{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T03:56:14Z","timestamp":1790740574282,"version":"4.1.0"},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T00:00:00Z","timestamp":1561680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Laryngoscope Investig Oto"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Patients' lack of awareness of available services is a significant barrier to delivering surgical care in resource\u2010limited settings. Short message service (SMS) text messaging is a potential means to disseminate this information in resource\u2010limited settings, where rates of mobile phone usage are high.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A blast SMS text informing local populations of upcoming cleft lip\u2010palate (CLP) surgical services was distributed to 25% of the subscriber base 1\u2009week prior to arrival of a (CLP) surgical team in Zimbabwe. A retrospective cohort analysis comparing characteristics of patients presenting to the CLP clinic in the year prior to (2016) and 2\u2009years following (2017\u20132018) the implementation of the blast SMS text messaging system is performed to assess its impact.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients presenting to a single Zimbabwean CLP surgical program in the years with SMS messaging notifications were significantly more likely (52 [64%] vs. 5 [17%], <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001) to have been informed of surgical services through their mobile phones. The average distance traveled per patient was not significantly different prior to implementation of mass text messaging (180.4\u2009km [SD114.8] vs. 167.4\u2009km [SD105.9], <jats:italic>P<\/jats:italic> = .580). The average patient age was significantly higher following the implementation of mass text messaging (7.4 [SD8.7] vs. 3.0 [SD2.8] years, <jats:italic>P<\/jats:italic> = .010).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>SMS messaging is an effective method of informing patients of CLP surgical services in resource\u2010limited settings. After implementation of SMS text notifications, surgical patients were of increased age, but showed no difference in distance traveled.<\/jats:p><\/jats:sec><jats:sec><jats:title>Level of Evidence<\/jats:title><jats:p>IV<\/jats:p><\/jats:sec>","DOI":"10.1002\/lio2.287","type":"journal-article","created":{"date-parts":[[2019,6,28]],"date-time":"2019-06-28T13:54:34Z","timestamp":1561730074000},"page":"383-386","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Role of mobile health on patient enrollment for cleft lip\u2010palate surgery: A comparative study using SMS blast text messaging in Zimbabwe"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3274-4488","authenticated-orcid":false,"given":"Shekhar K.","family":"Gadkaree","sequence":"first","affiliation":[{"name":"Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Travis T.","family":"Tollefson","sequence":"additional","affiliation":[{"name":"Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery University of California, Davis  Sacramento California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer C.","family":"Fuller","sequence":"additional","affiliation":[{"name":"Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faith C.","family":"Muchemwa","sequence":"additional","affiliation":[{"name":"Facial Plastic and Reconstructive Surgery, Department of Otolaryngology\u2013Head and Neck Surgery University of California, Davis  Sacramento California U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aleck","family":"Gonga","sequence":"additional","affiliation":[{"name":"University of Zimbabwe College of Health Sciences  Harare Zimbabwe"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7786-7812","authenticated-orcid":false,"given":"David A.","family":"Shaye","sequence":"additional","affiliation":[{"name":"Facial Plastic and Reconstructive Surgery, Department of Otolaryngology, Massachusetts Eye and Ear Harvard Medical School  Boston Massachusetts U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,28]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-011-1010-1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-017-3896-8"},{"issue":"3","key":"e_1_2_6_4_1","first-page":"250","article-title":"Cataract surgery: limitations and barriers in Makurdi, Benue State","volume":"18","author":"Ojabo CO","year":"2009","journal-title":"Niger J Med"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/czr023"},{"key":"e_1_2_6_6_1","unstructured":"Increasing access to surgical services in sub\u2010Saharan Africa: priorities for national and international agencies recommended by the Bellagio Essential Surgery Group. Available at:http:\/\/journals.plos.org\/plosmedicine\/article?id=10.1371\/journal.pmed.1000200. Accessed February 19 2018."},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0000000000003038"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2017.1883"},{"key":"e_1_2_6_9_1","unstructured":"World Bank. Mobile cellular subscriptions. Available at:https:\/\/data.worldbank.org\/indicator\/IT.CEL.SETS.P2. Accessed February 19 2018."},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2013.864735"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.24747"},{"key":"e_1_2_6_12_1","volume-title":"Stata Statistical Software: Release 12","year":"2011"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2017.12.013"},{"key":"e_1_2_6_14_1","unstructured":"World Bank. Africa can enjoy leapfrog development. Available at:http:\/\/www.worldbank.org\/en\/news\/opinion\/2017\/10\/11\/africa-can-enjoy-leapfrog-development."},{"key":"e_1_2_6_15_1","unstructured":"What technology can do for Africa.The Economist. November 2017. Available at:https:\/\/www.economist.com\/news\/special\u2010report\/21731038\u2010technology\u2010africa\u2010making\u2010huge\u2010advances\u2010says\u2010jonathan\u2010rosenthal\u2010its\u2010full. Accessed November 13 2018."},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamafacial.2016.0477"},{"key":"e_1_2_6_17_1","unstructured":"GSM Association. The mobile economy: sub\u2010Saharan Africa 2017. Available at:https:\/\/www.gsmaintelligence.com\/research\/?file=7bf3592e6d750144e58d9dcfac6adfab&download. 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