Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology and Reproductive Sciences, University of California, San Francisco, San Francisco, California.
Womens Health Issues. 2017 Jul-Aug;27(4):420-425. doi: 10.1016/j.whi.2017.02.001. Epub 2017 Mar 9.
To determine whether Bedsider text message and e-mail reminders increase family planning contraceptive continuation and appointment rates.
We trained staff at three high-volume Family Planning, Access, Care, and Treatment (Family PACT) clinics to enroll women through a special portal to receive text message or e-mail reminders for contraceptive refills and clinic appointments. Women were matched by contraceptive method, time frame of index visit, age group, and language preference to Family PACT clients at comparison sites that did not use the Bedsider program. Family PACT claims data was used to assess the contraceptive coverage of Bedsider and comparison women over 12 months. We assessed differences in contraceptive coverage between the two groups using McNemar's test of matched comparisons. Clinic records from one clinic were available to assess impact on kept appointment rates.
Of the 488 women enrolled, 370 had a claim for a hormonal method (oral contraceptive, patch, ring, contraceptive injection) in the Family PACT database. Matching resulted in 365 matched pairs. The median length of enrollment in the reminder system was 115 days (16 weeks). A greater percentage of Bedsider women returned on time for contraceptive injections than women in the comparison group. However, McNemar's test showed no differences in contraceptive coverage between the intervention and comparison groups. Kept appointment rates showed a statistically significant increase after the intervention at the clinic providing data.
Contraceptive injection users showed a positive impact from receiving reminders, but overall there was no impact of the Bedsider reminders on return on time for contraceptive refills and injections. We were able to measure a significant increase in kept appointment rates at one clinic using the Bedsider text message and e-mail reminder system.
确定 Bedsider 短信和电子邮件提醒是否能提高计划生育避孕续用率和预约率。
我们培训了三家高流量计划生育、准入、护理和治疗（Family PACT）诊所的工作人员，通过一个特殊的门户招募妇女，以便她们收到避孕用品续用和诊所预约的短信或电子邮件提醒。将符合条件的妇女按照避孕方法、就诊时间框架、年龄组和语言偏好与不使用 Bedsider 计划的对照点的 Family PACT 客户进行匹配。使用 Family PACT 索赔数据评估 Bedsider 和对照妇女在 12 个月内的避孕覆盖率。我们使用配对比较的 McNemar 检验评估两组之间避孕覆盖率的差异。一家诊所的诊所记录可用于评估对保留预约率的影响。
在 488 名入组的妇女中，370 名妇女在 Family PACT 数据库中报告使用了激素避孕方法（口服避孕药、贴片、环、避孕注射）。匹配后产生了 365 对匹配的妇女。提醒系统的中位入组时间为 115 天（16 周）。接受提醒的妇女按时返回接受避孕注射的比例高于对照组。然而，McNemar 检验显示干预组和对照组之间的避孕覆盖率没有差异。在提供数据的诊所，干预后保留预约率显示出统计学上的显著增加。
接受提醒的避孕注射使用者表现出积极的影响，但总体而言，Bedsider 提醒对避孕用品续用和注射的按时返回没有影响。我们能够测量到一家诊所使用 Bedsider 短信和电子邮件提醒系统后保留预约率的显著增加。
