Towards an Effective Patient Health Engagement System Using Cloud-Based Text Messaging Technology

Abstract

Patient and health provider interaction via text messaging (TM) has become an accepted form of communication, often favored by adolescents and young adults. While integration of TM in disease management has aided health interventions and behavior modifications, broader adoption is hindered by expense, fixed reporting schedules, and monotonic communication. A low-cost, flexible TM reporting system (REMOTES) was developed using inexpensive cloud-based services with features of two-way communication, personalized reporting scheduling, and scalable and secured data storage. REMOTES is a template-based reporting tool adaptable to a wide-range of complexity in response formats. In a pilot study, 27 adolescents with sickle cell disease participated to assess feasibility of REMOTES in both inpatient and outpatient settings. Subject compliance with at least one daily self-report pain query was 94.9% (112/118) during inpatient and 91.1% (327/359) during outpatient, with an overall accuracy of 99.2% (970/978). With use of a more complex 8-item questionnaire, 30% (7/21) inpatient and 66.6% (36/54) outpatient responses were reported with 98.1% (51/52) reporting accuracy. All participants expressed high pre-trial expectation (88%) and post-trial satisfaction (89%). The study suggests that cloud-based text messaging is feasible and an easy-of-use solution for low-cost and personalized patient engagement.

An Adaptive Deep Feature Neural Classification Algorithm for Efficient Cardiac Disease Early Risk Identification

“…However, costs, complicated reporting schemes, and complex communications hinder the widespread adoption of TM. A low-cost and flexible TM reporting system (REMOTES) was developed using an affordable cloud-based service with bidirectional communication, custom reporting tables and scalable and secure data storage [11].…”

Investigating How the Use of Technology Can Reduce Missed Appointments: Quantitative Case Study at a General Practitioner Surgery

“…Since 2019, in addition to clinical outcomes, there has been a shift towards enhancing accessibility and appointment availability [1]. Across all age groups, mobile phones have become ubiquitous and integral to daily life [2], facilitating the development of cost-effective bulk text messaging systems for businesses [3]. Text messages are universally compatible and accessible across various network speeds, without requiring upgrades [4].…”