Patients receiving medical forensic examinations following sexual assault often do not receive important follow-up care. To address this gap, we developed and tested a bidirectional text-messaging protocol, Text-SAFE (sexual assault forensic exams). Text-SAFE included automated text messages over 37 days, covering mental health, sexually transmitted infections, medications, and pregnancy. Patients could also send and receive messages. We evaluated feasibility for broader application by examining enrollment rates, patient responses and evaluations, protocol completion and reliability, and nurse compliance with the protocol. A total of 25 patients participated: 24/25 sent at least one text; 21/25 received all messages. Participants found Text-SAFE comfortable and helpful. We identified areas for improvement.

性侵犯后接受法医检查的患者通常不会得到重要的后续护理。为了解决这一差距，我们开发并测试了双向文本消息协议 Text-SAFE（性侵犯法医检查）。Text-SAFE 包括超过 37 天的自动短信，涵盖心理健康、性传播感染、药物和怀孕。患者还可以发送和接收信息。我们通过检查入组率、患者反应和评估、协议完成和可靠性以及护士对协议的遵守情况来评估更广泛应用的可行性。共有 25 名患者参与： 24/25 发送至少一条短信；21/25 收到所有消息。参与者发现 Text-SAFE 舒适且有帮助。我们确定了需要改进的领域。