Educational Text Messages Decreased Emergency Department Utilization Among Infant Caregivers: A Randomized Trial

Ladley, Amy; Hieger, Amanda Waltos; Arthur, Joshua; Broom, Matthew A.

doi:10.1016/j.acap.2018.02.003

Cited by 19 publications

(27 citation statements)

References 19 publications

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“…We identified 34 relevant publications 443 – 475 : 25 observational studies 443 – 466 ; four interventional studies 467 – 470 ; three review publications 473 – 475 ; and two commentary publications. 471 , 472 Of the observational studies, 11 (41%) examined health literacy screening and patients’ understanding of discharge instructions, 443 , 445 , 451 – 453 , 461 – 463 , 466 , 474 , 476 eight (30%) investigated the relationship between health literacy and ED utilization, 447 , 448 , 455 , 457 , 458 , 460 , 469 , 473 and 10 (37%) focused on the literacy of the parents of pediatric patients. 446 , 448 , 454 , 457 , 458 , 467 – 469 , 473 , 475 One study focused on ways to improve a patient’s understanding of the clinical encounter with improved communication tools for physicians or teach-back strategies with patients.…”

Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

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Introduction: Social emergency medicine (EM) is an emerging field that examines the intersection of emergency care and social factors that influence health outcomes. We conducted a scoping review to explore the breadth and content of existing research pertaining to social EM to identify potential areas where future social EM research efforts should be directed. Methods: We conducted a comprehensive PubMed search using Medical Subject Heading terms and phrases pertaining to social EM topic areas (e.g., “homelessness,” “housing instability”) based on previously published expert consensus. For searches that yielded fewer than 100 total publications, we used the PubMed “similar publications” tool to expand the search and ensure no relevant publications were missed. Studies were independently abstracted by two investigators and classified as relevant if they were conducted in US or Canadian emergency departments (ED). We classified relevant publications by study design type (observational or interventional research, systematic review, or commentary), publication site, and year. Discrepancies in relevant publications or classification were reviewed by a third investigator. Results: Our search strategy yielded 1,571 publications, of which 590 (38%) were relevant to social EM; among relevant publications, 58 (10%) were interventional studies, 410 (69%) were observational studies, 26 (4%) were systematic reviews, and 96 (16%) were commentaries. The majority (68%) of studies were published between 2010–2020. Firearm research and lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research in particular grew rapidly over the last five years. The human trafficking topic area had the highest percentage (21%) of interventional studies. A significant portion of publications -- as high as 42% in the firearm violence topic area – included observational data or interventions related to children or the pediatric ED. Areas with more search results often included many publications describing disparities known to predispose ED patients to adverse outcomes (e.g., socioeconomic or racial disparities), or the influence of social determinants on ED utilization. Conclusion: Social emergency medicine research has been growing over the past 10 years, although areas such as firearm violence and LGBTQ health have had more research activity than other topics. The field would benefit from a consensus-driven research agenda.

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Section: Resultsmentioning

confidence: 99%

A Scoping Review of Current Social Emergency Medicine Research

Shah

Porta

Leung

et al. 2021

WestJEM

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“…Current evidence from this review supports text messaging as an effective tool to change caregiver behaviour and child outcomes across a range of health categories and to a more limited extent in development. Overall findings indicate improved caregiver comfort with fundamental infant health and development decisions, which may be attributable to the regular, small quantities of information received through text message from healthcare professionals (Ladley et al, 2018). However, most studies to date have been conducted in HICs, which signals the importance of more research in LMICs.…”

Section: Resultsmentioning

confidence: 92%

“…The delivery of health information through SMS resulted in improvements in oral health behaviour (n = 2; 10.5%), feeding practices (n = 3), adherence to recommended vaccinations (n = 4; 21.1%) (Jordan et al, 2015), antenatal care attendance (n = 3; 15.8) (Lund et al, 2014) and improved use of emergency department visits (n = 2; 10.5%) (Ladley et al, 2018), breastfeeding and healthseeking behaviours.…”

Section: Healthmentioning

confidence: 99%

Do text messages about health and development in young children affect caregiver behaviour and child outcomes? A systematic review

Richardson

Linde

Pillay

et al. 2020

Health Education Journal

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Introduction: Inadequate caregiving conditions interfere with successful health and development outcomes. Access to appropriate information can result in improved health and development outcomes in children. Health promotion text messaging, a primary mHealth strategy, has been implemented in various countries to reach communities where the majority of the population may be living in poverty and lacks access to information and health services. This systematic review investigated what effect the provision of information regarding health and development in young children, using text messages, has on caregiver behaviour and child outcomes. Method: The review was conducted according to the PRISMA-P (Preferred Reporting Items for Systematic review and Meta-Analysis Protocols) guidelines. Studies were retrieved from Scopus, MEDLINE, PubMed, Web of Science Core Collection and Cochrane library using primary search phrases. The search was not limited to a specific period. Thematic analysis was used to organise and synthesise the information extracted from selected studies into main and sub-themes. Results: In total, 19 studies were identified, including randomised controlled trials (RCTs) ( n = 13, 68.42%), observational studies ( n = 3, 15.79%) and non-RCTs ( n = 3, 15.79%). Message content included educational information regarding health and development (89.47%), reminders (36.84%) and caregiver support (52.63%). The majority of studies ( n = 17; 89.47%) found statistically significant positive effects of text message intervention on caregiver behaviour. Text messages also affected child outcomes, with 15.79% ( n = 3) of studies reporting a positive effect. Conclusion: Text messaging is an effective tool to influence caregiver behaviour and child outcomes in health. There is however limited evidence regarding text message intervention effectiveness on child development, both in quality and in quantity. More research, especially in low- and middle-income countries, is necessary.

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“…In 2016 the Centers for Disease Control and Prevention estimated that 40% of ED visits for children 4 years old and under received initial triage levels of semi- or nonurgent [ 1 ]. These ED visits are often a target for interventions, with the underlying goal of redirecting some of these visits to other sites of care, such as the child’s primary care office [ 2 – 4 ]. Several studies have described associations between non-urgent ED use and child or family sociodemographic characteristics, such as age, race, income, insurance, and social support [ 5 – 9 ].…”

Section: Introductionmentioning

confidence: 99%

Pediatric non-urgent emergency department visits and prior care-seeking at primary care

Ravi

Gitz

Burton

et al. 2021

BMC Health Serv Res

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Background We aimed to examine how caregiver perceptions of primary care affects care-seeking prior to pediatric non-urgent ED visits. Methods We performed a cross-sectional survey of caregivers of children presenting to a pediatric ED during weekday business hours and triaged as low acuity. We first compared caregiver sociodemographic characteristics, perceptions of primary care, and stated preference in care sites (ED vs PCP) for caregivers who had sought care from their child’s PCP office versus had not sought care from their child’s PCP office prior to their ED visit. We then examined odds of having sought care from their PCP office prior to their ED visit using multivariable logistic regression models sequentially including caregiver primary care perceptions and stated care site preferences along with caregiver sociodemographic characteristics. Results Of 140 respondents, 64 (46%) sought care from their child’s PCP office prior to presenting to the ED. In unadjusted analysis, children insured by Medicaid or CHIP, caregivers identifying as Black, and caregivers with lower educational attainment were less likely to have sought PCP care before presenting to the ED (p < 0.005, each). Caregivers who had sought PCP care were more likely to prefer their PCP relative to the ED in terms of ease of travel, cost, and wait times (p < 0.001, all). When including these stated preferences in a multivariable model, child insurance, caregiver race, and caregiver education were no longer significantly associated with odds of having sought PCP care prior to their ED visit. Conclusions Differential access to primary care may underlie observed demographic differences in non-urgent pediatric ED utilization.

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Educational Text Messages Decreased Emergency Department Utilization Among Infant Caregivers: A Randomized Trial

Cited by 19 publications

References 19 publications

A Scoping Review of Current Social Emergency Medicine Research

A Scoping Review of Current Social Emergency Medicine Research

Do text messages about health and development in young children affect caregiver behaviour and child outcomes? A systematic review

Pediatric non-urgent emergency department visits and prior care-seeking at primary care

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