Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome
Introduction: There is limited information on effective disease monitoring for prompt interventions in childhood nephrotic syndrome. We examined the feasibility and effectiveness of a novel text messaging system (SMS) for disease monitoring in a multicenter, prospective study. Methods: A total of 12...
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| Format: | Article |
| Language: | English |
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Elsevier
2019-08-01
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| Series: | Kidney International Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468024919301731 |
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Article |
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DOAJ |
| language |
English |
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Article |
| sources |
DOAJ |
| author |
Chia-shi Wang Jonathan P. Troost Larry A. Greenbaum Tarak Srivastava Kimberly Reidy Keisha Gibson Howard Trachtman John D. Piette Christine B. Sethna Kevin Meyers Katherine M. Dell Cheryl L. Tran Suzanne Vento Krishna Kallem Emily Herreshoff Sangeeta Hingorani Kevin Lemley Gia Oh Elizabeth Brown Jen-Jar Lin Frederick Kaskel Debbie S. Gipson |
| spellingShingle |
Chia-shi Wang Jonathan P. Troost Larry A. Greenbaum Tarak Srivastava Kimberly Reidy Keisha Gibson Howard Trachtman John D. Piette Christine B. Sethna Kevin Meyers Katherine M. Dell Cheryl L. Tran Suzanne Vento Krishna Kallem Emily Herreshoff Sangeeta Hingorani Kevin Lemley Gia Oh Elizabeth Brown Jen-Jar Lin Frederick Kaskel Debbie S. Gipson Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome Kidney International Reports |
| author_facet |
Chia-shi Wang Jonathan P. Troost Larry A. Greenbaum Tarak Srivastava Kimberly Reidy Keisha Gibson Howard Trachtman John D. Piette Christine B. Sethna Kevin Meyers Katherine M. Dell Cheryl L. Tran Suzanne Vento Krishna Kallem Emily Herreshoff Sangeeta Hingorani Kevin Lemley Gia Oh Elizabeth Brown Jen-Jar Lin Frederick Kaskel Debbie S. Gipson |
| author_sort |
Chia-shi Wang |
| title |
Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome |
| title_short |
Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome |
| title_full |
Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome |
| title_fullStr |
Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome |
| title_full_unstemmed |
Text Messaging for Disease Monitoring in Childhood Nephrotic Syndrome |
| title_sort |
text messaging for disease monitoring in childhood nephrotic syndrome |
| publisher |
Elsevier |
| series |
Kidney International Reports |
| issn |
2468-0249 |
| publishDate |
2019-08-01 |
| description |
Introduction: There is limited information on effective disease monitoring for prompt interventions in childhood nephrotic syndrome. We examined the feasibility and effectiveness of a novel text messaging system (SMS) for disease monitoring in a multicenter, prospective study. Methods: A total of 127 patients <19 years with incident nephrotic syndrome were enrolled in the ongoing Nephrotic Syndrome Study Network between June 2015 and March 2018. Text messages soliciting home urine protein results, symptoms, and medication adherence were sent to a designated caregiver (n = 116) or adolescent patient (n = 3). Participants responded by texting. Feasibility of SMS was assessed by SMS adoption, retention, and engagement, and concordance between participant-reported results and laboratory/clinician assessments. The number of disease relapses and time-to-remission data captured by SMS were compared with data collected by conventional visits. Results: A total of 119 of 127 (94%) patients agreed to SMS monitoring. Retention rate was 94%, with a median follow-up of 360 days (interquartile range [IQR] 353–362). Overall engagement was high, with a median response rate of 87% (IQR, 68–97). Concordance between SMS-captured home urine protein results and edema status with same-day in-person study visit was excellent (kappa values 0.88 and 0.92, respectively). SMS detected a total of 108 relapse events compared with 41 events captured by scheduled visits. Median time to remission after enrollment was 22 days as captured by SMS versus 50 days as captured by scheduled visits. Conclusion: SMS was well accepted by caregivers and adolescent patients and reliably captured nephrotic syndrome disease activity between clinic visits. Additional studies are needed to explore the impact of SMS on disease outcomes. Keywords: caregivers, children, health status, mobile health, nephrotic syndrome, text messaging |
| url |
http://www.sciencedirect.com/science/article/pii/S2468024919301731 |
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doaj-ec7b9f47c989470490c2c567e54f7be72020-11-24T21:43:37ZengElsevierKidney International Reports2468-02492019-08-014810661074Text Messaging for Disease Monitoring in Childhood Nephrotic SyndromeChia-shi Wang0Jonathan P. Troost1Larry A. Greenbaum2Tarak Srivastava3Kimberly Reidy4Keisha Gibson5Howard Trachtman6John D. Piette7Christine B. Sethna8Kevin Meyers9Katherine M. Dell10Cheryl L. Tran11Suzanne Vento12Krishna Kallem13Emily Herreshoff14Sangeeta Hingorani15Kevin Lemley16Gia Oh17Elizabeth Brown18Jen-Jar Lin19Frederick Kaskel20Debbie S. Gipson21Department of Pediatrics, Emory University and Children’s Healthcare of Atlanta, Atlanta, Georgia, USA; Correspondence: Chia-shi Wang, Division of Pediatric Nephrology, 2015 Uppergate Drive NE, Atlanta, Georgia 30322–1015, USA.Department of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USADepartment of Pediatrics, Emory University and Children’s Healthcare of Atlanta, Atlanta, Georgia, USADepartment of Pediatrics, Children’s Mercy Hospital and University of Missouri at Kansas City, Kansas City, Missouri, USADepartment of Pediatrics, Montefiore Medical Center, New York, New York, USADepartment of Medicine and Pediatrics, University of North Carolina, Chapel Hill, North Carolina, USADepartment of Pediatrics, NYU School of Medicine, New York, New York, USADepartment of Health Behavior & Health Education, University of Michigan, Ann Arbor, Michigan, USADepartment of Pediatrics, Cohen Children’s Medical Center of New York, New Hyde Park, New York, USADepartment of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USADepartment of Pediatrics, Case Western Reserve University, Cleveland Clinic Children’s, Cleveland, Ohio, USADepartment of Pediatrics, Mayo Clinic, Rochester, Minnesota, USADepartment of Pediatrics, NYU School of Medicine, New York, New York, USADepartment of Pediatrics, Children’s Hospital of Philadelphia, Philadelphia, Pennsylvania, USADepartment of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USADepartment of Pediatrics, Seattle Children’s Hospital, Seattle, Washington, USADepartment of Pediatrics, Children’s Hospital-LA, Los Angeles, California, USADepartment of Pediatrics, Stanford University, Palo Alto, California, USADepartment of Pediatrics, UT Southwestern Medical Center, Dallas, Texas, USADepartment of Pediatrics, Wake Forest University, Winston-Salem, North Carolina, USADepartment of Pediatrics, Montefiore Medical Center, New York, New York, USADepartment of Pediatrics and Communicable Diseases, University of Michigan, Ann Arbor, Michigan, USAIntroduction: There is limited information on effective disease monitoring for prompt interventions in childhood nephrotic syndrome. We examined the feasibility and effectiveness of a novel text messaging system (SMS) for disease monitoring in a multicenter, prospective study. Methods: A total of 127 patients <19 years with incident nephrotic syndrome were enrolled in the ongoing Nephrotic Syndrome Study Network between June 2015 and March 2018. Text messages soliciting home urine protein results, symptoms, and medication adherence were sent to a designated caregiver (n = 116) or adolescent patient (n = 3). Participants responded by texting. Feasibility of SMS was assessed by SMS adoption, retention, and engagement, and concordance between participant-reported results and laboratory/clinician assessments. The number of disease relapses and time-to-remission data captured by SMS were compared with data collected by conventional visits. Results: A total of 119 of 127 (94%) patients agreed to SMS monitoring. Retention rate was 94%, with a median follow-up of 360 days (interquartile range [IQR] 353–362). Overall engagement was high, with a median response rate of 87% (IQR, 68–97). Concordance between SMS-captured home urine protein results and edema status with same-day in-person study visit was excellent (kappa values 0.88 and 0.92, respectively). SMS detected a total of 108 relapse events compared with 41 events captured by scheduled visits. Median time to remission after enrollment was 22 days as captured by SMS versus 50 days as captured by scheduled visits. Conclusion: SMS was well accepted by caregivers and adolescent patients and reliably captured nephrotic syndrome disease activity between clinic visits. Additional studies are needed to explore the impact of SMS on disease outcomes. Keywords: caregivers, children, health status, mobile health, nephrotic syndrome, text messaginghttp://www.sciencedirect.com/science/article/pii/S2468024919301731 |