Increasing Follow Up for Moderately Effective Reversible Contraception in Adolescents at a School Based Health Center
MetadataShow full item record
Most adolescents initiating moderately effective reversible contraceptive methods discontinue within a year. Failure to return for refill appointments results in early discontinuation of birth control. The objective was to determine how the use of text message appointment reminders sent through the patient portal might affect contraceptive refill appointment adherence in adolescents initiating birth control. Evidence is limited on the use of text message reminders for appointment adherence. Targeting the Use of Reminders and Notifications for Uptake by Populations Framework was applied. Chi-square analysis was applied to the control group and intervention group receiving text message appointment reminders. Control: All patients initiating MERC from January 2017 through March 2017 and patients initiating MERC from January 2018 through March 2018 who did not enroll for text message appointment reminders. Intervention: Patients enrolled for text message reminders initiating MERC from January 2018 through March 2018. Barriers in patient portal enrollment resulted in only 4 participants enrolled in text message group. Appointment adherence increased from 35.2% in 2017 participants to 48.6% in overall 2018 participants and 75% in the text message group. Due to the low enrollment rates, increased appointment adherence in 2018 participants cannot be attributed solely to text message appointment reminders and was likely confounded by other practice changes. The project identified barriers and proposed solutions to improve implementation of text message reminders to address the significant health concern of follow-up adherence failure resulting in unintended teen pregnancy.