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Automated Reminders: What the Research Shows About Missed Appointments

Evidence-based look at how SMS and email reminders reduce no-shows. Published research on reminder effectiveness for service businesses.

Mo AbedMo Abed
1 October 2025Updated 25 January 20268 min read
Petboost automation settings showing reminder configuration options

Quick Answer

Research shows SMS reminders reduce missed appointments by up to 43% (JMIR 2024 study). Optimal timing is 24-48 hours before the appointment. Combining SMS with email, including confirmation requests, and personalising messages all improve effectiveness.

What Does the Research Say?

Automated reminders are common advice for reducing no-shows. But does the research support this? And if so, what kind of reminders work best?

This article reviews published research on reminder effectiveness and translates it into practical recommendations for pet businesses.

The Core Finding: Reminders Work

A 2024 meta-analysis published in the Journal of Medical Internet Research examined 45 studies on appointment reminders (JMIR 2024).

Key finding: SMS reminders reduced missed appointments by up to 43% compared to no reminders.

This was across healthcare settings, but the principle applies to any appointment-based service. When customers are reminded about upcoming appointments, they're significantly more likely to show up.

SMS vs Email: What Works Better?

The research suggests SMS outperforms email for reminders:

ChannelTypical Open RateResponse Time
SMS90%+Minutes
Email20-30%Hours to days

Why SMS works:

  • Almost everyone has their phone nearby
  • SMS notifications are harder to ignore
  • Shorter messages are read quickly
  • Feels more immediate and personal

Email still has value:

  • More space for details (address, parking, what to bring)
  • Provides a record the customer can search later
  • Lower cost than SMS
  • Better for longer-form content

Best practice: Use both. SMS for the alert, email for the details.

Optimal Timing

When should reminders go out?

Research consensus: 24-48 hours before the appointment is the sweet spot.

TimingEffect
1 week beforeGood for advance planning, but too early to prevent forgetting
24-48 hours beforeOptimal: allows rescheduling if needed, fresh in memory
Same day (morning)Good additional reminder, especially for afternoon appointments
2 hours beforeReduces genuine forgetfulness, too late for easy rescheduling

Multi-reminder strategy: Many businesses find that sending 2-3 reminders at different intervals works best:

  1. 1 week before: "Your appointment is coming up next week"
  2. 24 hours before: "Reminder: [Pet] has a groom tomorrow at 10am"
  3. 2 hours before: "See you soon! [Pet]'s appointment is at 10am today"

Confirmation Requests Improve Results

Reminders that ask for confirmation outperform passive reminders.

Passive reminder: "Reminder: Your appointment is tomorrow at 10am."

Active confirmation: "Reminder: Your appointment is tomorrow at 10am. Reply YES to confirm or call us to reschedule."

When customers actively confirm, two things happen:

  1. They create a psychological commitment
  2. You identify at-risk appointments (no response = follow up)

Personalisation Matters

Generic reminders are less effective than personalised ones.

Generic: "Reminder: You have an appointment tomorrow."

Personalised: "Hi Sarah, Bella's grooming appointment is tomorrow (Thursday) at 10am at Happy Paws Bondi."

Personalisation elements that improve response:

  • Customer name
  • Pet name
  • Specific service
  • Date and time (including day of week)
  • Location or address

Combining Strategies

Research on appointment attendance (from restaurant and healthcare sectors) suggests combining multiple strategies has compounding effects:

StrategyEstimated No-Show Reduction
SMS reminder only20-43%
+ Confirmation requestAdditional 10-15%
+ Card on fileAdditional 10-16%
+ Deposit requiredAdditional 20-57%

Combining reminders with card-on-file and deposits can reduce no-shows by 40-70% (OpenTable, Gingr).

The Human Element

Automation handles the mechanics, but content matters.

Tone considerations:

  • Friendly, not robotic
  • Clear, not cluttered
  • Actionable (what to do if they can't make it)

What to include:

  • Pet name (personalisation)
  • Date and time (including day of week)
  • Location (especially if you have multiple)
  • What to bring (if applicable)
  • Easy reschedule option

Example template:

Hi [Customer],

This is a friendly reminder that [Pet] has a [Service] appointment tomorrow ([Day]) at [Time].

Location: [Address]

Need to reschedule? [Link] or call us on [Phone].

See you soon! [Business Name]

Implementation Considerations

SMS Costs

SMS reminders have a cost. In Australia, expect to pay around $0.05-0.10 per SMS depending on volume and provider.

Cost-benefit calculation:

If you send 2 reminders per appointment:

  • Cost: $0.10-0.20 per appointment
  • If your average service is $95 and reminders reduce no-shows by 40%, the prevented revenue loss far exceeds the SMS cost.

Customer Preferences

Some customers prefer not to receive SMS. Good systems allow customers to opt for email-only reminders or set their own preferences.

Timing Your Send

Be thoughtful about when messages arrive:

  • Avoid very early morning or late night
  • Business hours or early evening work best
  • Consider the appointment time (morning appointment = remind the evening before)

How Petboost Helps

Petboost sends automated reminders at configurable intervals:

  • 1 week before: Optional advance notice
  • 24 hours before: Standard reminder
  • 2 hours before: Day-of reminder

Both SMS and email are included. Each reminder includes the pet name, service, date, time, and easy reschedule options. Combined with pre-authorisation and card-on-file, you have a complete no-show prevention system.


The Bottom Line

Research supports what many businesses have observed: automated reminders significantly reduce missed appointments. SMS is more effective than email alone, but combining both is best. Timing matters (24-48 hours is optimal), and asking for confirmation improves results.

The cost of reminders is small compared to the cost of empty appointment slots.


Ready to Automate Your Reminders?

Petboost sends automated reminders by SMS and email at intervals you choose. Customers receive personalised reminders with easy reschedule options. Setup takes minutes.

Start your free 14-day trial →

Learn more about automations or see our pricing.

Mo Abed

Mo Abed

CTO & Co-Founder

Mo is the technical brain behind Petboost. With a background in enterprise software, he builds the systems that help pet businesses run smoothly.

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