Evaluation of Email-based Reminders in Promoting Adherence to the Recommended Pediatric Preventative-visit Schedule Among Rural Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Immunization Programs
- Sponsor
- Geisinger Clinic
- Enrollment
- 1186
- Locations
- 1
- Primary Endpoint
- WCC visit scheduled
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to assess, prospectively, the effect of email reminders for well-child check (WCC) visits on adherence to these visits among those who have not yet scheduled the visit. The investigators hypothesize that sending reminders will increase scheduling WCC visits, attending WCC visits, and being up to date for the child's required immunizations beyond what occurs in the absence of these reminders.
Detailed Description
Regular attendance at recommended WCC visits is associated with having up-to-date immunizations. Standard care involves scheduling a follow-up WCC visit at the end of the current visit. However, if the child's parents do not choose to schedule a follow-up visit at that time or miss a WCC visit, they may not be offered another easy opportunity to schedule one. That is, they would have to remember to schedule a visit and contact the clinic proactively. In this study, 30 days before a child is due for their WCC visit, parents who have not yet scheduled a WCC visit for up to 30 days (for 5-month-olds) or 60 days (for all other ages) after their child is due for a visit will be randomly assigned to two groups with a random number generator. One group will receive an email reminder, while the other group will not receive any reminder. The randomization of participants to different conditions will be in place until 800 participants have been identified and randomly assigned to one of the arms (estimated sample to detect at least a 10% absolute difference) or 180 days, whichever comes first. To account for delays in updating clinical databases, the final outcome data will be checked 90 days after the last eligible visit (for a maximum study period of 270 days).
Investigators
Amir Goren
Program Director, Behavioral Insights Team
Geisinger Clinic
Eligibility Criteria
Inclusion Criteria
- •Parents (or contact on record) of children aged 5, 8, 11, 14, or 17 months
- •No WCC visits scheduled 30 days after the child's monthly birthday (for 5 month-olds) or 60 days (for all other ages) ahead of their due date for a WCC (i.e., month 6, 9, 12, 15, or 18)
- •Has an email address on record
- •Child is currently seen in Pediatric clinics under the Geisinger umbrella (has at least one prior visit)
Exclusion Criteria
- •Did not opt out of emails
Outcomes
Primary Outcomes
WCC visit scheduled
Time Frame: 30-60 days from the email send date
Binary variable of scheduling a WCC visit as established by visit type, visit reasons, and billing codes (if available)
Secondary Outcomes
- WCC visit made(30-60 days from the email send date)
- Immunization status(60 days from the email send date)