ArticleApplied clinical informatics2019
A Bottom-Up Approach to Encouraging Sustained User Adoption of a Secure Text Messaging Application.
Article in Applied clinical informatics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
6 citing papers in PubMed.
- Adoption and Use of Social Media in Health Care Among Medical Residents: Cross-Sectional Study.JMIR medical education · 2026Article
- Barriers to Adoption of a Secure Text Messaging System: a Qualitative Study of Practicing Clinicians.Journal of general internal medicine · 2023Article
- Predicting Health Care Providers' Acceptance of a Personal Health Record Secure Messaging Feature.Applied clinical informatics · 2022Article
- The Effect of WeChat on Parental Care Burden, Anxiety, and Depression in Children after CHD Surgery during COVID-19 Pandemic.Applied clinical informatics · 2021Article
- Information Security Awareness and Behaviors of Health Care Professionals at Public Health Care Facilities.Applied clinical informatics · 2021Article
- Evaluating the Impact of a New Smartphone Texting Tool on Patient Care in Obstetrics, an Emergent Healthcare Setting.Applied clinical informatics · 2019Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInpatient providers are increasingly utilizing alternative communication modalities outside what has traditionally been used, including short messaging service text messaging and application-based chat tools. Text messaging that meets the recommendations of the Joint Commission ("secure text messaging") allows for the communication of sensitive patient information through an encrypted platform.
objectiveIn this quality initiative utilizing the Plan-Do-Study-Act (PDSA) model, we attempted two rollout designs to maximize user adoption of a secure text messaging application.
methodsOur institution launched a secure text messaging application (Cureatr) using a top-down approach during the first PDSA cycle, defined as communication and outreach through department chairs and administrative leaders throughout the hospital. After inadequate user adoption, we transitioned to a bottom-up approach in the second PDSA cycle, defined as direct communication and engagement with end users. This campaign targeted the hospital medicine and inpatient social work department, and used discharge planning as a use case to encourage adoption.
resultsOver a 6-month period, we observed an increase in active users in the hospital medicine department (7.5 unique users per month to 29 users during the first and second PDSA cycles,
conclusionWe believe that a bottom-up approach is important to introducing mobile applications to the inpatient setting and can contribute to sustained user adoption.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.