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Intervention Strategies for Improving Patient Adherence to Follow-Up in the Era of Mobile Information Technology: A Systematic Review and Meta-Analysis

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  • Haotian Lin
  • Xiaohang Wu

Abstract

Background: Patient adherence to follow-up plays a key role in the medical surveillance of chronic diseases and affects the implementation of clinical research by influencing cost and validity. We previously reported a randomized controlled trial (RCT) on short message service (SMS) reminders, which significantly improved follow-up adherence in pediatric cataract treatment. Methods: RCTs published in English that reported the impact of SMS or telephone reminders on increasing or decreasing the follow-up rate (FUR) were selected from Medline, EMBASE, PubMed, and the Cochrane Library through February 2014. The impacts of SMS and telephone reminders on the FUR of patients were systematically evaluated by meta-analysis and bias was assessed. Results: We identified 13 RCTs reporting on 3276 patients with and 3402 patients without SMS reminders and 8 RCTs reporting on 2666 patients with and 3439 patients without telephone reminders. For the SMS reminders, the majority of the studies (>50%) were at low risk of bias, considering adequate sequence generation, allocation concealment, blinding, evaluation of incomplete outcome data, and lack of selective reporting. For the studies on the telephone reminders, only the evaluation of incomplete outcome data accounted for more than 50% of studies being at low risk of bias. The pooled odds ratio (OR) for the improvement of follow-up adherence in the SMS group compared with the control group was 1.76 (95% CI [1.37, 2.26]; P

Suggested Citation

  • Haotian Lin & Xiaohang Wu, 2014. "Intervention Strategies for Improving Patient Adherence to Follow-Up in the Era of Mobile Information Technology: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 9(8), pages 1-6, August.
    • Handle: RePEc:plo:pone00:0104266
    DOI: 10.1371/journal.pone.0104266
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    Cited by:

    1. Boone, Claire E & Celhay, Pablo & Gertler, Paul & Gracner, Tadeja & Rodriguez, Josefina, 2022. "How scheduling systems with automated appointment reminders improve health clinic efficiency," Journal of Health Economics, Elsevier, vol. 82(C).
    2. Boworn Klongnoi & Vanvisa Sresumatchai & Siribang-on Piboonniyom Khovidhunkit & Pornpoj Fuangtharnthip & Rachatawan Leelarungsun & Binit Shrestha, 2021. "Pilot Model for Community Based Oral Cancer Screening Program: Outcome from 4 Northeastern Provinces in Thailand," IJERPH, MDPI, vol. 18(17), pages 1-12, September.
    3. Ankita Patnaik & Jonathan Gellar & Rebecca Dunn & Brian Goesling, "undated". "Text Message Reminders and Their Impact on Attendance at Healthy Marriage and Relationship Education Workshops," Mathematica Policy Research Reports c090e695c9624337ab886b1c0, Mathematica Policy Research.

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