UCLA Health Patient Health Maintenance Outreach Text Message
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40,912
- 试验地点
- 2
- 主要终点
- Opening link within SMS Text message
研究概览
简要总结
This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text messages 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
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 have 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 facilitate health maintenance measure completion. This study aims to evaluate the effectiveness of a variety of behaviorally-informed outreach text messages. 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 initiative is an outreach effort targeting 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). At the beginning of each month, identified UCLA Health primary care patients will be randomized in a 1:1:1:1 ratio to receive one of four text messages informing them that they have an overdue health maintenance measures and urging them to taking 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.
Within each text-message arm, patients will also be randomized to one of three time slots for getting the message.
The My Action Plan quality improvement initiative is expected to start at the beginning of the 2023 calendar year and continue for a span of at least 12 months. Each month, the initiative targets patients whose birthday falls into that month. The investigators plan to run this randomized clinical trial during four months of the larger QI initiative.
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 a March, April, 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, we will further exclude patients who have scheduled appointments for all screening/tests or completed all screenings/tests prior to the date when they are supposed to receive the text message
结局指标
主要结局
Opening link within SMS Text message
时间窗: 1 week after getting the outreach text message
Percentage of participants across the different arms who click on the link from the outreach message
次要结局
- Rate of taking action for one overdue screening/test(2 weeks after getting the outreach text message)
- Opening My Action Plan Letter(1 week after getting the outreach text message)
- Completion rate of one screening/test(6 months after getting the outreach text message)
- Direct scheduling appointment rate(2 weeks after getting the outreach text message)
研究者
Richard K. Leuchter, MD
Clinical Instructor of Medicine
University of California, Los Angeles