Patient and health provider interaction via text messaging (TM) has become an accepted form of communication, often favored by adolescents and young adults. While integration of TM in disease management has aided health interventions and behavior modifications, broader adoption is hindered by expense, fixed reporting schedules, and monotonic communication. A low-cost, flexible TM reporting system (REMOTES) was developed using inexpensive cloud-based services with features of two-way communication, personalized reporting scheduling, and scalable and secured data storage. REMOTES is a template-based reporting tool adaptable to a wide-range of complexity in response formats. In a pilot study, 27 adolescents with sickle cell disease participated to assess feasibility of REMOTES in both inpatient and outpatient settings. Subject compliance with at least one daily self-report pain query was 94.9% (112/118) during inpatient and 91.1% (327/359) during outpatient, with an overall accuracy of 99.2% (970/978). With use of a more complex 8-item questionnaire, 30% (7/21) inpatient and 66.6% (36/54) outpatient responses were reported with 98.1% (51/52) reporting accuracy. All participants expressed high pre-trial expectation (88%) and post-trial satisfaction (89%). The study suggests that cloud-based text messaging is feasible and an easy-of-use solution for low-cost and personalized patient engagement.

中文翻译：

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使用基于云的短信技术实现有效的患者健康参与系统

通过短信 (TM) 进行的患者和医疗保健提供者互动已成为一种公认的交流方式，通常受到青少年和年轻人的青睐。虽然 TM 在疾病管理中的整合有助于健康干预和行为改变，但更广泛的采用受到费用、固定报告时间表和单调沟通的阻碍。一种低成本、灵活的 TM 报告系​​统 (REMOTES) 是使用廉价的基于云的服务开发的，具有双向通信、个性化报告调度以及可扩展和安全的数据存储等功能。REMOTES 是一种基于模板的报告工具，适用于响应格式的各种复杂性。在一项试点研究中，27 名患有镰状细胞病的青少年参与评估 REMOTES 在住院和门诊环境中的可行性。住院期间受试者每天至少进行一次自我报告疼痛查询的依从性为 94.9% (112/118)，门诊期间为 91.1% (327/359)，总体准确率为 99.2% (970/978)。使用更复杂的 8 项问卷，报告了 30% (7/21) 住院患者和 66.6% (36/54) 门诊患者的反应，报告准确率为 98.1% (51/52)。所有参与者都表达了很高的审前期望 (88%) 和审后满意度 (89%)。该研究表明，基于云的文本消息传递是可行的，并且是一种易于使用的低成本和个性化患者参与的解决方案。6% (36/54) 的门诊反应报告与 98.1% (51/52) 的报告准确性。所有参与者都表达了很高的审前期望 (88%) 和审后满意度 (89%)。该研究表明，基于云的文本消息传递是可行的，并且是一种易于使用的低成本和个性化患者参与的解决方案。6% (36/54) 的门诊反应报告与 98.1% (51/52) 的报告准确性。所有参与者都表达了很高的审前期望 (88%) 和审后满意度 (89%)。该研究表明，基于云的文本消息传递是可行的，并且是一种易于使用的低成本和个性化患者参与的解决方案。