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A Randomized Controlled Trial of SMS Text Messaging versus Postal Reminder to Improve Attendance after Lipid Lowering Therapy in Primary Care
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Á¶¼ºÀÚ(Cho Sung-Ja) - ¿ï»ê´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
±è¿µ½Ä(Kim Young-Sik) - ¿ï»ê´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
½Åȣö(Shin Ho-Cheol) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
¼ºÀºÁÖ(Sung Eun-Ju) - ¼º±Õ°ü´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
±è´ëÇö(Kim Dae-Hyun) - °è¸í´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
ÀÌ»ó¿±(Lee Sang-Yeoup) - ºÎ»ê´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
ÀüÅÂÈñ(Jeon Tae-Hee) - ¼¿ïº¸Èƺ´¿ø °¡Á¤ÀÇÇаú
¾çÀ±ÁØ(Yang Yun-Jun) - ÀÎÁ¦´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
Á¶Ãæȯ(Cho Chung-Hwan) - ÀüÁÖ¿¹¼öº´¿ø
°Èñö(Kang Hee-Cheol) - ¿¬¼¼´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
Á¤À¯¼®(Cheong Yoo-Seock) - ´Ü±¹´ëÇб³ ÀÇ°ú´ëÇÐ °¡Á¤ÀÇÇб³½Ç
Abstract
¿¬±¸¹è°æ: ÀÏÂ÷ÀÇ·á¿¡¼ ÁöÁúÀúÇÏÁ¦¿¡ ´ëÇÑ ¼øÀÀµµ´Â ³ôÁö¾ÊÀº °ÍÀ¸·Î ¾Ë·ÁÁ® ÀÖ´Ù. ÀÌ¿¡ ÁöÁúÀúÇÏÁ¦ Ä¡·á ÈÄ ¿Ü·¡¹æ¹®
À²À» °³¼±½ÃÅ°±â À§ÇÑ ÈÞ´ëÆù ¹®ÀÚ¸Þ½ÃÁö¿Í ÆíÁö ȸ»ó¹ý°£ÀÇ È¿°ú¸¦ ´ëÁ¶±º°ú ºñ±³ÇÏ´Â ¹«ÀÛÀ§¹èÁ¤ ´Ù±â°ü ÀÓ»ó½ÃÇèÀ» 2003³â 2¿ùºÎÅÍ 2006³â 6¿ù±îÁö 19°³ º´¿ø °¡Á¤ÀÇÇаú¿¡¼ ¼öÇàÇÏ¿´´Ù.
¹æ¹ý: 918¸íÀÇ °íÁöÇ÷ÁõȯÀÚ¸¦ ÈÞ´ëÆù ¹®ÀÚ¸Þ½ÃÁö±º(327), ÆíÁö±º(294) ¹× ´ëÁ¶±º(297)À¸·Î ¹«ÀÛÀ§ ¹èÁ¤ÇÏ¿´´Ù. ¿Ü·¡¹æ¹®À²À» Æò°¡Çϱâ À§ÇØ ÃÖÃÊ Åõ¾à ÈÄ 24ÁÖ¿¡ ¿Ü·¡¹æ¹®À» ÃßÀûÁ¶»ç ÇÏ¿´À¸¸ç, ȸ»ó¹ýÀº 16ÁÖ¿¡ 1ȸ ¿¬±¸Á¶Á¤¼¾ÅÍ¿¡¼ ¿¬±¸ÀÚ ¸Í°ËÀ¸·Î ¹ß¼ÛÇÏ¿´´Ù.
°á°ú: Àüü ¹æ¹®À²Àº 74.1%À̾úÀ¸¸ç, ¹®ÀÚ¸Þ½ÃÁö±ºÀº 76.1%, ÆíÁö±ºÀº73.5%, ´ëÁ¶±ºÀº 72.4%À̾ú´Ù. ´Ùº¯·®ºÐ¼®¿¡ ÀÇÇÏ
¸é ¹®ÀÚ¸Þ½ÃÁö±ºÀÌ ´ëÁ¶±ºº¸´Ù ¹æ¹®À²(Odds ratios [OR] 1.48; 95% confendence interval [CI], 1.01-2.16)ÀÌ À¯ÀÇÇÏ°Ô ³ô¾ÒÀ¸³ª ÆíÁö±ºÀº ´ëÁ¶±º°ú Â÷ÀÌ°¡ ¾ø¾ú´Ù(OR, 1.15; 95% CI, 0.79-1.69). ¹æ¹®ÀÚ 1ÀÎ´ç ºñ¿ëÀº ¹®ÀÚ¸Þ½ÃÁö±ºÀÌ 155¿øÀ¸·Î ÆíÁö±ºÀÇ 722¿øº¸´Ù 4.7¹è Àú·ÅÇÏ¿´´Ù.
°á·Ð: ÁöÁúÀúÇÏÁ¦ Ä¡·á ÈÄ ¿Ü·¡¹æ¹®À²À» °³¼±½ÃÅ°´Âµ¥ ÀÖ¾î¼ ÈÞ´ëÆù ¹®ÀÚ¸Þ½ÃÁö°¡ ÆíÁöº¸´Ù ºñ¿ëÀý°¨ È¿°ú°¡ ÀÖ¾ú´Ù.
Background: In the primary care setting, compliance with lipid lowering therapy was relatively low. In order to compare the efficacy of a short messaging service (SMS) text messaging and postal reminder as means of improving attendance rates during the first 24 weeks of lipid-lowering therapy, a randomized controlled trial of 918 patients from 19 family practice clinics was conducted between February 2003 and June 2006.
Methods: Patients were randomly assigned into 3 groups: SMS (327), postal (294),and control (297) group. To ascertain attendance rates, patients were followed up at 24 weeks after their treatment. Reminders were sent at 16 weeks from the coordinating center.
Results: Overall attendance rate was 74.1%. This differed between groups, with 76.1% attendance for the SMS group, 73.5% for the postal group, and 72.4% for the control group. According to a multivariate analysis, the SMS group had a significantly higher attendance rate (Odds ratios [OR] 1.48; 95% confidence interval [CI], 1.01 to 2.16) than the control group, but the postal group (OR, 1.15; 95% CI, 0.79 to 1.69) did not. Moreover, the cost per attendance for the SMS reminder (155 Korean Won [KRW]) was much lower than that for the postal reminder (722 KRW).
Conclusion: SMS reminder may be more cost saving method to improve the attendance rate compared with the postal reminder.
Å°¿öµå
ȸ»ó¹ý, ÈÞ´ëÆù ¹®ÀÚ¸Þ½ÃÁö, ¹æ¹®À², ¹«ÀÛÀ§¹èÁ¤
Reminder, Text Messaging, Attendance, Randomized Controlled Trial
KMID :
0384320100310040284
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The SMS group had a significantly higher attendance rate (Odds ratios [OR] 1.48; 95% confidence interval [CI], 1.01 to 2.16) than the control group, but the postal group (OR, 1.15; 95% CI, 0.79 to 1.69) did not.