Education, Medical, UndergraduateNCT03346616
Text4Peds: Short Message Service Evaluating Medical Student Education
A study testing Texting Group and Non Texting Group in people with Education, Medical, Undergraduate and SMS, run by St. Louis University at 1 site in United States.
Trial summary
In this study, third year medical students on the pediatric clerkship will be randomized to receive either only written educational material (review journal articles) or written educational material plus daily text messages consisting of board style questions with online answers. Read more about this study
- Who is it for?
- Ages 20 to 50 yearsHealthy volunteers can take part
- Conditions the study is for
- Education, Medical, Undergraduate, SMS
- What is being tested?
- Texting Group and Non Texting Group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 162 participants
- Where
- 1 siteUnited States
- Study dates
- 2 May 2016to 28 Apr 2017
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 50 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Third year medical students on the Pediatric Clerkship at Saint Louis University School of Medicine
Who cannot join
- Third year medical students who did not have a mobile phone capable of receiving a short message service (SMS) text message
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Text4Peds: Randomized Controlled Trial Evaluating Medical Student Education
In this study, third year medical students on the pediatric clerkship will be randomized to receive either only written educational material (review journal articles) or written educational material plus daily text messages consisting of board style questions with online answers. The students' performance on the National Board of Medical Examiners (NBME) Pediatric Subject Evaluation will be compared between the two groups.
Read the detailed description
In the last decade, the use of smartphone and text messaging (SMS) has increased significantly; during this time, text messaging has become the primary means of communication in some instances. Despite the popularity, text messaging and smartphones have been rarely utilized in the context of medical education. Few studies have been performed examining the effect of text messaging as an adjunct to traditional medical education. A previous study with the Saint Louis University (SLU) Pediatric Residency program, showed the feasibility of using text messaging to deliver medical information to pediatric residents through the Text4Peds program.
This study aims to expand Text4Peds to third NBME Pediatric Subject Evaluation performance. The NBME Pediatric Subject Evaluation is a national, standardized pediatric knowledge based exam from the NBME taken by all medical students at the end of their pediatric clerkship.
- Conditions
- Education, Medical, Undergraduate, SMS
- Being tested
- Texting Group, Non Texting Group
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Texting GroupOther
See above in arm/group description
Non Texting GroupOther
See above in arm/group description
| Study group | Role | What they receive |
|---|---|---|
| Texting Group | Experimental | The texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up "answer" text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2 pm and 3 pm. Receives: Other: Texting Group |
| Non Texting Group | Active comparator | The non-texting group received access to the journal articles from which the text message content was derived, but did not receive any text messages or any of the online material or question stems. Receives: Other: Non Texting Group |
What is being measured
The primary outcome is the main question the study is designed to answer.
National Board of Medical Examiners Pediatric Subject Examination
The NBME pediatrics subject examination is used to assess medical student knowledge and is a common component of the pediatric clerkship grade. It is also used to compare medical student performance to a national benchmark. NBME scores are on a scale of 0-100 (% correct); mean score for this exam during year of evaluation was 75.7 (SD 8.7).
Measured: Assessed at end of intervention (after 8 weeks)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted17 Nov 2017
- Study start2 May 2016
- Primary completion28 Apr 2017
- Study completion28 Apr 2017
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (11)Papers the sponsor has linked to this study.
- Other trials for Education, Medical, UndergraduateStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Participants were randomly assigned to a Texting Group or a Non-Texting Group using a random number generator. The texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up "answer" text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2pm and 3pm. To minimize perceived impropriety, the non-texting group received access to the journal articles from which the content was derived, but did not receive any text messages or any of the synthesized material. The primary outcome was performance on the NBME Pediatric Subject Examination.
- Masking
- None (open label)
- Enrolment
- 162 participants (actual)
Sponsor and investigators
- Lead sponsor
- St. Louis University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Matthew A. Broom, MD, FAAP, St. Louis University
- Investigators
- Christopher Brownsworth, MD, Principal investigator, St. Louis University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03346616
- Sponsor's protocol ID
- 26458
- Status last verified
- Nov 2017
- First submitted
- 30 Oct 2017
- Last updated
- 17 Nov 2017
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Gavali MY, Khismatrao DS, Gavali YV, Patil KB. Smartphone, the New Learning Aid amongst Medical Students. J Clin Diagn Res. 2017 May;11(5):JC05-JC08. doi: 10.7860/JCDR/2017/20948.9826. Epub 2017 May 1.
PubMed 28658804Stockwell MS, Kharbanda EO, Martinez RA, Lara M, Vawdrey D, Natarajan K, Rickert VI. Text4Health: impact of text message reminder-recalls for pediatric and adolescent immunizations. Am J Public Health. 2012 Feb;102(2):e15-21. doi: 10.2105/AJPH.2011.300331. Epub 2011 Dec 15.
PubMed 22390457Goodarzi M, Ebrahimzadeh I, Rabi A, Saedipoor B, Jafarabadi MA. Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran. J Diabetes Metab Disord. 2012 Aug 31;11(1):10. doi: 10.1186/2251-6581-11-10.
PubMed 23497632Hall AK, Cole-Lewis H, Bernhardt JM. Mobile text messaging for health: a systematic review of reviews. Annu Rev Public Health. 2015 Mar 18;36:393-415. doi: 10.1146/annurev-publhealth-031914-122855.
PubMed 25785892Sabin LL, Larson Williams A, Le BN, Herman AR, Viet Nguyen H, Albanese RR, Xiong W, Shobiye HO, Halim N, Tran LTN, McNabb M, Hoang H, Falconer A, Nguyen TTT, Gill CJ. Benefits and Limitations of Text Messages to Stimulate Higher Learning Among Community Providers: Participants' Views of an mHealth Intervention to Support Continuing Medical Education in Vietnam. Glob Health Sci Pract. 2017 Jun 27;5(2):261-273. doi: 10.9745/GHSP-D-16-00348. Print 2017 Jun 27.
PubMed 28655802Gill CJ, Le Ngoc B, Halim N, Nguyen Viet H, Larson Williams A, Nguyen Van T, McNabb M, Tran Thi Ngoc L, Falconer A, An Phan Ha H, Rohr J, Hoang H, Michiel J, Nguyen Thi Thanh T, Bird L, Pham Vu H, Yeshitla M, Ha Van N, Sabin L. The mCME Project: A Randomized Controlled Trial of an SMS-Based Continuing Medical Education Intervention for Improving Medical Knowledge among Vietnamese Community Based Physicians' Assistants. PLoS One. 2016 Nov 18;11(11):e0166293. doi: 10.1371/journal.pone.0166293. eCollection 2016.
PubMed 27861516Chen Y, Yang K, Jing T, Tian J, Shen X, Xie C, Ma B, Liu Y, Yao L, Cao X. Use of text messages to communicate clinical recommendations to health workers in rural China: a cluster-randomized trial. Bull World Health Organ. 2014 Jul 1;92(7):474-81. doi: 10.2471/BLT.13.127076. Epub 2014 Mar 25.
PubMed 25110372Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R, Car J. Mobile phone messaging reminders for attendance at healthcare appointments. Cochrane Database Syst Rev. 2013 Dec 5;2013(12):CD007458. doi: 10.1002/14651858.CD007458.pub3.
PubMed 24310741Mount HR, Zakrajsek T, Huffman M, Deffenbacher B, Gallagher K, Skinker B, Rivard G, Benson S, Dancel R, Buckman F, Hayes M, Jackson J, Viera AJ. Text messaging to improve resident knowledge: a randomized controlled trial. Fam Med. 2015 Jan;47(1):37-42.
PubMed 25646876Draper L, Kuklinski C, Ladley A, Adamson G, Broom M. Texting preferences in a Paediatric residency. Clin Teach. 2017 Dec;14(6):401-406. doi: 10.1111/tct.12590. Epub 2017 Jan 12.
PubMed 28078778Broom MA, Adamson GT, Draper LR. Text messaging in medical education. Pediatrics. 2014 Mar;133(3):e491-3. doi: 10.1542/peds.2013-1529. Epub 2014 Feb 17. No abstract available.
PubMed 24534409
Study at a glance
From the registry record, last updated by the sponsor on 17 Nov 2017. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Text4Peds: Randomized Controlled Trial Evaluating Medical Student Education
- ClinicalTrials.gov ID
- NCT03346616
- Acronym / sponsor ID
- 26458
- Conditions
- Education, Medical, Undergraduate, SMS
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 162 participants (actual)
- Lead sponsor
- St. Louis UniversityUniversity, hospital or other
- Study start
- 2 May 2016 (actual)
- Primary completion
- 28 Apr 2017 (actual)
- Study completion
- 28 Apr 2017 (actual)
- First posted
- 17 Nov 2017 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this study, third year medical students on the pediatric clerkship will be randomized to receive either only written educational material (review journal articles) or written educational material plus daily text messages consisting of board style questions with online answers. The students' performance on the National Board of Medical Examiners (NBME) Pediatric Subject Evaluation will be compared between the two groups.
Detailed description
In the last decade, the use of smartphone and text messaging (SMS) has increased significantly; during this time, text messaging has become the primary means of communication in some instances. Despite the popularity, text messaging and smartphones have been rarely utilized in the context of medical education. Few studies have been performed examining the effect of text messaging as an adjunct to traditional medical education. A previous study with the Saint Louis University (SLU) Pediatric Residency program, showed the feasibility of using text messaging to deliver medical information to pediatric residents through the Text4Peds program.
This study aims to expand Text4Peds to third NBME Pediatric Subject Evaluation performance. The NBME Pediatric Subject Evaluation is a national, standardized pediatric knowledge based exam from the NBME taken by all medical students at the end of their pediatric clerkship.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Participants were randomly assigned to a Texting Group or a Non-Texting Group using a random number generator. The texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up "answer" text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2pm and 3pm. To minimize perceived impropriety, the non-texting group received access to the journal articles from which the content was derived, but did not receive any text messages or any of the synthesized material. The primary outcome was performance on the NBME Pediatric Subject Examination.
| Arm | Type | Receives |
|---|---|---|
| Texting Group | Experimental | Other: Texting GroupThe texting group received a daily text message containing a board style multiple choice question. If the participant wanted immediate feedback, the message contained a link to a website containing the answer to the question along with an explanation, the source material, and a more complete clinical vignette. One hour after the initial text message was sent, a follow up "answer" text message was delivered. Text messages were sent 6 days per week (Monday through Saturday) at 2 pm and 3 pm. |
| Non Texting Group | Active comparator | Other: Non Texting GroupThe non-texting group received access to the journal articles from which the text message content was derived, but did not receive any text messages or any of the online material or question stems. |
Who may qualify
- Ages
- 20 to 50 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (1 listed)
- Third year medical students on the Pediatric Clerkship at Saint Louis University School of Medicine
Key exclusion criteria (1 listed)
- Third year medical students who did not have a mobile phone capable of receiving a short message service (SMS) text message
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Texting GroupSee above in arm/group description | Other | Texting Group |
| Non Texting GroupSee above in arm/group description | Other | Non Texting Group |
Primary outcome
National Board of Medical Examiners Pediatric Subject Examination
Time frame: Assessed at end of intervention (after 8 weeks)
The NBME pediatrics subject examination is used to assess medical student knowledge and is a common component of the pediatric clerkship grade. It is also used to compare medical student performance to a national benchmark. NBME scores are on a scale of 0-100 (% correct); mean score for this exam during year of evaluation was 75.7 (SD 8.7).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Nov 2017.
- Background: PubMed 28658804Gavali MY, Khismatrao DS, Gavali YV, Patil KB. Smartphone, the New Learning Aid amongst Medical Students. J Clin Diagn Res. 2017 May;11(5):JC05-JC08. doi: 10.7860/JCDR/2017/20948.9826. Epub 2017 May 1.
- Background: PubMed 22390457Stockwell MS, Kharbanda EO, Martinez RA, Lara M, Vawdrey D, Natarajan K, Rickert VI. Text4Health: impact of text message reminder-recalls for pediatric and adolescent immunizations. Am J Public Health. 2012 Feb;102(2):e15-21. doi: 10.2105/AJPH.2011.300331. Epub 2011 Dec 15.
- Background: PubMed 23497632Goodarzi M, Ebrahimzadeh I, Rabi A, Saedipoor B, Jafarabadi MA. Impact of distance education via mobile phone text messaging on knowledge, attitude, practice and self efficacy of patients with type 2 diabetes mellitus in Iran. J Diabetes Metab Disord. 2012 Aug 31;11(1):10. doi: 10.1186/2251-6581-11-10.
- Background: PubMed 25785892Hall AK, Cole-Lewis H, Bernhardt JM. Mobile text messaging for health: a systematic review of reviews. Annu Rev Public Health. 2015 Mar 18;36:393-415. doi: 10.1146/annurev-publhealth-031914-122855.
- Background: PubMed 28655802Sabin LL, Larson Williams A, Le BN, Herman AR, Viet Nguyen H, Albanese RR, Xiong W, Shobiye HO, Halim N, Tran LTN, McNabb M, Hoang H, Falconer A, Nguyen TTT, Gill CJ. Benefits and Limitations of Text Messages to Stimulate Higher Learning Among Community Providers: Participants' Views of an mHealth Intervention to Support Continuing Medical Education in Vietnam. Glob Health Sci Pract. 2017 Jun 27;5(2):261-273. doi: 10.9745/GHSP-D-16-00348. Print 2017 Jun 27.
- Background: PubMed 27861516Gill CJ, Le Ngoc B, Halim N, Nguyen Viet H, Larson Williams A, Nguyen Van T, McNabb M, Tran Thi Ngoc L, Falconer A, An Phan Ha H, Rohr J, Hoang H, Michiel J, Nguyen Thi Thanh T, Bird L, Pham Vu H, Yeshitla M, Ha Van N, Sabin L. The mCME Project: A Randomized Controlled Trial of an SMS-Based Continuing Medical Education Intervention for Improving Medical Knowledge among Vietnamese Community Based Physicians' Assistants. PLoS One. 2016 Nov 18;11(11):e0166293. doi: 10.1371/journal.pone.0166293. eCollection 2016.
- Background: PubMed 25110372Chen Y, Yang K, Jing T, Tian J, Shen X, Xie C, Ma B, Liu Y, Yao L, Cao X. Use of text messages to communicate clinical recommendations to health workers in rural China: a cluster-randomized trial. Bull World Health Organ. 2014 Jul 1;92(7):474-81. doi: 10.2471/BLT.13.127076. Epub 2014 Mar 25.
- Background: PubMed 24310741Gurol-Urganci I, de Jongh T, Vodopivec-Jamsek V, Atun R, Car J. Mobile phone messaging reminders for attendance at healthcare appointments. Cochrane Database Syst Rev. 2013 Dec 5;2013(12):CD007458. doi: 10.1002/14651858.CD007458.pub3.
- Background: PubMed 25646876Mount HR, Zakrajsek T, Huffman M, Deffenbacher B, Gallagher K, Skinker B, Rivard G, Benson S, Dancel R, Buckman F, Hayes M, Jackson J, Viera AJ. Text messaging to improve resident knowledge: a randomized controlled trial. Fam Med. 2015 Jan;47(1):37-42.
- Background: PubMed 28078778Draper L, Kuklinski C, Ladley A, Adamson G, Broom M. Texting preferences in a Paediatric residency. Clin Teach. 2017 Dec;14(6):401-406. doi: 10.1111/tct.12590. Epub 2017 Jan 12.
- Background: PubMed 24534409Broom MA, Adamson GT, Draper LR. Text messaging in medical education. Pediatrics. 2014 Mar;133(3):e491-3. doi: 10.1542/peds.2013-1529. Epub 2014 Feb 17. No abstract available.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Christopher Brownsworth, MD principal investigator
St. Louis University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Texting Group and Non Texting Group in people with Education, Medical, Undergraduate and SMS, run by St. Louis University at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Nov 2017. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
National Board of Medical Examiners Pediatric Subject Examination (time frame: Assessed at end of intervention (after 8 weeks)). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03346616, which also lists 11 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Nov 2017.