Effectiveness of a short message reminder in increasing compliance with pediatric cataract treatment:A randomized trial

Objective: Regular follow-up is essential to successful management of childhood cataract. We sought to assess whether a mobile phone short message service (SMS) for parents of children with cataract could improve follow-up adherence and the proportion of procedures performed in timely fashion. Design: Randomized, controlled trial. This trial is registered with ClinicalTrials.gov, NCT01417819. Participants: We included 258 parent-child pairs involved in the Childhood Cataract Program of the Chinese Ministry of Health. Methods: Participants were randomized (1:1) to a mobile phone SMS intervention or standard follow-up appointments. All participants were scheduled to attend <4 follow-up appointments according to the protocol. Parents in the intervention group received SMS automated reminders before scheduled appointments. The control group parents did not receive SMSs or any alternative reminder of scheduled appointments. Regular ocular examinations and analyses were performed by investigators masked to group allocation; however, study participants and the manager in charge of randomization and sending SMSs were not masked. Main Outcome Measures: Number of follow-up appointments attended, additional surgeries, laser treatments, changes in eyeglasses prescription, and occurrence of secondary ocular hypertension. Results: Among parent-child participants, 135 were randomly assigned to the SMS intervention and 123 to standard appointments. Attendance rates for the SMS group (first visit, 97.8%; second, 91.9%; third, 92.6%; fourth, 83%) were significantly higher than those for the control group (first visit, 87.8%; second, 69.9%; third, 56.9%; fourth, 33.3%). The increase in attendance rate for total number of follow-up visits with SMS reminders was 47.2% (relative risk [RR] for attendance, 1.47; 95% confidence interval [CI], 1.16-1.78; P = 0.003). The number needed to remind (NNR) to gain 1 additional visit by 1 child was 3 (95% CI, 1.8-4.2). A total of 247 clinical interventions were carried out in the SMS group and 134 in the control group (RR, 1.68; 95% CI, 1.37-1.99; P = 0.007). The NNR to result in 1 additional clinical intervention was 5 (95% CI, 3.5-6.5). Conclusions: The SMS reminders significantly improved follow-up adherence in pediatric cataract treatment. Using readily available mobile phone resources may be an effective and economic strategy to improve management of childhood cataract in China. Financial Disclosure(s): The authors have no proprietary or commercial interest in any of the materials discussed in this article. © 2012 American Academy of Ophthalmology.

Low-Cost Cloud-Based Design of Smart Rural Energy Device in Microgrid: Perspective India An Energy-On-Demand Service for Rural India

In this paper we present a combination of technologies to provide an Energy-on-Demand (EoD) service to enable low cost innovation suitable for microgrid networks. The system is designed around the low cost and simple Rural Energy Device (RED) Box which in combination with Short Message Service (SMS) communication methodology serves as an elementary proxy for Smart meters which are typically used in urban settings. Further, customer behavior and familiarity in using such devices based on mobile experience has been incorporated into the design philosophy. Customers are incentivized to interact with the system thus providing valuable behavioral and usage data to the Utility Service Provider (USP). Data that is collected over time can be used by the USP for analytics envisioned by using remote computing services known as cloud computing service. Cloud computing allows for a sharing of computational resources at the virtual level across several networks. The customer-system interaction is facilitated by a third party Telecom Service provider (TSP). The approximate cost of the RED Box is envisaged to be under USD 10 on production scale.

Public health risk communication by text message in response to a cluster of invasive meningococcal infection in a primary school

Public health risk communication during emergencies should be rapid and accurate in order to allow the audience to take steps to prevent adverse outcomes. Delays to official communications may cause unnecessary anxiety due to uncertainty or inaccurate information circulating within the at-risk group. Modern electronic communications present opportunities for rapid, targeted public health risk communication. We present a case report of a cluster of invasive meningococcal disease in a primary school in which we used the school's mass short message service (SMS) text message system to inform parents and guardians of pupils about the incident, to tell them that chemoprophylaxis would be offered to all pupils and staff, and to advise them when to attend the school to obtain further information and antibiotics. Following notification to public health on a Saturday, an incident team met on Sunday, sent the SMS messages that afternoon, and administered chemoprophyaxis to 93% of 404 pupils on Monday. The use of mass SMS messages enabled rapid communication from an official source and greatly aided the public health response to the cluster.

MobileMums: A randomized controlled trial of an SMS-based physical activity intervention

Background Postnatal women (<12 months postpartum) are at increased risk of physical inactivity. Purpose To evaluate the efficacy and feasibility of a theory-based physical activity (PA) intervention delivered to postnatal women primarily via mobile telephone short message service (SMS). Methods Eighty-eight women were randomized to the intervention (n=45) or minimal contact control (n=43) condition. The 12-week intervention consisted of a face-to-face PA goal-setting consultation, a goal-setting magnet, three to five personally tailored SMS/week and a nominated support person who received two SMS per week. SMS content targeted constructs of social cognitive theory. Frequency (days/week) and duration (min/week) of PA participation and walking for exercise were assessed via self-report at baseline, 6 and 13 weeks. Results Intervention participants increased PA frequency by 1.82 days/week (SE±0.18) by 13 weeks (F(2,85)=4.46, p=0.038) and walking for exercise frequency by 1.08 days/ week (SE±0.24) by 13 weeks (F(2,85)=5.38, p=0.02). Positive trends were observed for duration (min/week) of PA and walking for exercise. Conclusions Intervention exposure resulted in increased frequency of PA and walking for exercise in postnatal women.

Using a social networking site such as Facebook, to enhance the feeling of belonging, within a first year nursing cohort of a large university

Recently I asked a first year student how he was coping with the transition from high school to university. The young fellow looked at me and said, “Man, everything is so different!” I smiled and said “like what?” with which he seriously replied, “Well for one thing, no one tells you that you have to wear a hat at lunch time.” I have to admit I was a little amused and surprised by this student’s response, as so often the focus, is placed on getting first year students to engage academically, when it is obvious at times, that even the mere transition in to university life and the culture itself, can be a hurdle. While teaching, within a large first year unit for over 10 years, it has become apparent that students want more connection with not only the peers that they study with, but also with the University as a whole. Dr Krause pointed out in her keynote paper, On Being Strategic about the First Year (2006), that this “sense of belonging is conducive to enhancing engagement, satisfaction with learning and commitment to study”. It has also become evident, that the way in which students want to be able to communicate has changed, with the advent of capabilities such as Instant Messaging via a network and Short Message Service SMS texting via their hand held mobile phones. To be able to chat and feel connected on social networking sites such as Bebo, Facebook and Twitter is not only a way of the future, it is here now and it is here to stay.

Text messaging to support off-campus clinical facilitators of undergraduate student nurses

Managing large cohorts of undergraduate student nurses during off-campus clinical placement is complex and challenging. Clinical facilitators are required to support and assess nursing students during clinical placement. Therefore clear communication between university academic coordinators and clinical facilitators is essential for consistency and prompt management of emerging issues. Increasing work demands require both coordinators and facilitators to have an efficient and effective mode of communication. The aim of this study was to explore the use of Short Message Service (SMS) texts, sent between mobile phones, for communication between university Unit Coordinators and off-campus Clinical Facilitators. This study used an after-only design. During a two week clinical placement 46 clinical facilitators working with first and second year Bachelor of Nursing students from a large metropolitan Australian university were regularly sent SMS texts of relevant updates and reminders from the university coordinator. A 15 item questionnaire comprising x of 5 point likert scale and 3 open-ended questions was then used to survey the clinical facilitators. The response rate was 47.8% (n=22). Correlations were found between the approachability of the coordinator and facilitator perception of a) that the coordinator understood issues on clinical placement (r=0.785, p<0.001,), and b) being part of the teaching team (r=0.768, p<0.001). Analysis of responses to qualitative questions revealed three themes: connection, approachability and collaboration. Results indicate that SMS communication is convenient and appropriate in this setting. This quasi-experimental after-test study found regular SMS communication improves a sense of connection, approachability and collaboration.

Protocol for a randomised blocked design study using telephone and text-messaging to support cardiac patients with diabetes : a cross cultural international collaborative project

Background The prevalence of type 2 diabetes is rising internationally. Patients with diabetes have a higher risk of cardiovascular events accounting for substantial premature morbidity and mortality, and health care expenditure. Given healthcare workforce limitations, there is a need to improve interventions that promote positive self-management behaviours that enable patients to manage their chronic conditions effectively, across different cultural contexts. Previous studies have evaluated the feasibility of including telephone and Short Message Service (SMS) follow up in chronic disease self-management programs, but only for single diseases or in one specific population. Therefore, the aim of this study is to evaluate the feasibility and short-term efficacy of incorporating telephone and text messaging to support the care of patients with diabetes and cardiac disease, in Australia and in Taiwan. Methods/design A randomised controlled trial design will be used to evaluate a self-management program for people with diabetes and cardiac disease that incorporates the use of simple remote-access communication technologies. A sample size of 180 participants from Australia and Taiwan will be recruited and randomised in a one-to-one ratio to receive either the intervention in addition to usual care (intervention) or usual care alone (control). The intervention will consist of in-hospital education as well as follow up utilising personal telephone calls and SMS reminders. Primary short term outcomes of interest include self-care behaviours and self-efficacy assessed at baseline and four weeks. Discussion If the results of this investigation substantiate the feasibility and efficacy of the telephone and SMS intervention for promoting self management among patients with diabetes and cardiac disease in Australia and Taiwan, it will support the external validity of the intervention. It is anticipated that empirical data from this investigation will provide valuable information to inform future international collaborations, while providing a platform for further enhancements of the program, which has potential to benefit patients internationally.

The effectiveness of SMS reminders on appointment attendance: A meta-analysis

Objective To identify the efficacy of short message service (SMS) reminders in health care appointment attendance. Materials and Methods A systematic review was undertaken to identify studies published between 2005 and 2015 that compared the attendance rates of patients receiving SMS reminders compared to patients not receiving a reminder. Each article was examined for information regarding the study design, sample size, population demographics and intervention methods. A meta-analysis was used to calculate a pooled estimate odds ratio. Results Twenty-eight (28) studies were included in the review, including 13 (46%) randomized controlled trials. The pooled odds ratio of the randomized control trials was 1.62 (1.35 – 1.94). Half of the studies reviewed sent the reminder within 48 hour prior to the appointment time, yet no significant subgroups differences with respect to participant age, SMS timing, rate or type, setting or specialty was detectable. Discussion All studies, except one with a small sample size, demonstrated a positive OR, indicating SMS reminders were an effective means of improving appointment attendance. There was no significant difference in OR when controlling for when the SMS was sent, the frequency of the reminders or the content of the reminder. Conclusion SMS appointment reminders are an effective and operative method in improving appointment attendance in a health care setting and this effectiveness has improved over the past five years. Further research is required to identify the optimal SMS reminder timing and frequency, specifically in relation to the length of time since the appointment.

Construcci??n colaborativa de di??logos, en contexto juego de rol, a trav??s de la web 2.0

Resumen basado en el de la publicaci??n

Next generation mobile marketing: how young consumers react to Bluetooth-enabled advertising

Mobile devices are attractive media for directly communicating with consumers who have become busier and more difficult to reach. While SMS (short message service) advertising has received some attention in the literature, Bluetooth-enabled advertising is still unexplored. This research aims to investigate younger consumers’ acceptance of Bluetooth-delivered advertising. Although the majority of the respondents were willing to accept this form of advertising, they needed both to be in control of the frequency with which they receive messages and also to be reassured that the medium could ensure privacy and security. The research further indicated that peers influence the acceptance of Bluetooth-driven advertising.

Desarrollo de una interfaz para controlar por voz la aplicación móvil de mensajería Telegram

La aparición de los smartphones, trajo consigo el desarrollo de aplicaciones móviles de mensajería instantánea. Estas aplicaciones aprovechan la infraestructura de las redes de datos para enviar los mensajes de unos dispositivos a otros, lo que supone la posibilidad de enviar mensajes ilimitados a bajo coste. Hoy en día lo inusual es ver a alguna persona que haga uso de los antiguos mensajes de texto o sms (Short Message Service), que además llevan el coste de comunicación definido por las distintas operadoras. Tanto ha sido su auge que se ha convertido en uno de los principales medios de comunicación tanto en el ámbito personal como empresarial. Desafortunadamente, cada vez son más los conductores que hacen uso de las aplicaciones de mensajería para enviar y recibir mensajes mientras conducen, a pesar de que su uso está totalmente prohibido y penado por la ley. Por este motivo, en este proyecto se propone la modificación de la aplicación de mensajería Telegram, que permite controlar el env´ıo y recepción de mensajes únicamente utilizando la voz, evitando así cualquier tipo de distracci´on ocasionada por la interacción táctil con el dispositivo. Esta idea propuesta en el proyecto puede ayudar a reducir el número de accidentes ocasionados por este tipo de distracciones al volante, así como las posibles multas e incidentes que pueda ocasionar el uso del móvil durante la conducción. ---ABSTRACT---The emergence of smartphones, fostered the development of mobile instant messaging applications. These applications take advantage of the infrastructure of data networks to send messages between devices with almost no additional cost attached to it. Today you will hardly be able to find a person who makes use of the old text messages or sms (Short Message Service), and therefore bears the cost of communication defined by the respective operators. This boom has been such that it has become one of the main communication methods or channels in both the personal and work environments. Unfortunately, more and more drivers use messaging applications to send and receive messages while they are driving, even though its use is strictly prohibited and punished by law. Therefore our objective is to modify the existing messaging application Telegram allowing interaction with the mobile device by only using the user’s voice to send and receive messages, avoiding any distractions that any tactile interaction with the device could cause. The aim is to significantly try to reduce accidents caused while driving, as well as to avoid any related potential fines and incidents that may result from use of mobile phone while driving.

Diseño, desarrollo y evaluación de sistemas de traducción automática para reducir las barreras de comunicación de las personas sordas

La principal aportación de esta tesis doctoral ha sido la propuesta y evaluación de un sistema de traducción automática que permite la comunicación entre personas oyentes y sordas. Este sistema está formado a su vez por dos sistemas: un traductor de habla en español a Lengua de Signos Española (LSE) escrita y que posteriormente se representa mediante un agente animado; y un generador de habla en español a partir de una secuencia de signos escritos mediante glosas. El primero de ellos consta de un reconocedor de habla, un módulo de traducción entre lenguas y un agente animado que representa los signos en LSE. El segundo sistema está formado por una interfaz gráfica donde se puede especificar una secuencia de signos mediante glosas (palabras en mayúscula que representan los signos), un módulo de traducción entre lenguas y un conversor texto-habla. Para el desarrollo del sistema de traducción, en primer lugar se ha generado un corpus paralelo de 7696 frases en español con sus correspondientes traducciones a LSE. Estas frases pertenecen a cuatro dominios de aplicación distintos: la renovación del Documento Nacional de Identidad, la renovación del permiso de conducir, un servicio de información de autobuses urbanos y la recepción de un hotel. Además, se ha generado una base de datos con más de 1000 signos almacenados en cuatro sistemas distintos de signo-escritura. En segundo lugar, se ha desarrollado un módulo de traducción automática que integra dos técnicas de traducción con una estructura jerárquica: la primera basada en memoria y la segunda estadística. Además, se ha implementado un módulo de pre-procesamiento de las frases en español que, mediante su incorporación al módulo de traducción estadística, permite mejorar significativamente la tasa de traducción. En esta tesis también se ha mejorado la versión de la interfaz de traducción de LSE a habla. Por un lado, se han incorporado nuevas características que mejoran su usabilidad y, por otro, se ha integrado un traductor de lenguaje SMS (Short Message Service – Servicio de Mensajes Cortos) a español, que permite especificar la secuencia a traducir en lenguaje SMS, además de mediante una secuencia de glosas. El sistema de traducción propuesto se ha evaluado con usuarios reales en dos dominios de aplicación: un servicio de información de autobuses de la Empresa Municipal de Transportes de Madrid y la recepción del Hotel Intur Palacio San Martín de Madrid. En la evaluación estuvieron implicadas personas sordas y empleados de los dos servicios. Se extrajeron medidas objetivas (obtenidas por el sistema automáticamente) y subjetivas (mediante cuestionarios a los usuarios). Los resultados fueron muy positivos gracias a la opinión de los usuarios de la evaluación, que validaron el funcionamiento del sistema de traducción y dieron información valiosa para futuras líneas de trabajo. Por otro lado, tras la integración de cada uno de los módulos de los dos sistemas de traducción (habla-LSE y LSE-habla), los resultados de la evaluación y la experiencia adquirida en todo el proceso, una aportación importante de esta tesis doctoral es la propuesta de metodología de desarrollo de sistemas de traducción de habla a lengua de signos en los dos sentidos de la comunicación. En esta metodología se detallan los pasos a seguir para desarrollar el sistema de traducción para un nuevo dominio de aplicación. Además, la metodología describe cómo diseñar cada uno de los módulos del sistema para mejorar su flexibilidad, de manera que resulte más sencillo adaptar el sistema desarrollado a un nuevo dominio de aplicación. Finalmente, en esta tesis se analizan algunas técnicas para seleccionar las frases de un corpus paralelo fuera de dominio para entrenar el modelo de traducción cuando se quieren traducir frases de un nuevo dominio de aplicación; así como técnicas para seleccionar qué frases del nuevo dominio resultan más interesantes que traduzcan los expertos en LSE para entrenar el modelo de traducción. El objetivo es conseguir una buena tasa de traducción con la menor cantidad posible de frases. ABSTRACT The main contribution of this thesis has been the proposal and evaluation of an automatic translation system for improving the communication between hearing and deaf people. This system is made up of two systems: a Spanish into Spanish Sign Language (LSE – Lengua de Signos Española) translator and a Spanish generator from LSE sign sequences. The first one consists of a speech recognizer, a language translation module and an avatar that represents the sign sequence. The second one is made up an interface for specifying the sign sequence, a language translation module and a text-to-speech conversor. For the translation system development, firstly, a parallel corpus has been generated with 7,696 Spanish sentences and their LSE translations. These sentences are related to four different application domains: the renewal of the Identity Document, the renewal of the driver license, a bus information service and a hotel reception. Moreover, a sign database has been generated with more than 1,000 signs described in four different signwriting systems. Secondly, it has been developed an automatic translation module that integrates two translation techniques in a hierarchical structure: the first one is a memory-based technique and the second one is statistical. Furthermore, a pre processing module for the Spanish sentences has been implemented. By incorporating this pre processing module into the statistical translation module, the accuracy of the translation module improves significantly. In this thesis, the LSE into speech translation interface has been improved. On the one hand, new characteristics that improve its usability have been incorporated and, on the other hand, a SMS language into Spanish translator has been integrated, that lets specifying in SMS language the sequence to translate, besides by specifying a sign sequence. The proposed translation system has been evaluated in two application domains: a bus information service of the Empresa Municipal de Transportes of Madrid and the Hotel Intur Palacio San Martín reception. This evaluation has involved both deaf people and services employees. Objective measurements (given automatically by the system) and subjective measurements (given by user questionnaires) were extracted during the evaluation. Results have been very positive, thanks to the user opinions during the evaluation that validated the system performance and gave important information for future work. Finally, after the integration of each module of the two translation systems (speech- LSE and LSE-speech), obtaining the evaluation results and considering the experience throughout the process, a methodology for developing speech into sign language (and vice versa) into a new domain has been proposed in this thesis. This methodology includes the steps to follow for developing the translation system in a new application domain. Moreover, this methodology proposes the way to improve the flexibility of each system module, so that the adaptation of the system to a new application domain can be easier. On the other hand, some techniques are analyzed for selecting the out-of-domain parallel corpus sentences in order to train the translation module in a new domain; as well as techniques for selecting which in-domain sentences are more interesting for translating them (by LSE experts) in order to train the translation model.

Automated Response to Query System

SMS (Short Message Service) is now a hugely popular and a very powerful business communication technology for mobile phones. In order to respond correctly to a free form factual question given a large collection of texts, one needs to understand the question at a level that allows determining some of constraints the question imposes on a possible answer. These constraints may include a semantic classification of the sought after answer and may even suggest using different strategies when looking for and verifying a candidate answer. In this paper we focus on various attempts to overcome the major contradiction: the technical limitations of the SMS standard, and the huge number of found information for a possible answer.

Personalized Question-Answering Mobile System

Mobile messaging is an integral and vital part of the mobile industry and contributes significantly to worldwide total mobile service revenues. In today’s competitive world, differentiation is a significant factor in the success of the business communication. SMS (Short Message Service) provides a powerful vehicle for service differentiation. What is missing, however, is the availability of personalized SMS messages. In particular, the exploitation of user profile information allows a selection and content delivery that meets preferences and interests for the individual. Personalization of mobile messages is important in today’s service-oriented society, and has proven to be crucial for the acceptance of services provided by the mobile telecommunication networks. In this paper we focus on user profile description and the mechanism for delivering the relevant information to the mobile user in accordance with his/her profile.

Randomized Trial for a Mobile Health Approach to Increase Uptake of Cervical Cancer Screening in Tanzania

Background: Largely due to low availability and uptake of screening in low- and middle-income countries, cervical cancer is the second ranked cancer among women in these countries. This is a tragedy because cervical cancer is one of the most preventable carcinomas. This thesis will investigate behaviour change methods, which capitalize on the recent exponential increase in ownership of mobile phones in Tanzania, to increase uptake of cervical cancer screening (CCS) in the Kilimanjaro region of Tanzania. Objectives: 1) To evaluate the effectiveness of behaviour change messages delivered via short message service (SMS) on the uptake of CCS in the Kilimanjaro region; 2) to evaluate the effectiveness of a transportation eVoucher on the uptake of CCS in the Kilimanjaro region; 3) to explore characteristics associated with CCS uptake in the Kilimanjaro region; and 4) to determine the attitudes towards and perceived benefit of behaviour change SMS messages and eVouchers intended to increase uptake of CCS. Methods: In the Kilimanjaro Region, 853 women participated in a randomized controlled trial. Baseline data was collected through self-report through systematic stratified random sampling. Participants were randomized to one of three groups: a control group, a group receiving behaviour change messages delivered via SMS, or a group receiving a travel eVoucher and identical SMS as the SMS group. A fieldworker recorded participants attending screening at the CCS clinics and administered a post-screening survey. The follow-up period was two months from the time of the participant’s enrolment. Logistic regression (both for the combined and stratified data sets) was used to determine associations between the behaviour change interventions, baseline characteristics and cervical cancer screening uptake. Results: All participants receiving SMS messages (SMS or eVoucher group) were more likely to attend cervical cancer screening in comparison with the control group. 83% of participants who attended screening shared the information contained in the messages with others. Conclusions: Behaviour change messages delivered via SMS and transportation eVouchers have the potential to increase uptake of cervical cancer screening in the Kilimanjaro region of Tanzania. Harnessing this potential will require implementing these interventions alongside other methods to achieve maximum impact.