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The impact of telemonitoring on patients' adherence to post trauma pain treatment , their satisfaction and pain relief after discharge from the ED.
This is a prospective, multicenter, randomized trial . Participants are recruited from the emergency departement of Fattouma Bourguiba Monastir.
This study is a seven day three-arm parallel group trial . Participants inculded are aged more than 16 years old who presented to the ED for minor trauma and discharged with analgesic treatment. They are randomized to one of two trial TM intervention groups (SMS and TM) or usual care group (control) in a 1 :1 :1 allocation ratio.
For all inculded patients, demographic characteristics were collected as well as clinical examination findings. The interventional care provided at the ED was mentioned. At ED discharge the pain Visual Analogue Scale (VAS) was evaluated and the analgesic treatment prescribed was noted.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Standard group | Placebo Comparator | Patients enrolled in this group were discharged and they didn't undergo any intervention within the treatment period. |
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| SMS group | Active Comparator | patients received SMS at day 2 , day 4 and day 7 after emergency departement discharge to remind them to take their treatment . |
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| telemonitoring group | Active Comparator | Patients received a phone call on day 2 and day 4 to evaluate the adherence , to detect any problem that can affect the adherence to the treatment and modify the analgesic protocol treatment if needed. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SMS reminding | Other | patients received SMS at day 2 , day 4 and day 7 after emergency departement discharge to remind them to take their treatment . |
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| Measure | Description | Time Frame |
|---|---|---|
| Visual analog scale after 7 days of follow-up | Patient's adherence to analgesics treatment which was assessed by calling patients or by sending SMS in day 2, day 4,and day 7 in SMS group and the telemonitoring group respectively. | at seven day after ED discharge . |
| Measure | Description | Time Frame |
|---|---|---|
| Likert scale | Patients' satisfaction which was assessed through likert scale. minimum=1(strongly disagree) , maximum=5 (strongly agree) | at seven day post ED discharge . |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fattouma Bourguiba Monastir University Hospital Center | Monastir | 5000 | Tunisia | |||
| Fattouma Bourguiba University Hospital of Monastir |
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Included patients were randomized to one of the 3 groups:
Patients received a phone call on day 2 and day 4 to evaluate the adherence , to detect any problem that can affect the adherence to the treatment and modify the analgesic protocol treatment if needed according to an algorithm:
At each call (day 2 and day 4), the VAS was assessed. If VAS ≥ 3 we looked for a medication discontinuation, inadequate dose or change of the prescribed treatment and the patient was instructed to take action accordingly . If the problem is related to side effects, the analgesic treatment was changed or associated to another analgesic
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| telemonitoring | Other | Patients received a phone call on day 2 and day 4 to evaluate the adherence , to detect any problem that can affect the adherence to the treatment and modify the analgesic protocol treatment if needed. |
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| Monastir |
| 5000 |
| Tunisia |