Efficacy of Different Reminders to Reduce Missed Orthodontic Appointments
Journal of Dental School, Shahid Beheshti University of Medical Sciences,
Vol. 35 No. 3 (2017),
5 March 2019
,
Page 93-98
https://doi.org/10.22037/jds.v35i3.24596
Abstract
Objectives: Since forgetfulness is the major cause of missed appointments, reminder systems can be used prior to appointments. The present study aimed to evaluate the efficacy of different reminders [e-mails, social networks, telephone, and short message service (SMS)] in order to reduce missed appointments by orthodontic patients.
Methods: Of a total of 751 active orthodontic patients, 379 were assigned to the reminder group and 372 to the control group. The former group was randomly divided into four subgroups who received a reminder 2 days before their appointments either by telephone, e-mail, SMS, or a message on Facebook. Patients allocated to the control group received no reminder. The percentage of missed appointments and the demographic characteristics of patients in each group were analyzed with the chi-squared test.
Results: The percentage of missed appointments was significantly higher in the control group (41.39%) than the reminder group (11.08%) (P<0.001). There was no difference in the attendance rate of patients among telephone, SMS, and e-mail groups. Missed appointments were insignificantly higher in patients whose parents had the highest educational level (P=0.8). In patients with low family income, the percentage of missed appointments was the lowest, but this difference was not statistically significant (P=0.5).
Conclusion: The study results indicated that sending reminders is an effective strategy to reduce missed appointments. E-mails and social networks can be employed to send reminders easily and cost-effectively and prevent missed appointments.
- Orthodontic
- Reminder system
- Appointment
How to Cite
References
Bos A, Hoogstrten J, Prahl-Anderson B. Failed appointments in an orthodontic clinic. Am J Orthod Dentofacial Orthop. 2005 Mar;127(3):355-7.
Can S, Macfarlane T, O'Brien KD. The use of postal reminders to reduce non-attendance at an orthodontic clinic: a randomized controlled trial. Br Dent J. 2003 Aug 23;195(4):199-201.
Trenouth MJ. Do failed appointments lead to discontinuation of orthodontic treatment? Angle Orthod. 2003 Feb;73(1):51-5.
Richardson A. Failed appointments in an academic orthodontic clinic. Br Dent J. 1998 Jun;184(12):612-5.
Beckwith FR, Ackerman RJ Jr, Cobb CM, Tira DE. An evaluation of factors affecting duration of orthodontic treatment. Am J Orthod Dentofacial Orthop. 1999 Apr;115(4):439-47.
Lindauer SJ, Powel JA, Leypoldt BC, Tufekci E, Shroff B. Influence of patient financial account status on orthodontic appointment attendance. Angle Orthod. 2009 Jul;79(4):755-8.
Murray AM. Discontinuation of orthodontic treatment: a study of the contributing factors. Br J Orthod. 1989 Feb;16(1):1-7.
Haeger RS, Colberg RT.Effects of missed appointments and bracket failures on treatment efficiency and office productivity. J Clin Orthod. 2007 Aug;41(8):433-7
Horsley BP1, Lindauer SJ, Shroff B, Tüfekçi E, Abubaker AO, Fowler CE, et al. Appointment keeping behavior of Medicaid vs non-Medicaid orthodontic patients. Am J Orthod Dentofacial Orthop. 2007 Jul;132(1):49-53.
Skarete E, Raadal M, Kuale G, Berg E. Factors related to missed and cancelled dental appointments among adolescents in Norway. Eur J Oral Sci. 2000 Jun;108(3):175-83.
Trenouth MJ, Hough A. Reasons for broken and cancelled appointments in a British orthodontic clinic. J Clin Orthod. 1991 Feb;25(2):115-20.
Poulsom K. Evaluation of a postal reminder system for the attendance of patients. Community Dent Health. 1991 Jul;8(2):179-80.
Lindauer SJ, Rubenstein LK, Wilkins C, Davidovich M. Effect of telephone reminders on appointment failure rate. J Clin Orthod. 1993 Aug;27(8):427-31.
Prasad S, Anand R. Use of mobile telephone short message service as a reminder: The effect on patient attendance. Int Dent J. 2012 Feb;62(1):21-6.
Woolgrove J, Gelbier S, Cumberbatch G. Increasing dental attendance by using personalized reminders. Community Dent Health. 1988 Dec;5(4):389-93.
Kidd AH, Euphrat JL. Why prospective outpatients fail to make or keep appointments. J Clin Psychol. 1971 Jul;27(3):394-5.
Foley J, O'Neill M. Use of mobile telephone short message service (SMS) as a reminder: the effect on patient attendance. Eur Arch Paediatr Dent. 2009 Jan;10(1):15-8.
Jonas S. Appointment-breaking in a general medical clinic. Med Care 1971 Jan-Feb;9(1):82-8.
Alpert JJ. Broken appointments. Pediatrics. 1964 Jul;34:127-32.
Fazio RC, Boffa J. A study of "broken appointment" patients in a children's hospital dental clinic. J Dent Res. 1977 Sep;56(9):1071-6.
Liddell A, May B. Some characteristics of regular and irregular attenders for dental check-ups. Br J Clin Psychol. 1984 Feb;23( Pt 1):19-26.
Oppenheim GL, Bergman JJ, English EC. Failed appointments: a review. J Fam Pract. 1979 Apr;8(4):789-96.
Campbell B, Staley D, Matas M. Who misses appointments? An empirical analysis. Can J Psychiatry. 1991 Apr;36(3):223-5.
Barron WM. Failed appointments. Who misses them, why they are missed, and what can be done. Prim Care. 1980 Dec;7(4):563-74.
Frankel, BS, Hovel MF. Health service appointment keeping: a behavioral view and critical review. Behav Modif. 1978 Oct;2(4):435-64.
Eddie S. Frequency of attendance in the General Dental Service in Scotland. A comparison with claimed attendance. Br Dent J. 1984 Oct;157(8):267-70.
Schuurs AH, Duivenvoorden HJ, Thoden van Velzen SK, Verhage F. Three factors predicting irregular versus regular dental attendance: a model fitting to empirical data. Community Dent Oral Epidemiol. 1980 Dec;8(8):413-9.
Walsh JJ, Benton JL Jr, Arnold IG. Why patients break appointments. Hosp Top. 1967 Feb;45(2):67-72.
Smith T, Milgrom P, Weinstein P. Evaluation of treatment at a dental fears research clinic. Spec Care Dentist. 1987 May-Jun;7(3):130-4.
Kleinknecht RA, Bernstein DA. The assessment of dental fear. Behav Ther. 1978 Sep;9(4):626-34.
Dobree L. Pre-admission booklets for patients awaiting surgery. Nurs Times. 1989 May-Jun;85(22):42-4.
Klein A. Informed consent (a practical approach). Risk Management Report. 1988;1:1-3
Mortensen MG, Kiyak HA, Omnell L. Patient and parent understanding of informed consent in orthodontics. Am J Orthod Dentofacial Orthop. 2003 Nov;124(5):541-50.
Haynes S. Discontinuation of orthodontic treatment in the general dental service in England and Wales 1972 to 1979. Br Dent J. 1982 Feb;152(4):127-9.
Shaw WC, Rees G, Dawe M, Charles CR. The influence of dentofacial appearance on the social attractiveness of young adults. Am J Orthod. 1985 Jan;87(1):21-6.
Myrberg N, Thilander B. An evaluation of the duration and the results of orthodontic treatment. Scand J Dent Res. 1973;81(2):85-91.
Eccles JS, Wigfield A, Schiefele U. Motivation to succeed. In: Damon W, Eisenberg N, eds. Handbook of child psychology, vol 3, social, emotional and personality development, 5th edition. New York, Wiley, 1998:1017- 95.
Reekie D, Devlin H, Worthington H. The prevention of failed appointments in general dental practice. Br Dent J. 1997 Feb;182(4):139-43.
Paul J, Hanna JB. Applying the marketing concept in health care: the no-show problem. Health Mark Q. 1997;14(3):3-17.
Lamberth EF, Rothstein EP, Hipp TJ, Souder RL, Kennedy TI, Faccenda DF, et al. Rates of missed appointments among pediatric patients in a private practice: Medicaid compared with private insurance. Arch Pediatr Adolesc Med. 2002 Jan;156(1):86-7.
Kottraba TM. The Begg light-wire treatment: a comparative study. Am J Orthod. 1971 Apr;59(4):386-401.
Hurtado AV, Greenlick MR, Colombo TJ. Determinants of medical care utilization. Failure to keep appointments. Med Care. 1973 May-Jun;11(6):189-98.
Reekie D, Devlin H. Preventing failed appointments in general dental practice: A comparison of reminder methods. Br Dent J. 1998 Nov;185(9):472-4.
Kourany RF, Garber J, Tornusciolo G. Improving first appointment attendance rates in child psychiatry outpatient clinics. J Am Acad Child Adolesc Psychiatry. 1990 Jul;29(4):657-60.
Macharia WM, Leon G, Rowe BH, Stephenson BJ, Haynes RB. An overview of interventions to improve compliance with appointment keeping for medical services. JAMA. 1992 Apr;267(13):1813-7.
Nelson T. A randomized controlled trial of SMS text message as appointment reminders in the Pediatric dental setting. 2009 .
Downer SR, Meara JG, Da Costa AC. Use of SMS text messaging to improve outpatient attendance. Med J Aust. 2005 Oct 3;183(7):366-8.
Chen ZW, Fang LZ, Chen LY, Dai HL. Comparison of an SMS text messaging and phone reminder to improve attendance at a health promotion center: a randomized controlled trial. J Zhejiang Univ Sci B. 2008 Jan;9(1):34-8.
Leong KC, Chen WS, Leong KW, Mastura I, Mimi O, Sheikh MA, et al. The use of text messaging to improve attendance in primary care: a randomized controlled trial. Fam Pract. 2006 Dec;23(6):699-705.
Geraghty M, Glynn F, Amin M, Kinsella J. Patient mobile telephone 'text' reminder: a novel way to reduce non-attendance at the ENT out-patient clinic. J Laryngol Otol. 2008 Mar;122(3):296-8.
Linthorst GE, de Metz J. Global warming could affect outpatient attendance. Lancet. 2008 Feb;371(9611):474.
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