UCLA Health Patient Health Maintenance With Interactive Text Reminder
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 10,751
- 试验地点
- 2
- 主要终点
- MyChart letter opened
研究概览
简要总结
This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text message reminders impact patient engagement with primary care. This prospective randomized control trial is being implemented in conjunction with UCLA Health's larger quality improvement initiative (the My Action Plan Quality Improvement Initiative) in order to improve primary care preventive measure completion rates.
详细描述
UCLA Health will launch an initiative called My Action Plan which is an outreach effort targeting the primary care patients at UCLA who have an outstanding, clinically indicated primary care preventative care gap (e.g., overdue colorectal cancer screening, outstanding diabetes tests) and aims at encouraging patients to complete their overdue health maintenance measures.
At the beginning of each month, identified UCLA Health primary care patients will be enrolled in a trial the investigators have pre-registered under the title "UCLA Health Patient Health Maintenance Outreach Text Message" and randomized to receive one of four text messages informing them that they have overdue health maintenance measures and urging them to take action to complete these measures. These text messages will contain a link to their MyChart patient portal account, specifically linking them to a My Action Plan electronic letter that will contain a personalized list of outstanding preventive care items and actionable steps to complete the items.
In May and June 2023, if patients do not open their My Action Plan electronic letter within 7 days of initial outreach, they will be enrolled in the trial described in the current pre-registration. This trial will evaluate the effect of sending a text reminder about health gaps as well as compare the effectiveness of different outreach text reminders. Patients will be randomly assigned at the 1:1:1:1 ratio to either the holdout control condition (without a reminder) or one of the three reminder arms (receiving one of three text reminders 2 weeks after the initial outreach message). Of these three reminder arms, one will serve as a control reminder message, and the other two will be interactive experimental reminder messages that ask participants for a text response. Additionally, within each text-reminder arm, patients will be randomized to one of three time slots for getting the reminder. The investigators will examine patients' interaction with these reminders and how that ultimately translates to them completing their indicated health maintenance measures.
The UCLA Department of Medicine (DOM) intends to roll out this QI initiative at the beginning of the 2023 calendar year and continue it for a span of at least 12 months. Each month, the initiative targets patients whose birthday falls into that month. This proposed trial will run for two months (May and June 2023).
Analysis Plan:
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 (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Empaneled to UCLA Health DOM Primary Care
- •Has at least one overdue health maintenance measure that the My Action Plan initiative focuses on
- •Has an active MyChart status
- •Can accept SMS messages from UCLA Health
- •Has not opened the My Action Plan electronic letter within 7 days of initial outreach
- •Has a May or June Birthday
排除标准
- •Under the age of 18
- •Deceased patients
- •Hospice patients
- •Has opted out electronic communication (bulk messages, email, and/or text)
- •For the final analysis, the investigators will further exclude patients who have scheduled appointments for all screenings/tests or completed all screenings/tests prior to the date when they are supposed to receive the reminder from this trial
结局指标
主要结局
MyChart letter opened
时间窗: 1 week after getting the reminder
Percentage of participants across the different arms who open their personalized My Action Plan letter on MyChart
次要结局
- Opening link within SMS Text message(1 week after getting the reminder)
- Rate of taking action for one overdue screening/test(2 weeks after getting the reminder)
- Direct scheduling appointment rate(2 weeks after getting the reminder)
- Completion rate of one screening/test(6 months after getting the initial outreach text message)
研究者
Richard K. Leuchter, MD
Clinical Instructor of Medicine
University of California, Los Angeles