年龄对使用移动消息软件的结果调查问卷的应答率有显著影响。
Age Significantly Affects Response Rate to Outcomes Questionnaires Using Mobile Messaging Software.
作者信息
Jildeh Toufic R, Castle Joshua P, Abbas Muhammad J, Dash Miriam E, Akioyamen Noel O, Okoroha Kelechi R
机构信息
Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, Michigan, U.S.A.
Wayne State University School of Medicine, Detroit, Michigan, U.S.A.
出版信息
Arthrosc Sports Med Rehabil. 2021 Aug 5;3(5):e1349-e1358. doi: 10.1016/j.asmr.2021.06.004. eCollection 2021 Oct.
PURPOSE
To investigate the demographic factors that influence time to respond (TTR), time to completion (TTC), and response rate when using a text messaging-based system and to determine the feasibility and applicability of mobile messaging-based services for collection of patient-reported outcomes among orthopaedic sports medicine patients.
METHODS
On the day of surgery, patient mobile phone number was collected and the automated mobile messaging service (MOSIO, Seattle, WA) messaged patients for 10 ``days postoperatively. Patient visual analog scale (VAS) scores were collected 3 times daily, side effects were asked each evening, and Patient-Reported Outcomes Measurement Information System (PROMIS) Pain Interference (PI) Short Form was collected on postoperative day 3 and 7.
RESULTS
A total of 177 patients were enrolled in the study. The overall response rate to the survey questions was 75.0%. For all patients, the average TTR of questions was 35.09 ± 12.57 minutes. The TTC was 2.75 ± 3.56 minutes for PROMIS-PI, 3.51 ± 1.26 minutes for VAS, and 3.80 ± 6.87 for side-effect questions. When patients were stratified into age groups, the youngest group, 16 to 32 years, had the greatest response rate of 85.2% and patients in the 49 to 59 years group had the lowest response rate of 68.4% and 69.1%, respectively ( < .001). There was no significant difference in the TTR or TTC for VAS, PROMIS-PI, or side-effect questions when patients were stratified by age or sex groups ( > .05).
CONCLUSIONS
Collectively, all age groups successfully achieved a mean response rate of 75%; however, significantly lower response rates were observed for patients >49 years old. Differences in age and sex did not impact the overall TTR or TTC for VAS, PROMIS-PI, or side-effect questions. Mobile-based applications present as an emerging opportunity to track postoperative outcome scores and reduce clinic survey load.
LEVEL OF EVIDENCE
Case series, level of evidence IV.
目的
研究在使用基于短信的系统时影响响应时间（TTR）、完成时间（TTC）和响应率的人口统计学因素，并确定基于移动消息服务在骨科运动医学患者中收集患者报告结局的可行性和适用性。
方法
在手术当天收集患者手机号码，术后10天通过自动移动消息服务（MOSIO，华盛顿州西雅图）向患者发送消息。每天收集3次患者视觉模拟量表（VAS）评分，每晚询问副作用情况，并在术后第3天和第7天收集患者报告结局测量信息系统（PROMIS）疼痛干扰（PI）简表。
结果
共有177例患者纳入研究。对调查问题的总体响应率为75.0%。所有患者中，问题的平均TTR为35.09±12.57分钟；PROMIS-PI的TTC为2.75±3.56分钟，VAS为3.51±1.26分钟，副作用问题为3.80±6.87分钟。将患者按年龄组分层时，最年轻的组（16至32岁）响应率最高，为85.2%，49至59岁组的患者响应率最低（分别为68.4%和69.1%，P<0.001）。当按年龄或性别组对患者进行分层时，VAS、PROMIS-PI或副作用问题的TTR或TTC没有显著差异（P>0.05）。
结论
总体而言，所有年龄组均成功实现了75%的平均响应率；然而，49岁以上患者的响应率明显较低。年龄和性别差异并未影响VAS、PROMIS-PI或副作用问题的总体TTR或TTC。基于移动设备的应用是跟踪术后结局评分和减轻临床调查负担的新兴机会。
证据水平
病例系列，证据水平IV。
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