A feasibility pilot study on the use of text messages to track PTSD symptoms after a traumatic injury

Gen Hosp Psychiatry. 2014 May-Jun;36(3):249-54. doi: 10.1016/j.genhosppsych.2014.02.004. Epub 2014 Feb 11.

Abstract

Objective: Monitoring posttraumatic stress disorder (PTSD) symptoms after a traumatic injury is beneficial for patients and providers. Text messages can be used to automatically monitor symptoms and impose minimal burden to patients and providers. The present study piloted such a strategy with traumatic injury patients.

Method: An automated daily text message was piloted to evaluate PTSD symptoms after discharge from the hospital. Twenty-nine patients who experienced a traumatic injury received 15 daily texts and were then followed up at 1-month and 3-months after discharge.

Results: 82.8% of the sample responded at least once and the average response rate per participant was 63.1%. Response rates were correlated with PTSD symptoms at baseline but not at any other time. Patient satisfaction with this approach was high.

Conclusion: Text messages are a viable method to monitor PTSD symptoms after a traumatic injury. Such an approach should be evaluated on a larger scale as part of a more comprehensive early intervention for traumatic stress.

Keywords: PTSD; Technology; Text messages; Traumatic stress.

MeSH terms

  • Adult
  • Feasibility Studies
  • Female
  • Humans
  • Male
  • Middle Aged
  • Monitoring, Ambulatory / methods*
  • Monitoring, Ambulatory / standards
  • Patient Satisfaction
  • Pilot Projects
  • Stress Disorders, Post-Traumatic / diagnosis*
  • Stress Disorders, Post-Traumatic / etiology
  • Text Messaging / statistics & numerical data*
  • Wounds and Injuries / complications*