Text messaging to improve connection between adolescents and their health care providers

Objective Adolescence marks a time of transition where teenagers are learning to advocate for themselves. In those with underlying chronic conditions such as adolescent dysautonomia, improving communication between clinic visits may improve connection with their health care provider which may aide m...

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Main Authors: Claire R Galvin, Astrid M De Souza, James E Potts, Penny L Sneddon, Shubhayan Sanatani, Kathryn R Armstrong
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Digital Health
Online Access:https://doi.org/10.1177/20552076241309228
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author Claire R Galvin
Astrid M De Souza
James E Potts
Penny L Sneddon
Shubhayan Sanatani
Kathryn R Armstrong
author_facet Claire R Galvin
Astrid M De Souza
James E Potts
Penny L Sneddon
Shubhayan Sanatani
Kathryn R Armstrong
author_sort Claire R Galvin
collection DOAJ
description Objective Adolescence marks a time of transition where teenagers are learning to advocate for themselves. In those with underlying chronic conditions such as adolescent dysautonomia, improving communication between clinic visits may improve connection with their health care provider which may aide management. Our aims were as follows: (1) to implement a text message platform to increase communication between adolescent patients and health care provider (HCP); (2) to evaluate its effect on quality of life (QoL), symptom burden, and patient engagement; and (3) to determine patient satisfaction with the platform. Methods Participants (age 12–18) with access to a personal mobile phone were recruited from a pediatric dysautonomia clinic. A weekly automated text message asking “How are you?” was sent to participants (WelTel Inc.). Responses were triaged to HCP and responded to within 48 hours. Results Twenty-six participants with median (interquartile range) age of 16.8 (15.7–17.4) years completed the study. Duration of the text messaging intervention was 33 (26.8–37.3) weeks. A total of 896 automated weekly messages were sent, which resulted in 206 (23%) care conversations. Participants found texting useful (96%) and produced feelings of connection to their HCP (92%). There was no change in overall QoL or symptom burden ( p  > 0.05). Conclusion A text message platform was successfully implemented in adolescents seen in our Dysautonomia Clinic. Patients were engaged, satisfied with the platform, and felt connected to their HCP despite no changes in QoL or symptom burden.
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spelling doaj-art-a0da1fb11b7540488ef24daf332b4d202025-01-16T03:04:13ZengSAGE PublishingDigital Health2055-20762025-01-011110.1177/20552076241309228Text messaging to improve connection between adolescents and their health care providersClaire R Galvin0Astrid M De Souza1James E Potts2Penny L Sneddon3Shubhayan Sanatani4Kathryn R Armstrong5 Children's Heart Centre, Division of Cardiology, BC Children's Hospital, Vancouver, Canada Children's Heart Centre, Division of Cardiology, BC Children's Hospital, Vancouver, Canada Children's Heart Centre, Division of Cardiology, BC Children's Hospital, Vancouver, Canada Department of Psychology, , Vancouver, Canada Children's Heart Centre, Division of Cardiology, BC Children's Hospital, Vancouver, Canada Children's Heart Centre, Division of Cardiology, BC Children's Hospital, Vancouver, CanadaObjective Adolescence marks a time of transition where teenagers are learning to advocate for themselves. In those with underlying chronic conditions such as adolescent dysautonomia, improving communication between clinic visits may improve connection with their health care provider which may aide management. Our aims were as follows: (1) to implement a text message platform to increase communication between adolescent patients and health care provider (HCP); (2) to evaluate its effect on quality of life (QoL), symptom burden, and patient engagement; and (3) to determine patient satisfaction with the platform. Methods Participants (age 12–18) with access to a personal mobile phone were recruited from a pediatric dysautonomia clinic. A weekly automated text message asking “How are you?” was sent to participants (WelTel Inc.). Responses were triaged to HCP and responded to within 48 hours. Results Twenty-six participants with median (interquartile range) age of 16.8 (15.7–17.4) years completed the study. Duration of the text messaging intervention was 33 (26.8–37.3) weeks. A total of 896 automated weekly messages were sent, which resulted in 206 (23%) care conversations. Participants found texting useful (96%) and produced feelings of connection to their HCP (92%). There was no change in overall QoL or symptom burden ( p  > 0.05). Conclusion A text message platform was successfully implemented in adolescents seen in our Dysautonomia Clinic. Patients were engaged, satisfied with the platform, and felt connected to their HCP despite no changes in QoL or symptom burden.https://doi.org/10.1177/20552076241309228
spellingShingle Claire R Galvin
Astrid M De Souza
James E Potts
Penny L Sneddon
Shubhayan Sanatani
Kathryn R Armstrong
Text messaging to improve connection between adolescents and their health care providers
Digital Health
title Text messaging to improve connection between adolescents and their health care providers
title_full Text messaging to improve connection between adolescents and their health care providers
title_fullStr Text messaging to improve connection between adolescents and their health care providers
title_full_unstemmed Text messaging to improve connection between adolescents and their health care providers
title_short Text messaging to improve connection between adolescents and their health care providers
title_sort text messaging to improve connection between adolescents and their health care providers
url https://doi.org/10.1177/20552076241309228
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