UCLA Health Patient Health Tickler Email
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 入组人数
- 81,000
- 试验地点
- 2
- 主要终点
- MAP Letter opened
研究概览
简要总结
This is a prospective clinical trial evaluating how a behaviorally-informed outreach email notification impacts patient engagement with primary care. This 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.
The main question it aims to answer is if sending an enhanced email notification (i.e., enhanced tickler email) to identified UCLA Health primary care patients increases their engagement with primary care.
Participants will be assigned to either a control (standard tickler email) or treatment (enhanced tickler email) condition, based on whether their birth date ends in an odd or even number. Researchers will compare control and treatment groups to see if and how they differ in pre-defined outcome measures.
详细描述
Health maintenance measures have been shown to be critical in early detection, secondary prevention, and early management of numerous medical conditions--from diabetes to various cancers. The standardization of these health maintenance measures has resulted in major improvements in population health. Despite the importance of these primary care tests and screenings, many patients are overdue for these tests.
Given this healthcare gap, it is critical to investigate more effective strategies to communicate to patients about health maintenance measures they need to complete. This study aims to evaluate the effectiveness of a behaviorally-informed outreach email message. The investigators intend to launch the study as a part of UCLA Health's My Action Plan initiative, a UCLA Health primary care outreach quality improvement initiative aimed at encouraging patients to complete their overdue health maintenance measures.
Specifically, the My Action Plan (MAP) initiative is an outreach effort targeting primary care patients at UCLA Health who have outstanding, clinically indicated primary care preventative care gaps (e.g., overdue colorectal cancer screening, outstanding diabetes tests). At the beginning of the month following their birth month, patients with at least one of these open care gaps receive a MAP Letter in the form of a patient portal message. The MAP Letter contains a personalized list of outstanding preventive care items and actionable steps to complete the items. When the MAP Letter is received in the patient portal, it triggers an email "tickler" that is sent to patients' personal email address to notify them of the patient portal message.
At the beginning of each month, patients who are due to receive a MAP Letter will be assigned to receive either the current standard email tickler used by UCLA Health (control tickler) or a behaviorally-informed email tickler (enhanced tickler), based on whether their birth date ends in an odd or even number. The control email will notify them that they have a new message posted in their MyChart patient portal account, and prompt them to sign in to read it. The behaviorally-informed email will directly notify them that they are due for an important medical exam and prompt them to sign in to their MyChart patient portal account to schedule their recommended appointment; this message will be signed by their primary care doctor's office. In each month, emails will go out to all eligible patients in both conditions at the same time.
Both email notifications will contain links to the patient's MyChart portal account. The control tickler will link patients to their MyChart patient portal home page (standard procedure for email ticklers), whereas the enhanced tickler will link patients directly to the MAP Letter.
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
排除标准
- •Under the age of 18
- •Has opted out of 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 email notification, as well as patients who use proxies (e.g., family members who receive the email tickler on their behalf) given that all proxies are assigned to receive a standard tickler email.
结局指标
主要结局
MAP Letter opened
时间窗: From email notification outreach until 9 a.m. the next day before an automatic text reminder is sent to every participant, and 7 days after getting the outreach email notification
Percentage of participants across the different arms who open their My Action Plan Letter on the MyChart patient portal
次要结局
- Signing in to their MyChart patient portal(From email notification outreach until 9 a.m. the next day before an automatic text reminder is sent to every participant, and 7 days after getting the outreach email notification)
- Visiting the appointment scheduling page(From email notification outreach until 9 a.m. the next day before an automatic text reminder is sent to every participant, and 7 days after getting the outreach email notification)
- Taking action for at least one overdue screening/test(From email notification outreach until 9 a.m. the next day before an automatic text reminder is sent to every participant, and 7 days after getting the outreach email notification)
- Completing at least one screening/test(6 months after getting the outreach email notification)
研究者
Richard K. Leuchter, MD
Clinical Instructor of Medicine
University of California, Los Angeles