短信服务文本消息传递在治疗肠易激综合征的试验中作为数据收集工具是可行的。

Short message service text messaging was feasible as a tool for data collection in a trial of treatment for irritable bowel syndrome.

机构信息

Department of Health Sciences, Seebohm Rowntree Building, University of York, Heslington, York YO10 5DD, UK.

出版信息

J Clin Epidemiol. 2014 Sep;67(9):993-1000. doi: 10.1016/j.jclinepi.2014.05.004. Epub 2014 Jun 25.

DOI:10.1016/j.jclinepi.2014.05.004

PMID:24972761

Abstract

OBJECTIVES

To examine the feasibility of collecting data relating to irritable bowel syndrome (IBS), symptoms by short message service (SMS) text and explore the data to assess its usefulness.

STUDY DESIGN AND SETTING

In a randomized parallel group design substudy, 59 consenting participants recruited from primary care to a trial of acupuncture for IBS (ISRCTN 08827905) were randomized to receive a one-question SMS message at either 9:30 am or at 6:30 pm for 7 days: "On a scale of 0-9, with 0 being no symptoms and 9 being the worst symptoms you could have, how would you score your IBS symptoms now? Please text back a single number."

RESULTS

Of the total messages, 59% (n = 203) were answered within 15 minutes, 73.4% (n = 254) within 1 hour, and 97% (n = 334) within 10 hours. Response rates to evening texts were higher (93.5% vs. 87.6% P = 0.05) and response times shorter though not significantly (median: 0 vs. 5 hours; P = 0.12). There was no difference in mean scores, and morning symptoms varied more. Mean scores correlated significantly with IBS trial primary outcome measure, the IBS symptom severity score, and secondary outcome measures.

CONCLUSION

Among IBS trial participants, data collection by SMS is feasible and acceptable, and there is potential for deriving meaningful data from the scores.

摘要

目的

探讨通过短信服务（SMS）文本收集肠易激综合征（IBS）症状数据的可行性，并对数据进行评估以考察其有用性。

研究设计与设置

在一项随机平行组设计的子研究中，从初级保健机构招募了 59 名同意参加 IBS 针灸试验的参与者（ISRCTN 08827905），将其随机分为两组，分别在上午 9:30 或下午 6:30 接受为期 7 天的一个问题的 SMS 消息：“在 0-9 的范围内，0 表示无症状，9 表示您可能出现的最严重症状，您现在的 IBS 症状会得几分？请回复一个数字。”

结果

在所有短信中，59%（n=203）在 15 分钟内回复，73.4%（n=254）在 1 小时内回复，97%（n=334）在 10 小时内回复。晚间短信的回复率更高（93.5%比 87.6%，P=0.05），但回复时间差异无统计学意义（中位数：0 比 5 小时；P=0.12）。平均得分无差异，但晨症症状变化更大。平均得分与 IBS 试验主要结局测量指标（IBS 症状严重程度评分）和次要结局测量指标显著相关。