A Real-Time Text Alert Intervention for Dehydration Prevention and Weather-Related Risk Mitigation in Adults with Sickle Cell Disease

Topic A Real-Time Text Alert Intervention for Dehydration Prevention and Weather-Related Risk Mitigation in Adults with Sickle Cell Disease Purpose The purpose of this Quality Improvement (QI) project was to implement a real-time text message alert system designed to help adult patients with sickle cell disease (SCD) prevent dehydration and effectively manage health risks during extreme weather conditions. Background Dehydration and adverse weather conditions are known triggers for vaso-occlusive crises among adults with SCD, leading to increased emergency department (ED) visits and hospital admissions. A proactive technological intervention was identified as necessary to enhance patient outcomes and reduce healthcare utilization. Methodology Guided by the Plan-Do-Study-Act (PDSA) model, this project implemented a personalized alert system providing hydration reminders and weather-specific survival tips. Data were collected using surveys, interviews, and observational tracking methods. Quantitative analysis, including time series tables and bar graphs, assessed trends in hydration behaviors and frequency of crises. Results Over five months, 75% of participants reported improved hydration behaviors, and 80% demonstrated greater awareness of dehydration symptoms. Additionally, ER visits related to vaso-occlusive crises decreased by 30%. These outcomes suggest strong potential for sustainability through continued patient engagement and ongoing monitoring. Implications for Practice/Conclusion This project emphasizes the effectiveness of digital interventions in empowering patients with chronic illnesses. The real-time alert system enhanced self-management capabilities, significantly reduced crisis episodes, and improved patients' quality of life. Future initiatives should explore expanding this approach to other chronic conditions and further personalizing alerts based on patient feedback.