Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence

Objective: To investigate comfort level and preferences of automated reminder systems (mail, email, text message, phone call, patient-portal message, and/or smartphone application) to promote adherence to recommended therapies for patients seeking care for urinary incontinence (UI) at our urology cl...

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Main Authors: Nour Bundogji, Gina Toma, Aqsa Khan
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:PEC Innovation
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772628222000528
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author Nour Bundogji
Gina Toma
Aqsa Khan
author_facet Nour Bundogji
Gina Toma
Aqsa Khan
author_sort Nour Bundogji
collection DOAJ
description Objective: To investigate comfort level and preferences of automated reminder systems (mail, email, text message, phone call, patient-portal message, and/or smartphone application) to promote adherence to recommended therapies for patients seeking care for urinary incontinence (UI) at our urology clinic in Phoenix, Arizona. Methods: Anonymous surveys were distributed in English to adult patients with UI from 4/2019–5/2019. Patient demographics, UI type, and access to and use of the Internet, smartphone and patient-portal were assessed. Using a Likert scale, patients indicated level of comfort with each reminder system and numerically ranked each system. Statistical analyses were performed to identify patient characteristics associated with reminder modality and determine significance in ranking of systems. Results: Fifty-seven patients (67.3 ± 16.3 years) completed the survey with an 87% response rate. Text-message and phone call reminder modalities were ranked the highest compared to other modalities (p < 0.05). A Chi-squared test showed no correlation between preferred reminder system modality and type of incontinence, age, gender, race/ethnicity, or language spoken (p > 0.05). Internet usage and access significantly correlated with preference for smartphone application and patient-portal message reminder systems (p < 0.05). Conclusion: Patients reported they were extremely comfortable with all communication modalities, except for smartphone applications in which patients were the least comfortable. The modalities most preferred by patients were phone call and text message and least preferred were patient portal and smart phone application. In conclusion, phone calls and text messages were the most preferred communication modality, with smart phone applications as the least comfortable. Innovation: This study demonstrates the potential utility of specific reminder modalities for patients seeking help with treatment adherence.
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spelling doaj.art-7d98c4235a4a49a091e340c48770e1412022-12-22T03:52:06ZengElsevierPEC Innovation2772-62822022-12-011100067Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinenceNour Bundogji0Gina Toma1Aqsa Khan2College of Medicine, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA; Corresponding author at: 475 N 5th St., Phoenix, AZ 85004, USA.Department of Urology, The Mayo Clinic in Scottsdale, Scottsdale, AZ, USADepartment of Urology, The Mayo Clinic in Scottsdale, Scottsdale, AZ, USAObjective: To investigate comfort level and preferences of automated reminder systems (mail, email, text message, phone call, patient-portal message, and/or smartphone application) to promote adherence to recommended therapies for patients seeking care for urinary incontinence (UI) at our urology clinic in Phoenix, Arizona. Methods: Anonymous surveys were distributed in English to adult patients with UI from 4/2019–5/2019. Patient demographics, UI type, and access to and use of the Internet, smartphone and patient-portal were assessed. Using a Likert scale, patients indicated level of comfort with each reminder system and numerically ranked each system. Statistical analyses were performed to identify patient characteristics associated with reminder modality and determine significance in ranking of systems. Results: Fifty-seven patients (67.3 ± 16.3 years) completed the survey with an 87% response rate. Text-message and phone call reminder modalities were ranked the highest compared to other modalities (p < 0.05). A Chi-squared test showed no correlation between preferred reminder system modality and type of incontinence, age, gender, race/ethnicity, or language spoken (p > 0.05). Internet usage and access significantly correlated with preference for smartphone application and patient-portal message reminder systems (p < 0.05). Conclusion: Patients reported they were extremely comfortable with all communication modalities, except for smartphone applications in which patients were the least comfortable. The modalities most preferred by patients were phone call and text message and least preferred were patient portal and smart phone application. In conclusion, phone calls and text messages were the most preferred communication modality, with smart phone applications as the least comfortable. Innovation: This study demonstrates the potential utility of specific reminder modalities for patients seeking help with treatment adherence.http://www.sciencedirect.com/science/article/pii/S2772628222000528Urinary incontinenceTreatment adherenceSmartphone application
spellingShingle Nour Bundogji
Gina Toma
Aqsa Khan
Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
PEC Innovation
Urinary incontinence
Treatment adherence
Smartphone application
title Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
title_full Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
title_fullStr Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
title_full_unstemmed Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
title_short Identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
title_sort identification of preferred reminder systems and patient factors to promote adherence in the management of urinary incontinence
topic Urinary incontinence
Treatment adherence
Smartphone application
url http://www.sciencedirect.com/science/article/pii/S2772628222000528
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