Evidence map›Paper›PMID 32605536›Full record

Trial reportBMC medical research methodology2020

Effectiveness of SMS messaging for diarrhoea measurement: a factorial cross-over randomised controlled trial.

Ryan Rego, Samuel Watson, Philbert Ishengoma, Philemon Langat, Hezekiah Pireh Otieno, Richard Lilford

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC medical research methodology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Methods to increase response to postal and electronic questionnaires.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Text message surveillance for rapidEpidemiology and infection · 2025
    Article
  4. Mpox awareness and vaccination willingness among a household cohort in Matlab, Bangladesh.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ryan RegoWarwick International Centre for Applied Health Research and Delivery, Warwick Medical School, University of Warwick, Coventry, UK. Ryan.rego@warwick.ac.uk.ORCID 0000-0003-1361-9366
Samuel WatsonWarwick International Centre for Applied Health Research and Delivery, Warwick Medical School, University of Warwick, Coventry, UK.
Philbert IshengomaThe United Nations Human Settlement Program, Mwanza, Tanzania.
Philemon LangatThe United Nations Human Settlement Program, Nairobi, Kenya.
Hezekiah Pireh OtienoThe United Nations Human Settlement Program, Nairobi, Kenya.
Richard LilfordWarwick International Centre for Applied Health Research and Delivery, Warwick Medical School, University of Warwick, Coventry, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundText messaging systems are used to collect data on symptom prevalence. Using a text messaging system, we evaluated the effects of question load, question frequency, and financial incentive on response rates and reported infant diarrhoea rates in an infant diarrhoea survey.

methodsWe performed a factorial cross-over randomised controlled trial of an SMS surveying system for infant diarrhoea surveillance with treatments: financial incentive (yes/no), question load (1-question/3-question), and questioning frequency (daily/fortnightly). Participants progressed through all treatment combinations over eight two-week rounds. Data were analysed using multivariable logistic regressions to determine the impacts of the treatments on the response rates and reported diarrhoea rates. Attitudes were explored through qualitative interviews.

resultsFor the 141 participants, the mean response rate was 47%. In terms of percentage point differences (ppd), daily questioning was associated with a lower response rate than fortnightly (- 1·2[95%CI:-4·9,2·5]); high (3-question) question loads were associated with a lower response rate than low (1-question) question loads (- 7·0[95%CI:- 10·8,-3·1]); and financial incentivisation was associated with a higher response rate than no financial incentivisation (6·4[95%CI:2·6,10·2]). The mean two-week diarrhoea rate was 36·4%. Daily questioning was associated with a higher reported diarrhoea rate than fortnightly (29·9[95%CI:22·8,36·9]); with little evidence for impact by incentivisation or question load.

conclusionsClose to half of all participants responded to the SMS survey. Daily questioning evoked a statistically higher rate of reported diarrhoea, while financial incentivisation and low (1-question) question loads evoked higher response rates than no incentive and high (3-question) question loads respectively.

trial registrationThe protocol was prospectively registered on ISRCTN on the 20th of March 2019 under number ISRCTN11410773 .

Indexed as

Text MessagingCross-Over StudiesDiarrheaHumansInfantSurveys and QuestionnairesDiarrhoeamHealthSurveillance

Identifiers

PMID32605536
PMCPMC7325153

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.