Delivery of Patient-Reported Outcome Instruments by Automated Mobile Phone Text Messaging.

Hand (New York, N.Y.) · 2017 · Unclear · Insufficient evidence

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UnclearInsufficient evidencePaper 2846

In 72 patients, agreement between paper and mobile phone text message delivery was high: QuickDASH ICC 0.91 (95% CI 0.85–0.95); SF-12 physical ICC 0.88 (95% CI 0.79–0.93); SF-12 mental ICC 0.86 (95% CI 0.75–0.92). Authors conclude text message delivery permit…

Study snapshot

PublicationHand (New York, N.Y.) · 2017

Study typeother

Reported directionUnclear

Evidence ratingInsufficient

Abstract

BACKGROUND: Patient-reported outcome (PRO) instruments allow patients to interpret their health and are integral in evaluating orthopedic treatments and outcomes. The purpose of this study was to define: (1) correlation between PROs collected by automated delivery of text messages on mobile phones compared with paper delivery; and (2) patient use characteristics of a technology platform utilizing automated delivery of text messages on mobile phones. METHODS: Paper versions of the 12-Item Short Form Health Survey (SF-12) and the short form of the Disabilities of the Arm, Shoulder and Hand (QuickDASH) were completed by patients in orthopedic hand and upper extremity clinics. Over the next 48 hours, the same patients also completed the mobile phone portion of the study outside of the clinic which included text message delivery of the SF-12 and QuickDASH, assigned in a random order. Correlations between paper and text message delivery of the 2 PROs were assessed. RESULTS: Among 72 patients, the intraclass correlation coefficient (ICC) between the written and mobile phone delivery of QuickDASH was 0.91 (95% confidence interval [CI], 0.85-0.95). The ICC between the paper and mobile phone delivery of the SF-12 physical health composite score was 0.88 (95% CI, 0.79-0.93) and 0.86 (95% CI, 0.75-0.92) for the SF-12 mental health composite score. CONCLUSIONS: We find that text message delivery using mobile phones permits valid assessment of SF-12 and QuickDASH scores. The findings suggest that software-driven automated delivery of text communication to patients via mobile phones may be a valid method to obtain other PRO scores in orthopedic patients.

Machine Enhanced Logic

AI evidence extraction

Structured fields below were generated from the paper’s abstract and metadata to make the evidence easier to inspect. Automated extraction may be incomplete or incorrect; verify important details against the original paper.

Study typeother

Effect directionunclear

PopulationPatients in orthopedic hand and upper extremity clinics

Sample size72

Exposuretext message delivery of PRO instruments over the next 48 hours

Evidence strengthInsufficientConfidence: 74% · Peer reviewed: yes

Main findings

Outcomes measured

Correlation/agreement (intraclass correlation coefficient) between paper vs mobile phone text message delivery of QuickDASH
Correlation/agreement (intraclass correlation coefficient) between paper vs mobile phone text message delivery of SF-12 physical health composite score
Correlation/agreement (intraclass correlation coefficient) between paper vs mobile phone text message delivery of SF-12 mental health composite score
Patient use characteristics of an automated text messaging platform (details not provided in abstract)

Limitations

No EMF/RF exposure metrics reported (e.g., frequency, SAR, field strength)
Clinical/measurement validation study rather than a health-effects study
Patient use characteristics mentioned but not described in the abstract

View raw extracted JSON

{
  "study_type": "other",
  "exposure": {
    "band": null,
    "source": "mobile phone",
    "frequency_mhz": null,
    "sar_wkg": null,
    "duration": "text message delivery of PRO instruments over the next 48 hours"
  },
  "population": "Patients in orthopedic hand and upper extremity clinics",
  "sample_size": 72,
  "outcomes": [
    "Correlation/agreement (intraclass correlation coefficient) between paper vs mobile phone text message delivery of QuickDASH",
    "Correlation/agreement (intraclass correlation coefficient) between paper vs mobile phone text message delivery of SF-12 physical health composite score",
    "Correlation/agreement (intraclass correlation coefficient) between paper vs mobile phone text message delivery of SF-12 mental health composite score",
    "Patient use characteristics of an automated text messaging platform (details not provided in abstract)"
  ],
  "main_findings": "In 72 patients, agreement between paper and mobile phone text message delivery was high: QuickDASH ICC 0.91 (95% CI 0.85–0.95); SF-12 physical ICC 0.88 (95% CI 0.79–0.93); SF-12 mental ICC 0.86 (95% CI 0.75–0.92). Authors conclude text message delivery permits valid assessment of SF-12 and QuickDASH scores.",
  "effect_direction": "unclear",
  "limitations": [
    "No EMF/RF exposure metrics reported (e.g., frequency, SAR, field strength)",
    "Clinical/measurement validation study rather than a health-effects study",
    "Patient use characteristics mentioned but not described in the abstract"
  ],
  "evidence_strength": "insufficient",
  "confidence": 0.74,
  "peer_reviewed_likely": "yes",
  "keywords": [
    "patient-reported outcomes",
    "text messaging",
    "mobile phone",
    "SF-12",
    "QuickDASH",
    "orthopedic clinic",
    "instrument validation",
    "intraclass correlation"
  ],
  "suggested_hubs": []
}

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AI-extracted fields are generated from the abstract and metadata and may be incomplete or incorrect. This material is for informational purposes and is not medical advice.

Identifiers and source

DOI: 10.1177/1558944716672201
PubMed: 29091492

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