Messaging Intervention to Increase Medicare Annual Wellness Visits: The MIMA Randomized Clinical Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 29,842
- 试验地点
- 2
- 主要终点
- Annual Wellness Visit scheduling
研究概览
简要总结
Medicare Annual Wellness Visits (AWVs) are critical for addressing preventive care needs among older adults, yet the most recent estimates from the Center for Medicare Services suggest less than 50% of eligible patients take advantage of this free healthcare benefit. Behavioral science-informed messaging interventions offer a promising strategy to increase AWV participation by guiding patient behavior. In this study, investigators will evaluate a health system initiative that utilizes personalized email and text messages to encourage Medicare beneficiaries to schedule and attend their AWVs. This approach aims to boost patient engagement in preventive health services, ultimately improving care outcomes for older adult populations
详细描述
The Centers for Medicare & Medicaid Services (CMS) recommends Annual Wellness Visits (AWVs) to encourage preventive care and improve long-term health outcomes for Medicare beneficiaries. These visits are designed to provide a proactive approach to healthcare by focusing on identifying risk factors, updating medical histories, and developing personalized prevention plans that promote early detection of diseases. By prioritizing prevention over treatment, AWVs help reduce the overall cost burden on the healthcare system while enhancing patient engagement and empowering individuals to take a more active role in managing their health. Yet despite these benefits, most Medicare members who are eligible for an AWV - at no cost to them - do not complete one.
Behavioral science research suggests that personalized messages, designed to facilitate action, can have significant impacts on health behavior. Studies have found these messaging interventions can increase vaccination rates, cancer screening rates, and other care gap closure.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Age 65 or older
- •Have either a mobile phone number or an email address on file with the health system
- •Included in and non-compliant on the Ascension AWV Clinical Priority Goal measure
- •Have consented to receive electronic communications from the health system
排除标准
- •Patients whose primary care providers are exempted from the campaign by the health system
- •Completed MAWV appointment in previous 30 days
- •Has an upcoming AWV appointment scheduled
- •Have received a nudge campaign from the Clinical Transformation team in the past 90 days
- •Patients who have previously opted out of receiving electronic communications from the health system in our message delivery platform (Salesforce)
研究组 & 干预措施
Usual Care
This is a group will serve as usual care and have no intervention during the study period
Two Messages
This group will receive two messages as part of the study -- one email and one text message.
干预措施: Two Messaging Nudges (Behavioral)
Up To Five Messages
This group will receive up to five messages as part o the study -- two emails and three text messages.
干预措施: Five messaging nudges (Behavioral)
结局指标
主要结局
Annual Wellness Visit scheduling
时间窗: 14 days
Percentage of patients who schedule an AWV
次要结局
- Completed Annual Wellness Visit(90 Days)
- Days to Annual Wellness Visit Completion(90 days)
研究者
Laura Feemster
Medical Director, Clinical Transformation
Ascension Health