome Measure Information:
Title
Change in length of stay
Description
Change in inpatient length of stay from baseline to 6 months
Time Frame
6 months
Title
Change in 30 day hospital readmissions
Description
Change in 30 day hospital readmissions from baseline to 6 months
Time Frame
6 months
Title
Change in inpatient mortality
Description
Change in inpatient mortality from baseline to 6 months
Time Frame
6 months
Secondary Outcome Measure Information:
Title
Change in Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPs) scores
Description
Change in HCAP scores from baseline to 6 months
Time Frame
6 months

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Admission to one of the hospital floors or services in the study at the Hospital of the University of Pennsylvania Exclusion Criteria: Discharges against medical advice Discharges to hospice
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mitesh Patel, MD, MBA, MS
Organizational Affiliation
University of Pennsylvania
Official's Role
Principal Investigator
Facility Information:
Facility Name
University of Pennsylvania
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19104
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of the Effect on Clinical Outcomes Using Secure Text Messaging

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