Comparing Technological and Relational Approaches to Support Families After a Missed Well Child Visit
- Conditions
- Well-child Care Visits
- Registration Number
- NCT06686849
- Lead Sponsor
- Wake Forest University Health Sciences
- Brief Summary
The overall goal of this study is to compare the effectiveness of different follow up protocols for scheduled but not attended ("no-show") Well-Child Visits, relative to care-as-usual (no standardized or typical follow up procedure). The main goals are to:
* Demonstrate feasibility of merging a new referral protocol following Well-Child visit no-show into existing health system Community Health Worker resources.
* Compare Well-Child Visit attendance following no-show between patients randomized to care-as-usual (comparison), text message only (low-touch intervention), and community health worker outreach (high-touch intervention) groups.
* Define the costs and cost-effectiveness of different follow-up protocols.
- Detailed Description
Well-Child visits (WCV) are at the core of preventive care in pediatrics. These Visits are an important opportunity for patients to be engaged with the healthcare system, for assessing child health and development, and for screening and counseling for prevention. Missed WCVs have been associated with negative health outcomes as well as avoidable healthcare costs and may occur for a variety of different reasons. There is room for improving follow-up with families to re-engage patients after not attending a scheduled WCV ("no-show"). This study will test and compare a text messaging intervention and community health worker outreach intervention to care-as-usual (no standard follow-up) as strategies for proactively engaging families in care after no-show to promote rescheduling and visit attendance. Evaluating effectiveness and cost-effectiveness of both interventions will inform clinical practice and decision-making in healthcare to help ultimately improve pediatric preventive care.
Recruitment & Eligibility
- Status
- ENROLLING_BY_INVITATION
- Sex
- All
- Target Recruitment
- 5885
- Are 0-17 years
- No-showed for a well-child visit scheduled at a family medicine or general pediatrics practice in Forsyth County, North Carolina
- Have a phone number on record for a primary caregiver
- With primary language for contact that is English or Spanish
- Already rescheduled their appointment by the time the sample list was generated
- Caregiver is not 18 years or older
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Proportion of Patients of All Ages with any Completed Well-Child Visits Week 6 post missed well-child visit Whether any Well-Child visit was completed by each patient (yes/no) following usual care, text intervention or community health worker intervention
Proportion of Patients Under 3 Years Old with any Completed Well-Child Visits Week 6 post missed well-child visit Whether any Well-Child visit was completed by each patient (yes/no) following usual care, text intervention or community health worker intervention
Proportion of Patients 3 Years and Older with any Completed Well-Child Visits Month 3 post missed well-child visit Whether any Well-Child visit was completed by each patient (yes/no) following usual care, text intervention or community health worker intervention
- Secondary Outcome Measures
Name Time Method Proportion of Patients of All Ages with Any Rescheduled Well-Child Visit Week 6 post missed well-child visit Whether any Well-Child visit was rescheduled by each patient (yes/no) following usual care, text intervention or community health worker intervention
Proportion of Patients 3 Years and Older with Any Rescheduled Well-Child Visit Month 3 post missed well-child visit Whether any Well-Child visit was rescheduled by each patient (yes/no) following usual care, text intervention or community health worker intervention
Proportion of Patients of All Ages with Vaccination status up-to-date 6 weeks post missed well-child visit Whether each patient is up-to-date on all age-appropriate vaccinations (yes/no)
Proportion of Patients 3 Years and Older with Vaccination status up-to-date Month 3 post missed well-child visit Whether each patient is up-to-date on all age-appropriate vaccinations (yes/no)
Proportion of Patients of All Ages with Any Completed Encounter 6 weeks post missed well-child visit Whether each patient had any completed healthcare encounter within the same health system (yes/no)
Proportion of Patients 3 Years and Older with Any Completed Encounter Month 3 post missed well-child visit Whether each patient had any completed healthcare encounter within the same health system (yes/no)
Proportion of Patients of All Ages with Any Non-Well-Child Primary Care Visit 6 weeks post missed well-child visit Whether each patient had any completed non-Well-Child primary healthcare visit within the same health system (yes/no)
Proportion of Patients 3 Years and Older with Any Non-Well-Child Visit Primary Care Visit Month 3 post missed well-child visit Whether each patient had any completed non-Well-Child primary healthcare visit within the same health system (yes/no)
Proportion of Patients of All Ages with Any Specialist Visit 6 weeks post missed well-child visit Whether each patient had any completed non-Well-Child specialist visit within the same health system (yes/no)
Proportion of Patients 3 Years and Older with Any Specialist Visit Month 3 post missed well-child visit Whether each patient had any completed non-Well-Child specialist visit within the same health system (yes/no)
Proportion of Patients of All Ages with Any Emergency Department Visit 6 weeks post missed well-child visit Whether each patient had any Emergency Department visit within the same health system (yes/no)
Proportion of Patients 3 Years and Older with Any Emergency Department Visit Month 3 post missed well-child visit Whether each patient had any Emergency Department within the same health system (yes/no)
Proportion of Patients of All Ages with Any Hospitalization 6 weeks post missed well-child visit Whether each patient had any hospitalization within the same health system (yes/no)
Proportion of Patients 3 Years and Older with Any Hospitalization Month 3 post missed well-child visit Whether each patient had any hospitalization within the same health system (yes/no)
Trial Locations
- Locations (1)
Department of Family and Community Medicine, Wake Forest University School of Medicine
🇺🇸Winston-Salem, North Carolina, United States