Use of Mobile Phone Text Message Reminders in Health Care Services: A Narrative Literature Review
Open accessAbstract
BACKGROUND: Mobile text messages are a widely recognized communication method in societies, as the global penetration of the technology approaches 100% worldwide. Systematic knowledge is still lacking on how the mobile telephone text messaging (short message service, SMS) has been used in health care services. OBJECTIVE: This study aims to review the literature on the use of mobile phone text message reminders in health care. METHODS: We conducted a systematic literature review of studies on mobile telephone text message reminders. The data sources used were PubMed (MEDLINE), CINAHL, Proquest Databases/ PsycINFO, EMBASE, Cochrane Library, Scopus, and hand searching since 2003. Studies reporting the use of SMS intended to remind patients in health services were included. Given the heterogeneity in the studies, descriptive characteristics, purpose of the study, response rates, description of the intervention, dose and timing, instruments, outcome measures, and outcome data from the studies were synthesized using a narrative approach. RESULTS: From 911 initial citations, 60 studies were included in the review. The studies reported a variety of use for SMS. Mobile telephone text message reminders were used as the only intervention in 73% (44/60) of the studies, and in 27% (16/60) of the remaining studies, SMS was connected to another comprehensive health intervention system. SMS reminders were sent to different patient groups: patients with HIV/AIDS (15%, 9/60) and diabetes (13%, 8/60) being the most common groups. The response rates of the studies varied from 22-100%. Typically, the text message reminders were sent daily. The time before the specific intervention to be rendered varied from 10 minutes (eg, medication taken) to 2 weeks (eg, scheduled appointment). A wide range of different evaluation methods and outcomes were used to assess the impact of SMS varying from existing databases (eg, attendance rate based on medical records), questionnaires, and physiological measures. About three quarters of the studies (77%, 46/60) reported improved outcomes: adherence to medication or to treatment reportedly improved in 40% (24/60) of the studies, appointment attendance in 18% (11/60) of the studies, and non-attendance rates decreased in 18% (11/60) of the studies. Other positive impacts were decreased amount of missed medication doses, more positive attitudes towards medication, and reductions in treatment interruptions. CONCLUSIONS: We can conclude that although SMS reminders are used with different patient groups in health care, SMS is less systematically studied with randomized controlled trial study design. Although the amount of evidence for SMS application recommendations is still limited, having 77% (46/60) of the studies showing improved outcomes may indicate its use in health care settings. However, more well-conducted SMS studies are still needed.
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Mobile messaging is cost effective to implement and is rated highest for achieving favourable outcomes in health programmes.
“Mobile messaging has been cited to be cost effective to implement, and is rated highest for achieving favourable outcomes in health programmes [42–44].”
From mHealth communication to strengthen postnatal care in rural areas: a systematic review (2019) · cites this paper as [44]
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- Authors
- Kannisto, K. A., Koivunen, M. H., & Välimäki, M. A.
- Affiliations
- University of Turku (FI)
- Corresponding author
- Kannisto, Kati Anneli
- Venue
- Journal of Medical Internet Research
- Publisher
- JMIR Publications Inc.
- Published
- 2014-10-17
- Volume
- 16
- Issue
- 10
- Pages
- e222
- ISSN
- 1438-8871 (ISSN-L)
- PMC
- PMC4211035
- OpenAlex
- W2132515061
- Cited by
- 302
- References
- 85
- Citations by year
- 2026: 8 · 2025: 7 · 2024: 32 · 2023: 19 · 2022: 31 · 2021: 37 · 2020: 24 · 2019: 42 · 2018: 31 · 2017: 32 · 2016: 22 · 2015: 16 · 2014: 1
- FWCI
- 4.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by
- Locations
- Journal of Medical Internet Research (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Academy of Finland (132581)
- Suomen Kulttuurirahasto
- Turun Yliopisto
- Turun Yliopistollinen Keskussairaala (EVO 13893, 13893)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Physical Sciences › Computer Science › Information Systems › Mobile Learning in Education
- Health Sciences › Health Professions › Health Information Management › Health, Technology, Consumer Behavior
- Keywords
- text messaging, SMS reminders, patient reminders, medication adherence, appointment attendance, HIV/AIDS, diabetes mellitus, health interventions, response rate, missed doses, health care utilization, mobile health, treatment interruption, missed appointments, patient attitudes toward medication, patient education, patient empowerment
- MeSH terms
- Acquired Immunodeficiency Syndrome, Appointments and Schedules, Diabetes Mellitus, Health Services, Humans, Surveys and Questionnaires, Research Design, Reminder Systems, Cell Phone, Text Messaging
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