Prompt letters to reduce non-attendance: applying evidence based practice
2008

Using Prompt Letters to Reduce Missed Psychiatric Appointments

Sample size: 1433 publication Evidence: moderate

Author Information

Author(s): Jayaram Mahesh, Rattehalli Ranganath D, Kader Ihsan

Primary Institution: Leeds Partnerships NHS Foundation Trust

Hypothesis

Can sending prompting letters to patients reduce non-attendance rates at psychiatric outpatient clinics?

Conclusion

The study found that sending prompting letters significantly reduced non-attendance rates in psychiatric outpatient clinics.

Supporting Evidence

  • Prompt letters were sent to all patients scheduled for outpatient appointments.
  • Non-attendance rates dropped from 27% to 17% after the intervention.
  • The intervention was implemented in a real-world clinical setting.

Takeaway

Sending reminder letters to patients helps them remember their appointments, which means fewer people miss their visits to the doctor.

Methodology

A before and after study design was used, comparing non-attendance rates before and after sending prompting letters.

Potential Biases

Potential biases due to changes in clinician behavior and patient mental health improvements.

Limitations

Changes in medical personnel and patient population may affect the results, making it hard to attribute changes solely to the intervention.

Participant Demographics

Patients aged 18 to 65, predominantly from economically deprived backgrounds.

Statistical Information

P-Value

0.65

Confidence Interval

0.56 to 0.76

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-244X-8-90

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