Singh Gaurav, Manjunatha Narayana, Rao Sabina, Shashidhara H N, Moirangthem Sydney, Madegowda Rajendra K, Binukumar B, Varghese Mathew
Department of Psychiatry, K.D. Medical College Hospital and Research Center, Mathura, Uttar Pradesh, India.
Department of Psychiatry, National Institute of Mental Health and Neurosciences, Bengaluru, Karnataka, India.
Indian J Psychol Med. 2017 May-Jun;39(3):276-280. doi: 10.4103/0253-7176.207325.
Mobile phone technology is being used worldwide to improve follow-ups in health care.
Aim of the study is to evaluate whether the use of mobile technology will improve or not the follow-up of Indian patients from a community mental health center.
Patients or caregivers having mobile phones and consenting for study were enrolled, and sociodemographic and clinical details of patients were taken. Participants were randomized into two groups (short message service [SMS] vs. non-SMS group). At first intervention level, a SMS was sent to SMS group (not in non-SMS group) 1 day before their appointment. At second-level intervention (voice call level), patients from both groups who missed their first appointment were given a voice call requesting them to come for follow-up, and the reasons for first missed appointments (MA) were also elicited. The effect of these two intervention levels (first SMS for SMS group and next voice calls for both groups) on follow-up was evaluated.
A total of 214 patients were enrolled in the study. At first SMS intervention level of SMS group ( = 106), 62.26% of participants reached appointment-on-time (RA), while in the non-SMS/as usual group ( = 108), 45.37% of patients RA. The difference of these groups is statistically significant. At second-level intervention (voice call), 66 of 88 (another 15 were unable to contact) were came for follow-up consultation within 2 days of MA. Distance and diagnosis of alcohol dependence were significantly associated with MA. Social reasons were most common reasons for first MA.
The use of mobile phone technology in an outpatient community psychiatric clinic improved follow-up significantly.
手机技术正在全球范围内用于改善医疗保健中的随访工作。
本研究的目的是评估使用移动技术是否会改善社区心理健康中心印度患者的随访情况。
招募拥有手机并同意参与研究的患者或护理人员，记录患者的社会人口统计学和临床详细信息。参与者被随机分为两组（短信服务组与非短信服务组）。在首次干预阶段，在预约前1天向短信服务组发送短信（非短信服务组不发送）。在第二阶段干预（语音通话阶段），两组中错过首次预约的患者会接到语音通话，要求他们前来进行随访，并询问首次错过预约的原因。评估这两个干预阶段（短信服务组的首次短信和两组的后续语音通话）对随访的影响。
共有214名患者参与了该研究。在短信服务组的首次短信干预阶段（n = 106），62.26%的参与者按时赴约（RA），而在非短信服务/常规组（n = 108）中，45.37%的患者按时赴约。这两组之间的差异具有统计学意义。在第二阶段干预（语音通话）中，88名患者中有66名（另有15名无法联系到）在错过预约后的2天内前来进行随访咨询。距离和酒精依赖诊断与错过预约显著相关。社会原因是首次错过预约最常见的原因。
在门诊社区精神病诊所使用手机技术显著改善了随访情况。
