Protocol for an automated, pragmatic, embedded, adaptive randomised controlled trial: behavioural economics-informed mobile phone-based reminder messages to improve clinic attendance in a Botswanan school-based vision screening programme.
Adaptive RCT
Behavioural economics
Health services research
Reminder messages
mHealth
Journal
Trials
ISSN: 1745-6215
Titre abrégé: Trials
Pays: England
ID NLM: 101263253
Informations de publication
Date de publication:
15 Aug 2022
15 Aug 2022
Historique:
received:
11
03
2022
accepted:
06
07
2022
entrez:
15
8
2022
pubmed:
16
8
2022
medline:
18
8
2022
Statut:
epublish
Résumé
Clinic non-attendance rates are high across the African continent. Emerging evidence suggests that phone-based reminder messages could make a small but important contribution to reducing non-attendance. We will use behavioural economics principles to develop an SMS and voice reminder message to improve attendance rates in a school-based eye screening programme in Botswana. We will test a new theory-informed SMS and voice reminder message in a national school-based eye screening programme in Botswana. The control will be the standard SMS message used to remind parents/guardians to bring their child for ophthalmic assessment. All messages will be sent twice. The primary outcome is attendance for ophthalmic assessment. We will use an automated adaptive approach, starting with a 1:1 allocation ratio. As far as we are aware, only one other study has used behavioural economics to inform the development of reminder messages to be deployed in an African healthcare setting. Our study will use an adaptive trial design, embedded in a national screening programme. Our approach can be used to trial other forms of reminder message in the future. ISRCTN 96528723 . Registered on 5 January 2022.
Sections du résumé
BACKGROUND
BACKGROUND
Clinic non-attendance rates are high across the African continent. Emerging evidence suggests that phone-based reminder messages could make a small but important contribution to reducing non-attendance. We will use behavioural economics principles to develop an SMS and voice reminder message to improve attendance rates in a school-based eye screening programme in Botswana.
METHODS
METHODS
We will test a new theory-informed SMS and voice reminder message in a national school-based eye screening programme in Botswana. The control will be the standard SMS message used to remind parents/guardians to bring their child for ophthalmic assessment. All messages will be sent twice. The primary outcome is attendance for ophthalmic assessment. We will use an automated adaptive approach, starting with a 1:1 allocation ratio.
DISCUSSION
CONCLUSIONS
As far as we are aware, only one other study has used behavioural economics to inform the development of reminder messages to be deployed in an African healthcare setting. Our study will use an adaptive trial design, embedded in a national screening programme. Our approach can be used to trial other forms of reminder message in the future.
TRIAL REGISTRATION
BACKGROUND
ISRCTN 96528723 . Registered on 5 January 2022.
Identifiants
pubmed: 35971156
doi: 10.1186/s13063-022-06519-y
pii: 10.1186/s13063-022-06519-y
pmc: PMC9377141
doi:
Types de publication
Clinical Trial Protocol
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
656Subventions
Organisme : Medical Research Council
ID : MR/R010161/1
Pays : United Kingdom
Organisme : National Institute for Health Research
ID : 215633/Z/19/Z
Organisme : Wellcome Trust
ID : 215633/Z/19/Z
Pays : United Kingdom
Informations de copyright
© 2022. The Author(s).
Références
Lancet Glob Health. 2021 Apr;9(4):e489-e551
pubmed: 33607016
Prev Med. 2020 Oct;139:106170
pubmed: 32610059
PLoS One. 2015 Sep 14;10(9):e0137306
pubmed: 26366885
Lancet. 1971 Feb 27;1(7696):405-12
pubmed: 4100731
Contraception. 2014 Sep;90(3):226-33
pubmed: 24850188
BMJ Open. 2016 Oct 24;6(10):e012116
pubmed: 27798006
Int J Equity Health. 2013 Mar 11;12:18
pubmed: 23496984
Lancet. 2008 Nov 8;372(9650):1661-9
pubmed: 18994664
Cochrane Database Syst Rev. 2013 Dec 05;(12):CD007458
pubmed: 24310741
PLoS One. 2020 Jun 23;15(6):e0234817
pubmed: 32574181
Lancet Digit Health. 2021 Jul;3(7):e414-e424
pubmed: 34167763
Health Serv Res. 2012 Apr;47(2):614-32
pubmed: 22091980
PLoS One. 2019 Jun 6;14(6):e0217485
pubmed: 31170176
Health Policy. 2018 Apr;122(4):412-421
pubmed: 29482948
BMJ Innov. 2019 Jan;5(1):28-34
pubmed: 31645991
Internet Interv. 2018 Jun 21;13:82-104
pubmed: 30206523