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. 2022 Aug;32(8):954-960.
doi: 10.1111/pan.14481. Epub 2022 May 25.

Remote after-care using smartphones: A feasibility study of monitoring children's pain with automated SMS messaging

Thomas F E Drake-Brockman  1   2   3 , Harry E Smallbone  1 , David Sommerfield  1   2   3 , Britta S von Ungern-Sternberg  1   2   3
Affiliations

Remote after-care using smartphones: A feasibility study of monitoring children's pain with automated SMS messaging

Thomas F E Drake-Brockman et al. Paediatr Anaesth. 2022 Aug.

Abstract

Background: Monitoring children's recovery postoperatively is important for routine care, research, and quality improvement. Although telephone follow-up is common, it is also time-consuming and intrusive for families. Using SMS messaging to communicate with families regarding their child's recovery has the potential to address these concerns. While a previous survey at our institution indicated that parents were willing to communicate with the hospital by SMS, data on response rates for SMS-based postoperative data collection is limited, particularly in pediatric populations.

Aims: We conducted a feasibility study with 50 completed pain profiles obtained from patients at Perth Children's Hospital to examine response rates.

Methods: We collected and classified daily average pain (0-10 parent proxy score) on each day after tonsillectomy until pain-free for two consecutive days.

Results: We enrolled 62 participants and recorded 50 (81%) completed pain profiles, with 711 (97.9%) of 726 requests for a pain score receiving a response. Two families (3%) opted out of the trial, and 10 (16%) were lost to follow-up. Responses received were classified automatically in 92% of cases. No negative feedback was received, with a median (range) satisfaction score of 5 on a 5-point Likert scale (1 = very unhappy, 5 = very happy).

Conclusions: This methodology is likely to generalize well to other simple clinical questions and produce good response rates in further similar studies. We expect SMS messaging to permit expanded longitudinal data collection and broader investigation into patient recovery than previously feasible using telephone follow-up at our institution.

Keywords: anesthesia; mobile devices; pain; pain measurement; pediatrics.

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Conflict of interest statement

No external funding and no competing interests were declared.

Figures

FIGURE 1
FIGURE 1
Study profile.
FIGURE 2
FIGURE 2
Pain scores for each postoperative day in children following tonsillectomy. Only three participants had pain longer than postoperative day 18, subsequent days omitted. The solid line shows the mean pain score each day, and bars show the 10–90 percentile range. Dashed lines show mean pain scores each day from previous cohorts at our institution (short dashes, Wilson 2016; long dashes, Lagrange 2021).
FIGURE 3
FIGURE 3
Proportion of pain scores categorized into mild, (1–3), moderate, (4–6) and severe (7–10) for each postoperative day in children following tonsillectomy. Only three participants had pain longer than postoperative day 18, subsequent days omitted.
See this image and copyright information in PMC

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