Developing Interoperable Tools for Anxiety and Depression Screening in Epilepsy
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Enrollment
- 880
- Locations
- 1
- Primary Endpoint
- Percentage of Subjects Completing Screening Instruments
Study Overview
Brief Summary
A randomized trial to compare patient-completion success of REDCap and Electronic Health Record (EHR)-based anxiety & depression instrument delivery methods. Study hypothesis is that the screening completion proportion will vary across the 4 modalities tested.
Detailed Description
In this randomized study of four modalities, we will compare Twilio text message delivery via REDCap versus (vs.) REDCap email survey links vs. EHR portal questionnaires with reminder message vs. current standard delivery EHR portal questionnaires without reminder. Screening instruments will be delivered by randomized method 7 days prior to scheduled clinic visit and outcomes occur by the time of the scheduled clinic visit. The study setting is the Wake Forest Comprehensive Epilepsy Center, with 2 clinic sites where adult patients are served (Atrium Health Wake Forest Baptist main campus, Atrium Health High Point Medical Center). EHR portal questionnaires without reminder is the current standard care screener delivery method. An exploratory supplement randomizing individuals to text message versus email survey link was later added.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Supportive Care
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Visit scheduled 7 days in advance at an adult-focused epilepsy clinic at the study site
Exclusion Criteria
- •No exclusions
Arms & Interventions
Text Message
Subjects in this arm will be asked to complete standard care screening questionnaires on anxiety and depression, delivered by Twilio text message.
Intervention: Screening Questionnaires (Behavioral)
Customized Email Prompt
Subjects in this arm will be asked to complete standard care screening questionnaires on anxiety and depression, delivered by an email with a REDCap email survey link.
Intervention: Screening Questionnaires (Behavioral)
Generic Electronic Health Record (EHR) portal email
Subjects in this arm will be prompted with customized EHR portal message after login to EHR portal.
Intervention: Screening Questionnaires (Behavioral)
EHR Portal with No Message
Subjects in this arm will not receive a reminder, but previsit questionnaires associated with a visit will be in their EHR portal.
Intervention: Screening Questionnaires (Behavioral)
Outcomes
Primary Outcomes
Percentage of Subjects Completing Screening Instruments
Time Frame: Week 1
Percentage of subjects completing screening instruments by each of the 4 methods prior to clinic visit will be used to compare the effect of the different methods on patient self-completion, and to estimate completion rates by different methods for use in future screening implementation trials.
Secondary Outcomes
- Research Team Time-sending Instruments(Baseline Day 0)
- Research Team Time-instrument Data Entry(Week 1)
- Participant Time From Instrument Delivery to Completion(Week 1)
- Percent Accuracy of Kit Application Programming Interface (API)(Week 1)