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Trial registered on ANZCTR
Registration number
ACTRN12617001024336
Ethics application status
Approved
Date submitted
20/05/2017
Date registered
14/07/2017
Date last updated
14/07/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
Non-attendance in paediatric outpatient clinics, text reminder versus conventional system; a randomised control trial
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Scientific title
The effect of SMS appointment reminders on non-attendance rates in paediatric outpatient clinics
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Secondary ID [1]
292333
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nil known
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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:
Non-attendance in Paediatric Clinics
303376
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Condition category
Condition code
Public Health
302799
302799
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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
Intervention - Parents of participants will receive SMS reminder 1 week prior to scheduled appointment. This SMS will be sent by a hired Research Assistant 1 week before the appointment. The content of this SMS will include date and time of the appointment in Malay language.
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Intervention code [1]
298131
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Behaviour
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Comparator / control treatment
Parents of paediatric patients will receive no reminder in any form prior to their scheduled appointment
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Control group
Active
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Outcomes
Primary outcome [1]
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Attendance on the pro-forma will be recorded and confirmed with medical records.
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Assessment method [1]
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Timepoint [1]
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On the day of the appointment
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Secondary outcome [1]
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Effect of level of education, salary and types of clinic on non attendance in both intervention and control groups.
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Assessment method [1]
336543
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Timepoint [1]
336543
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on the day of the appointment
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Eligibility
Key inclusion criteria
1. Any patient that requires new appointment and pre-existing patients that require further appointments
2. Parents must have an active mobile phone number for contact purposes.
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Minimum age
No limit
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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?
Yes
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Key exclusion criteria
1. frequent clinic defaulters
2. high risk patients e.g. poorly controlled asthma/epilepsy
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Study design
Purpose of the study
Treatment
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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)
central randomisation by computer
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
simple randomisation using a randomisation table created by computer software
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people assessing the outcomes
The people analysing the results/data
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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
Pearson Chi Square to assess categorical independent and outcome.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
13/04/2017
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Date of last participant enrolment
Anticipated
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Actual
10/05/2017
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Date of last data collection
Anticipated
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Actual
13/05/2017
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Sample size
Target
640
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Accrual to date
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Final
646
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Recruitment outside Australia
Country [1]
8913
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Malaysia
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State/province [1]
8913
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Kelantan
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Funding & Sponsors
Funding source category [1]
296521
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Self funded/Unfunded
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Name [1]
296521
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Azri Fikry
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Address [1]
296521
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Paediatric Department,
Hospital Universiti Sains Malaysia,
Jalan Raja Perempuan Zainab 2,
16150 Kota Bharu,
Kelantan, Malaysia
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Country [1]
296521
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Malaysia
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Primary sponsor type
Individual
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Name
Azri Fikry
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Address
Paediatric Department,
Hospital Universiti Sains Malaysia,
Jalan Raja Perempuan Zainab 2,
16150 Kota Bharu,
Kelantan, Malaysia
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Country
Malaysia
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Secondary sponsor category [1]
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None
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Name [1]
295480
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Address [1]
295480
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Country [1]
295480
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
297712
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Jabatankuasa Etika Penyelidikan Manusia Universiti Sains Malaysia
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Ethics committee address [1]
297712
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Jabatankuasa Etika Penyelidikan Manusia, Universiti Sains Malaysia Kampus Kesihatan, Jalan Raja Perempuan Zainab 2, 16150 Kota Bharu, Kelantan, Malaysia
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Ethics committee country [1]
297712
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Malaysia
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Date submitted for ethics approval [1]
297712
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18/01/2017
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Approval date [1]
297712
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13/04/2017
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Ethics approval number [1]
297712
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USM/JEPeM/17010057
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Summary
Brief summary
This is a single blind randomised control trial conducted in Paediatric Clinic Hospital Universiti Sains Malaysia (Hospital USM). The main objectives are the determine the non-attendance rate in our Paediatric Clinics and to assess the non-attendance rate in the intervention group and the control group. The respondents are the parents of paediatric patients. In the intervention group, they will receive an SMS reminder 1 week prior to the appointment and the control group will receive no reminder. A randomisation generated by a software will be used, and the primary investigator will be blinded by the allocation and outcome. A proforma containing an active mobile phone number including level of education and salary will be utilised for this study. Pearson Chi Square will be used to evaluate the intervention with the outcome. There is a 15.6% statistically significant reduction in the non-attendance rate in the intervention group. However the is no statistical significance in the level of education and salary to the non-attendance. SMS reminder is an effective way to improve the non-attendance rate. The association of poor socioeconomic status with poor attendance in the previous trials was not reproducible in this trial.
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Trial website
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Trial related presentations / publications
1. George, A., & Rubin, G. (2003). Non-attendance in general practice: a systematic review and its implications for access to primary health care. Family Practice, 20(2), 178-184. doi: 10.1093/fampra/20.2.178 2. Jamil, M. T., Ismail, N. Z. A. N., Zulkifli, A. B., Majid, N. A., & Van Rostenberghe, H. (2011). Non-attendance to the paediatric clinics in a Malaysian tertiary hospital: A sizeable problem and identification of an efficacious intervention. Journal of paediatrics and child health, 47(6), 346-349. 3. Junod Perron, N., Dominicé Dao, M., Kossovsky, M. P., Miserez, V., Chuard, C., Calmy, A., & Gaspoz, J.-M. (2010). Reduction of missed appointments at an urban primary care clinic: a randomised controlled study. BMC Family Practice, 11(1), 79. doi: 10.1186/1471-2296-11-79(McLean et al., 2016) 4. (Hasvold & Wootton, 2011)Hasvold, P. E., & Wootton, R. (2011). Use of telephone and SMS reminders to improve attendance at hospital appointments: a systematic review. Journal of telemedicine and telecare, 17(7), 358-364. 5. McLean, S. M., Booth, A., Gee, M., Salway, S., Cobb, M., Bhanbhro, S., & Nancarrow, S. A. (2016). Appointment reminder systems are effective but not optimal: results of a systematic review and evidence synthesis employing realist principles. Patient preference and adherence, 10, 479.
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Public notes
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Contacts
Principal investigator
Name
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Dr Azri Fikry
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Address
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Jabatan Paediatrik,
Hospital Universiti Sains Malaysia,
Jalan Raja Perempuan Zainab 2,
16150, Kota Bharu,
Kelantan
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Country
74918
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Malaysia
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Phone
74918
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+6097673000
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Fax
74918
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+6097672351
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Email
74918
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[email protected]
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Contact person for public queries
Name
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Ariffin Nasir
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Address
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Jabatan Paediatrik,
Hospital Universiti Sains Malaysia,
Jalan Raja Perempuan Zainab 2,
16150, Kota Bharu,
Kelantan
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Country
74919
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Malaysia
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Phone
74919
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+6097673000
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Fax
74919
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+6097672351
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Email
74919
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[email protected]
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Contact person for scientific queries
Name
74920
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Ariffin Nasir
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Address
74920
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Jabatan Paediatrik,
Hospital Universiti Sains Malaysia,
Jalan Raja Perempuan Zainab 2,
16150, Kota Bharu,
Kelantan
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Country
74920
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Malaysia
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Phone
74920
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+6097673000
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Fax
74920
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+6097672351
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Email
74920
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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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