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Trial registered on ANZCTR
Registration number
ACTRN12609000862246
Ethics application status
Approved
Date submitted
25/09/2009
Date registered
6/10/2009
Date last updated
6/04/2011
Type of registration
Prospectively registered
Titles & IDs
Public title
Can short message service reminders reduce the do not attend rate in physiotherapy outpatient clinics?
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Scientific title
Can short message service (SMS) reminders reduce the do not attend rate in patients attending physiotherapy outpatient clinics?
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Secondary ID [1]
259946
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No secondary ID
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Do not attend rate of patients with appointments at physiotherapy outpatient clinics
251922
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Condition category
Condition code
Musculoskeletal
252102
252102
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0
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Other muscular and skeletal disorders
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Physical Medicine / Rehabilitation
252151
252151
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0
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Physiotherapy
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Public Health
252152
252152
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0
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Health service research
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Short message service reminder for appointment in physiotherapy outpatients. Patients allocated to the short message service reminder group will be sent a reminder 2 days before their appointment if the appointment is made more than 3 days prior, or the day before the appointment if the appointment was made 2 days ago. It is expected that that intervention will be applied over a duration of 2 months.
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Intervention code [1]
241342
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Behaviour
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Comparator / control treatment
Usual care, not receiving short message reminder for appointment in physiotherapy outpatients. Usual care entails not receiving a reminder at all at three sites (Box Hill, Angliss, Maroondah) and a telephone reminder 2 days before the appointment at Yarra Valley Community Health Service
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Control group
Active
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Outcomes
Primary outcome [1]
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Do not attend rate, the number of scheduled appointments not attended as a proportion of the total number of scheduled appointments.
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Assessment method [1]
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Timepoint [1]
252985
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The next scheduled appointment
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Secondary outcome [1]
257750
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Cancellation rate (note that cancellations less than 24 hours prior to appointment will be defined as a did not attend)
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Assessment method [1]
257750
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Timepoint [1]
257750
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The next scheduled appointment
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Secondary outcome [2]
257751
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Estimation of costs, including equipment, staff time in adminsitering the short message service calls, and the costs of any missed appointments in clinician time for a standard initial or repeat appointment.
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Assessment method [2]
257751
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Timepoint [2]
257751
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At the end of the trial
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Secondary outcome [3]
257752
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Description of patients who did not attend compared to those who did attend in terms of age, sex, occupation, health condition, referral source, and timing of appointment. These data will be assessed from patient records.
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Assessment method [3]
257752
0
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Timepoint [3]
257752
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The next scheduled appointment
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Eligibility
Key inclusion criteria
Particpants will be included if they;
1. Have a physiotherapy appointment in an acute physiotherapy outpatient clinic at Angliss, Maroondah or Box Hill Hospitals or at the Yarra Valley Community Health Service
2. Provide a mobile phone number
3. Aged at least 18 years
4. Able to give verbal consent to participate
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Participants will be excluded if:
1. They are attending sub-acute ambulatory care services or group programs
2. Cannot provide a mobile phone number through which they can be contacted
3. Have been given an appointment on the same day on which they make the appointment
4. Have already participated in the trial by being allocated for a previous appointment during the trial
5. Aged under 18 years
6. Not able to give verbal consent to participate
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Study design
Purpose of the study
Educational / counselling / training
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Patients will be required to give verbal consent to participate at the time of making their appointment. The person making the appointment will read out a prepared script. If the patient agrees to participate a note will be placed in their file that they have given verbal consent. Eligible patients will be randomly allocated to the intervention (SMS reminder) or control group (usual care - no SMS reminder) for their next available appointment. The person who allocates will open a pre-prepared computer file where the allocation is concealed, and select the next subject in sequence and reveal their allocation by changing text from white to black in that cell.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The sequence will be prepared by an independent researcher using web-based random number tables stratified for site (Box Hill, Angliss, Maroondah, Yarra Valley) in permuted blocks.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/11/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
1200
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Recruitment postcode(s) [1]
2132
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3128
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Recruitment postcode(s) [2]
2133
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3156
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Recruitment postcode(s) [3]
2134
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3155
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Recruitment postcode(s) [4]
2135
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3777
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Funding & Sponsors
Funding source category [1]
243795
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Hospital
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Name [1]
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Eastern Health
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Address [1]
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5 Arnold Street, Box Hill, Victoria 3128
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Country [1]
243795
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Australia
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Primary sponsor type
Individual
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Name
Nicholas Taylor
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Address
Level 3, 16 Arnold Street, Box Hill, Victoria 3128
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Country
Australia
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Secondary sponsor category [1]
237149
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Individual
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Name [1]
237149
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Deenika Benjamin
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Address [1]
237149
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Physiotherapy Department, Angliss Hospital, Albert Street, Upper Ferntree Gully, Victoria 3156
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Country [1]
237149
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
243924
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La Trobe University Faculty Human Ethics Committee
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Ethics committee address [1]
243924
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Faculty Human Ethics Committee Faculty of Health Sciences La Trobe University Bundoora Victoria 3086
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Ethics committee country [1]
243924
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Australia
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Date submitted for ethics approval [1]
243924
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20/07/2009
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Approval date [1]
243924
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03/09/2009
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Ethics approval number [1]
243924
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FHEC 09/193
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Summary
Brief summary
Failure to attend appointments is a problem for health services. A high proportion of patients who do not attend (DNA) means that clinical and administrative staff are not efficiently employed, and results in longer waiting times for other patients that may increase the risk of further health problems. A recent audit of Eastern Health physiotherapy outpatient clinics found a DNA rate of 8.1%, representing more than 125 missed appointments per month. A review of the literature indicates providing reminders can be an effective method of reducing DNA rates for health services, and a couple of recent observational studies have provided preliminary evidence that sending patients reminders via the short message service (SMS) on mobile phones can be an effective way of reducing DNA rates. Therefore, the aim of this trial is to find out if sending SMS reminders to patients with appointments at physiotherapy outpatient clinics is an effective way of reducing DNA rates. Using a randomised controlled trial at 4 Eastern Health physiotherapy outpatient clinics, patients will be randomly allocated either to the group that will receive an SMS reminder or the group that receives usual care. The primary outcome is DNA rate, and secondary outcomes are cancellation rates and an initial estimation of costs in implementing the SMS reminder system.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
30331
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Country
30331
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Phone
30331
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Fax
30331
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Email
30331
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Contact person for public queries
Name
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Nicholas Taylor
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Address
13578
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Level 3, Clive Ward Building
16 Arnold Street
Box Hill
Victoria 3128
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Country
13578
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Australia
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Phone
13578
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+61 3 9091 8874
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Fax
13578
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Email
13578
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[email protected]
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Contact person for scientific queries
Name
4506
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Nicholas Taylor
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Address
4506
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Level 3, Clive Ward Building
16 Arnold Street
Box Hill
Victoria 3128
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Country
4506
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Australia
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Phone
4506
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+61 3 9091 874
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Fax
4506
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Email
4506
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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