• Khouloud Romdhane, Adel Sekma, Sarra Sassi, Hajer Yaakoubi, Rym Youssef, Mohamed Amine Msolli, Kaouthar Beltaief, Mohamed Habib Grissa, Hamdi Boubaker, Houda Ben Soltane, Zied Mezgar, Riadh Boukef, Wahid Bouida, Asma Belghith, Khaoula Bel Haj Ali, Asma Zorgati, and Semir Nouira.
• Emergency Department and Laboratory Research (LR12SP18).
• Clin J Pain. 2023 Oct 1; 39 (10): 546550546-550.

ObjectiveTo determine the impact of mobile-phone telemonitoring on patients' adherence and satisfaction with posttrauma pain treatment.Materials And MethodsWe conducted a prospective randomized clinical trial including patients with minor trauma discharged from the emergency department (ED) with analgesic treatment. Patients were randomized to one of 3 groups, the control group, where patients received a phone call on day-7, the short message service (SMS) group, where patients received a daily text message to remind them to take their treatment during 7 days, and the mobile-phone based telemonitoring (TLM) group. Patients' adherence to analgesic treatments using the Morisky Medication Adherence Scale, current pain by using a visual analogue scale, and patients' satisfaction were assessed. For the TLM group, the assessment was performed at day-2, 4 and 7.ResultsGood adherence was observed in 418 patients (92.9%) in the TLM group versus 398 patients (88.6%) in the SMS group and 380 patients (84.8%) in the control group ( P <0.001). The factor mostly associated with adherence was telemonitoring (OR 2.40 95% CI 1.55-3.71). The decrease in pain visual analogue scale was highest in the TLM group compared with SMS and control groups ( P <0.001). The percentage of patients' satisfaction at 7 days post-ED discharge was 93% in the TLM group versus 88% in the SMS group and 84% in the standard group ( P =0.02).DiscussionOur findings suggest that mobile-phone-based telemonitoring is beneficial in the treatment of pain in trauma patients after ED discharge. This approach improved patients' adherence and satisfaction.Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

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