Clinical trial Recruiting at 1 site Interventional Ages 18 and up

Evaluating text messages versus handouts for lumbar spine surgery recovery

Official title: The NOTICE Study: Neurosurgery and OrThopedIcs Communication Evaluation Study Following Lumbar Fusions

Run by Duke University · NCT04140344 · Data updated 2026-11-12

This study is testing whether sending daily text messages or giving out handouts helps adults recover better after lumbar spine surgery by reducing hospital readmissions and improving their pain and anxiety levels.

Quick facts

Study typeInterventional
Ages18 Years and up
SexAll
Enrollment224 (estimated)
SponsorDuke University
Academic / other
Locations1 site (Durham, North Carolina)
StatusRecruiting
StartedSeptember 7, 2023
Main results expectedDecember 2026
Study endsDecember 2027
Registry record updatedNovember 4, 2026
Trial IDNCT04140344 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Ideal candidates are adults aged 18 and older undergoing primary lumbar fusion surgery with a degenerative spine diagnosis.

Probably not a fit

Patients with prior lumbar fusions, non-English speakers, or those with uncontrolled diabetes may not benefit from this study.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study aims to compare the effectiveness of informative text messages against traditional handouts for patients recovering from lumbar spine surgery. A total of 224 adult patients will be randomly assigned to receive either standard post-operative handouts or daily text messages for two weeks after surgery. The text messages will include links to videos with care instructions and will not allow for patient responses. The primary goal is to reduce readmission rates within 30 days post-surgery, while secondary outcomes include emergency department visits and pain and anxiety levels.

Why it matters

Potential benefit: If successful, this approach could lead to improved recovery outcomes and reduced hospital readmissions for lumbar spine surgery patients.

How similar studies have gone: Other studies have shown promising results using text messaging for patient education and follow-up, suggesting this approach may be effective.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria:

1. Primary lumbar fusion 1-4 levels
2. 18 years or older
3. Degenerative spine diagnosis
4. Answers YES to all the following screening questions:

   * Do you own a mobile phone that is capable of sending and receiving text messages?
   * Do you know how to text and feel comfortable texting?
   * Are you a regular (at least once a day) text-message user?
   * Are you agreeable to regular contact?

Exclusion Criteria:

1. Prior lumbar fusions
2. Tumors/infection/trauma
3. Prisoners or institutionalized patients
4. Non-English speaking patients
5. Patients who smokes or with uncontrolled diabetes
6. Participants will be removed from study if discharged to a rehabilitation center or discharged beyond 7 days post-operatively (we are expecting \~15% of patients to be discharged to a rehabilitation center or discharged beyond 7 days post-operatively)

Where it's running

  • Duke Neurosurgery and Duke Orthopedics
    Durham, North Carolina, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.