feasibility of automatic telephone ... - chsr.centre.uq.edu.au

References: 1. Wainwright C, Wootton R. A review of telemedicine and asthma. Dis Manage Health Outcomes 2003; 11(9):557-563. 2. Anhøj J, Møldrup C. Feasiblity of collecting diary data from asthma patients through mobile phone and SMS (short message service): response rate analysis and focus group evaluation from a pilot study. Journal of Medical Internet Research 2004 (Dec 2); 6(4):e42. 3. Ostojic V, Cvoriscec B, Ostojic SB, Reznikoff D, Stipic-Markovic A, Tudjman Z. Improving asthma control through telemedicine: a study of short-message service. Telemed J E Health. 2005 Spring;11(1):28-35. Patient Report Patients Patient Data Voice Messaging (IVR) Asthma Management System Alerts Alerts Data Patient Report Figure 1: Asthma Management System Objective: To investigate the feasibility of using an automated interactive voice response (IVR) system and mobile short message service (SMS) for the collection of clinical information and the education of children with asthma. Methods: We conducted pilot studies to investigate the feasibility of two different telephone-based telemedicine systems. Our paper presents a review of activity recorded from August 2006 to September 2007. IVR Monitoring: Children and young people aged between 3 through to 16 years with asthma were eligible for the study. The participants received an automated telephone call made through the IVR system twice a week on their home phone or mobile phone. The IVR system asked questions about asthma symptoms and medication use. Children over 12 years old answered calls themselves. Parents answered calls for children younger than 12 years old. Participants were requested to enter clinical data using the keypad on the phone. Educational messages, appropriate information from the asthma management plan and medication reminders were given (Figure 1). SMS Monitoring: Adolescents aged between 12 through to 16 years with asthma were eligible for the monitoring via mobile phone using SMS. Three messages were sent out each week. The ﬁrst message included questions about their asthma symptoms and medication - in which participants were asked to reply. The other messages included asthma educational information. Results: In the IVR study, 38 patients aged 3 to 14 years and/or their parents participated in the study. A total of 2026 calls were attempted by IVR system. There were 1278 successful calls with data collected and 579 calls (29%) with no answer due to variety of reasons. A total of 169 calls (8%) failed due to technical and operator errors. The overall response rate was 63% (Table 1). Table 1. Interactive Voice Response calls and response rate IVR asthma calls Number of calls Rate Successful calls 1278 63% Calls not answered 579 29% Calls failed 169 8% Total calls attempted 2026 100% In the SMS study, 11 adolescents aged between 12 to 16 years participated in the study. There were total of 1151 SMS sent during the study period. These included a total of 312 asthma weekly questions, 547 asthma educational messages and 292 communication messages. There were 89 replies from nine participants. Two patients did not reply to the questions. The overall response rate was 29% (Table 2). From the messages received, the participants responded positively to the asthma education messages. Table 2. SMS messages and response rate to asthma questions: SMS messages Number of messages Rate SMS questions 312 27% Reply to questions 89 29% Education 547 48% Communication 292 25% Total SMS sent 1151 100% Conclusion: This study suggests that both IVR and SMS platforms are feasible for paediatric asthma data collection and patient education. Further research is required to determine the clinical outcomes and cost- effectiveness. Calling You can do what anyone else can, just control your asthma. Have a niceweekend! Design by www.jerry-liu.com Cathy Xu 1 , David McMahon 2 , Claire Wainwright 3,4 , Mary Jackson 3 , Anthony C Smith 1 and Richard Wootton 1 1 Centre for Online Health, University of Queensland, Australia 2 Compvice, Ashmore, Queensland, Australia 3 Royal Children’s Hospital, Brisbane, Australia 4 Department of Paediatrics and Child Health, University of Queensland, Australia Thank you for that encouraging message. You have a good weekend too :-) Mark Feasibility of Automatic Telephone Monitoring and Education Delivery in Childhood Asthma

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Page 1: Feasibility of Automatic Telephone ... - chsr.centre.uq.edu.au

References:1. WainwrightC,WoottonR.Areviewoftelemedicineandasthma.Dis Manage

Health Outcomes2003;11(9):557-563.

2. AnhøjJ,MøldrupC.FeasiblityofcollectingdiarydatafromasthmapatientsthroughmobilephoneandSMS(shortmessageservice):responserateanalysisandfocusgroupevaluationfromapilotstudy.Journal of Medical Internet Research2004(Dec2);6(4):e42.

3. OstojicV,CvoriscecB,OstojicSB,ReznikoffD,Stipic-MarkovicA,TudjmanZ.Improvingasthmacontrolthroughtelemedicine:astudyofshort-messageservice.Telemed J E Health.2005Spring;11(1):28-35.

Patient ReportPatients

Patient Data

Voice Messaging(IVR)

Asthma Management System

Alerts

Alerts Data

Patient Report

Figure1:AsthmaManagementSystem

Objective: Toinvestigatethefeasibilityofusinganautomatedinteractivevoiceresponse(IVR)systemandmobileshortmessageservice(SMS)forthecollectionofclinicalinformationandtheeducationofchildrenwithasthma.

Methods:Weconductedpilotstudiestoinvestigatethefeasibilityoftwodifferenttelephone-basedtelemedicinesystems.OurpaperpresentsareviewofactivityrecordedfromAugust2006toSeptember2007.

IVR Monitoring: Childrenandyoungpeopleagedbetween3throughto16yearswithasthmawereeligibleforthestudy.TheparticipantsreceivedanautomatedtelephonecallmadethroughtheIVRsystemtwiceaweekontheirhomephoneormobilephone.TheIVRsystemaskedquestionsaboutasthmasymptomsandmedicationuse.Childrenover12yearsoldansweredcallsthemselves.Parentsansweredcallsforchildrenyoungerthan12yearsold.Participantswererequestedtoenterclinicaldatausingthekeypadonthephone.Educationalmessages,appropriateinformationfromtheasthmamanagementplanandmedicationremindersweregiven(Figure1).

SMS Monitoring:Adolescentsagedbetween12throughto16yearswithasthmawereeligibleforthemonitoringviamobilephoneusingSMS.Threemessageswere sent out each week. The first message included questionsabouttheirasthmasymptomsandmedication-inwhichparticipantswereaskedtoreply.Theothermessagesincludedasthmaeducationalinformation.

Results:IntheIVRstudy,38patientsaged3to14yearsand/ortheirparentsparticipatedinthestudy.Atotalof2026callswereattemptedbyIVRsystem.Therewere1278successfulcallswithdatacollectedand579calls(29%)withnoanswerduetovarietyofreasons.Atotalof169calls(8%)failedduetotechnicalandoperatorerrors.Theoverallresponseratewas63%(Table1).

Table 1. InteractiveVoiceResponsecallsandresponserate

IVRasthmacalls Numberofcalls Rate

Successfulcalls 1278 63%

Callsnotanswered 579 29%

Callsfailed 169 8%

Totalcallsattempted 2026 100%

IntheSMSstudy,11adolescentsagedbetween12to16yearsparticipatedinthestudy.Thereweretotalof1151SMSsentduringthestudyperiod.Theseincludedatotalof312asthmaweeklyquestions,547asthmaeducationalmessagesand292communicationmessages.Therewere89repliesfromnineparticipants.Twopatientsdidnotreplytothequestions.Theoverallresponseratewas29%(Table2).Fromthemessagesreceived,theparticipantsrespondedpositivelytotheasthmaeducationmessages.

Table 2.SMSmessagesandresponseratetoasthmaquestions:

SMSmessages Numberofmessages Rate

SMSquestions 312 27%

Replytoquestions 89 29%

Education 547 48%

Communication 292 25%

TotalSMSsent 1151 100%

Conclusion: ThisstudysuggeststhatbothIVRandSMSplatformsarefeasibleforpaediatricasthmadatacollectionandpatienteducation.Furtherresearchisrequiredtodeterminetheclinicaloutcomesandcost-effectiveness.

Calling

Youcandowhatanyoneelsecan,justcontrolyourasthma.Haveaniceweekend!

Des

ign

by w

.jerr

y-liu

.com

CathyXu1,DavidMcMahon2,ClaireWainwright3,4,MaryJackson3,AnthonyCSmith1andRichardWootton1

1CentreforOnlineHealth,UniversityofQueensland,Australia2Compvice,Ashmore,Queensland,Australia3RoyalChildren’sHospital,Brisbane,Australia4DepartmentofPaediatricsandChildHealth,UniversityofQueensland,Australia

Thankyouforthatencouragingmessage.Youhaveagoodweekendtoo:-)Mark

Feasibility of Automatic Telephone Monitoring and

Education Delivery in Childhood Asthma

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