Bundogji Nour, Toma Gina, Khan Aqsa
College of Medicine, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA.
Department of Urology, The Mayo Clinic in Scottsdale, Scottsdale, AZ, USA.
PEC Innov. 2022 Jul 20;1:100067. doi: 10.1016/j.pecinn.2022.100067. eCollection 2022 Dec.
To investigate comfort level and preferences of automated reminder systems (mail, email, text message, phone call, patient-portal message, and/or smartphone application) to promote adherence to recommended therapies for patients seeking care for urinary incontinence (UI) at our urology clinic in Phoenix, Arizona.
Anonymous surveys were distributed in English to adult patients with UI from 4/2019-5/2019. Patient demographics, UI type, and access to and use of the Internet, smartphone and patient-portal were assessed. Using a Likert scale, patients indicated level of comfort with each reminder system and numerically ranked each system. Statistical analyses were performed to identify patient characteristics associated with reminder modality and determine significance in ranking of systems.
Fifty-seven patients (67.3 ± 16.3 years) completed the survey with an 87% response rate. Text-message and phone call reminder modalities were ranked the highest compared to other modalities ( < 0.05). A Chi-squared test showed no correlation between preferred reminder system modality and type of incontinence, age, gender, race/ethnicity, or language spoken ( > 0.05). Internet usage and access significantly correlated with preference for smartphone application and patient-portal message reminder systems ( < 0.05).
Patients reported they were extremely comfortable with all communication modalities, except for smartphone applications in which patients were the least comfortable. The modalities most preferred by patients were phone call and text message and least preferred were patient portal and smart phone application. In conclusion, phone calls and text messages were the most preferred communication modality, with smart phone applications as the least comfortable.
This study demonstrates the potential utility of specific reminder modalities for patients seeking help with treatment adherence.
调查自动提醒系统（邮件、电子邮件、短信、电话、患者门户网站消息和/或智能手机应用程序）的舒适度和偏好，以促进亚利桑那州凤凰城我们泌尿外科诊所中寻求尿失禁（UI）治疗的患者坚持推荐疗法。
2019年4月至2019年5月期间，以英语向成年UI患者发放匿名调查问卷。评估患者的人口统计学特征、UI类型以及互联网、智能手机和患者门户网站的使用情况。患者使用李克特量表表明对每种提醒系统的舒适度，并对每个系统进行数字排名。进行统计分析以确定与提醒方式相关的患者特征，并确定系统排名的显著性。
57名患者（67.3±16.3岁）完成了调查，回复率为87%。与其他方式相比，短信和电话提醒方式排名最高（P<0.05）。卡方检验显示，首选提醒系统方式与失禁类型、年龄、性别、种族/民族或所讲语言之间无相关性（P>0.05）。互联网使用情况和接入情况与对智能手机应用程序和患者门户网站消息提醒系统的偏好显著相关（P<0.05）。
患者报告称，除智能手机应用程序让他们最不舒服外，他们对所有沟通方式都非常满意。患者最喜欢的方式是电话和短信，最不喜欢的是患者门户网站和智能手机应用程序。总之，电话和短信是最受欢迎的沟通方式，而智能手机应用程序是最让人不舒服的。
本研究证明了特定提醒方式对寻求治疗依从性帮助的患者的潜在效用。
