Effect of Short Message Service Reminders on Adherence to Follow-up of National Annual Prostatic Digital Rectal Examination Campaign Participants: A Randomized Controlled Pilot Study
Abstract
Introduction: National annual prostatic digital rectal exam (DRE) campaign advocated by the Philippine Urological Association (PUA) started 2 decades ago in over 60 urological centers in the country. It is being used as a tool to educate Filipinos regarding benign and malignant prostate diseases. However, after each campaign, most patients were lost to follow-up leading to delay in diagnosis and low adherence to medications.
Objective: To evaluated the effect of short message service (SMS) in the adherence to follow-up of participants after a campaign.
Methods: The investigators enrolled 126 participants aged 40 years old and above with significant LUTS and/or a prostate cancer suspect, in a two-arm, parallel, randomized controlled pilot study at the Jose R. Reyes Memorial Medical Center (center with the most number of participants annually in the Philippines). Participants received daily SMS text messages for 3 days (n = 63) or usual care (n = 63). The primary outcome was follow-up at the outpatient clinic within 1 month after the campaign. The investigators used Epi Info version 7 to analyze the data.
Results: Among participants receiving SMS, 21/63 (33.3%) returned, compared to 5/63 (7.94%) in the control group. The relative risk [RR] = 4.2, odds ratio = 5.8 and uncorrected chi-square (X2) = 12.4, at 95% confidence interval; p = 0.000429).
Conclusion: This pilot study illustrated the feasibility of using SMS reminder among Filipino national prostatic DRE participants to improve adherence to follow-up. However, further research needs to be done to investigate the impact on adherence to medications and delay in diagnosis.
Keywords
Short message serviceSMSdigital rectal examinationDRE
How to Cite
Firaza, P. N., Lorenzo, E., & Quanico, U. (2020). Effect of Short Message Service Reminders on Adherence to Follow-up of National Annual Prostatic Digital Rectal Examination Campaign Participants: A Randomized Controlled Pilot Study. Philippine Journal of Urology, 27(1), 53-57.
Retrieved from:
https://www.pjuonline.com/index.php/pju/article/view/42
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