AHRQ Innovations Exchange | Regular Reminders via Text Message Increase Adherence to Medication Regimen, Significantly Reduce Risk of Organ Rejection in Pediatric Liver Transplant Patients

Regular Reminders via Text Message Increase Adherence to Medication Regimen, Significantly Reduce Risk of Organ Rejection in Pediatric Liver Transplant Patients

Snapshot
Summary
Working in partnership with CareSpeak Communications, Mount Sinai Hospital sends regular reminders to pediatric liver transplant patients and/or their caregivers via two-way text message, reminding them to take their medications, with followup alerts sent to the caregivers of those who do not respond within a predetermined time range. Physicians can also proactively monitor performance and then send motivational messages to encourage continued adherence, or identify and intervene with nonadherent patients before the risk of rejection increases significantly. The program increased adherence to medication regimens and significantly reduced the risk of organ rejection.

Evidence Rating
Moderate: The evidence consists of pre- and post-implementation comparisons of the standard deviation in mean serum medication levels and the number of at-risk patients and rejection episodes.

Developing Organizations
CareSpeak Communications; Mount Sinai Hospital

Mount Sinai Hospital is located in New York, NY; CareSpeak Communications is located in East Brunswick, NJ.

Date First Implemented
2007
November

Patient Population
Age > Infant (1-23 months); Preschooler (2-5 years); Child (6-12 years); Adolescent (13-18 years); Vulnerable Populations > Children


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AHRQ Innovations Exchange | Regular Reminders via Text Message Increase Adherence to Medication Regimen, Significantly Reduce Risk of Organ Rejection in Pediatric Liver Transplant Patients