Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme

Abstract Background Clinic non-attendance rates are high across the African continent. Emerging evidence suggests that phone-based reminder messages could make a small but important contribution to reducing non-attendance. We will use behavioural economics principles to develop an SMS and voice remi...

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Main Authors: Luke N Allen, Bakgaki Ratshaa, David Macleod, Nigel Bolster, Matthew Burton, Min Kim, Andrew Bastawrous, Ari Ho-Foster, Hannah Chroston, Oathokwa Nkomazana
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Trials
Subjects:
Online Access:https://doi.org/10.1186/s13063-022-06519-y
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author Luke N Allen
Bakgaki Ratshaa
David Macleod
Nigel Bolster
Matthew Burton
Min Kim
Andrew Bastawrous
Ari Ho-Foster
Hannah Chroston
Oathokwa Nkomazana
author_facet Luke N Allen
Bakgaki Ratshaa
David Macleod
Nigel Bolster
Matthew Burton
Min Kim
Andrew Bastawrous
Ari Ho-Foster
Hannah Chroston
Oathokwa Nkomazana
author_sort Luke N Allen
collection DOAJ
description Abstract Background Clinic non-attendance rates are high across the African continent. Emerging evidence suggests that phone-based reminder messages could make a small but important contribution to reducing non-attendance. We will use behavioural economics principles to develop an SMS and voice reminder message to improve attendance rates in a school-based eye screening programme in Botswana. Methods We will test a new theory-informed SMS and voice reminder message in a national school-based eye screening programme in Botswana. The control will be the standard SMS message used to remind parents/guardians to bring their child for ophthalmic assessment. All messages will be sent twice. The primary outcome is attendance for ophthalmic assessment. We will use an automated adaptive approach, starting with a 1:1 allocation ratio. Discussion As far as we are aware, only one other study has used behavioural economics to inform the development of reminder messages to be deployed in an African healthcare setting. Our study will use an adaptive trial design, embedded in a national screening programme. Our approach can be used to trial other forms of reminder message in the future. Trial registration ISRCTN 96528723 . Registered on 5 January 2022.
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spelling doaj.art-fcad93fc68ba4a058bab634016b77d892022-12-22T01:37:35ZengBMCTrials1745-62152022-08-0123111410.1186/s13063-022-06519-yProtocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programmeLuke N Allen0Bakgaki Ratshaa1David Macleod2Nigel Bolster3Matthew Burton4Min Kim5Andrew Bastawrous6Ari Ho-Foster7Hannah Chroston8Oathokwa Nkomazana9LSHTMUniversity of BotswanaLSHTMLSHTMLSHTMLSHTMLSHTMUniversity of BotswanaLSHTMUniversity of BotswanaAbstract Background Clinic non-attendance rates are high across the African continent. Emerging evidence suggests that phone-based reminder messages could make a small but important contribution to reducing non-attendance. We will use behavioural economics principles to develop an SMS and voice reminder message to improve attendance rates in a school-based eye screening programme in Botswana. Methods We will test a new theory-informed SMS and voice reminder message in a national school-based eye screening programme in Botswana. The control will be the standard SMS message used to remind parents/guardians to bring their child for ophthalmic assessment. All messages will be sent twice. The primary outcome is attendance for ophthalmic assessment. We will use an automated adaptive approach, starting with a 1:1 allocation ratio. Discussion As far as we are aware, only one other study has used behavioural economics to inform the development of reminder messages to be deployed in an African healthcare setting. Our study will use an adaptive trial design, embedded in a national screening programme. Our approach can be used to trial other forms of reminder message in the future. Trial registration ISRCTN 96528723 . Registered on 5 January 2022.https://doi.org/10.1186/s13063-022-06519-yBehavioural economicsReminder messagesmHealthHealth services researchAdaptive RCT
spellingShingle Luke N Allen
Bakgaki Ratshaa
David Macleod
Nigel Bolster
Matthew Burton
Min Kim
Andrew Bastawrous
Ari Ho-Foster
Hannah Chroston
Oathokwa Nkomazana
Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme
Trials
Behavioural economics
Reminder messages
mHealth
Health services research
Adaptive RCT
title Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme
title_full Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme
title_fullStr Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme
title_full_unstemmed Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme
title_short Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme
title_sort protocol for an automated pragmatic embedded adaptive randomised controlled trial behavioural economics informed mobile phone based reminder messages to improve clinic attendance in a botswanan school based vision screening programme
topic Behavioural economics
Reminder messages
mHealth
Health services research
Adaptive RCT
url https://doi.org/10.1186/s13063-022-06519-y
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