No-Show Prevention Practices in Dental Care Settings Serving Underserved Populations
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 48
- 试验地点
- 2
- 主要终点
- Change in proportion of scheduled appointments for which the patient attends, pre-to-post intervention
研究概览
简要总结
The goal of this study is to compare different no-show interventions in dental clinics serving underserved populations. The main question it seeks to answer is
- How do different no-show intervention methods compare in reducing no-shows?
Participants will be asked to
- Implement different interventions
- Report a limited set of data to researchers
详细描述
Persistent no-show rates contribute to the oral health disparities and inadequate access to dental care that disproportionately affect underserved populations. The proposed research will test the impact of three different strategies on improving show rates using a full factorial design. Specifically, the study is designed as a 2×2×2 factorial cluster-randomized trial of reminder messaging, motivation-enhanced communication, and walk-in visit. The unit of intervention and randomization will be dental clinic sites (clusters). Forty clinics will be randomized between eight possible combinations of receiving or not receiving the three study interventions, with five clinics receiving each intervention. Findings from this study seek to provide an evidence-based approach to reducing no-shows and increasing access to dental care for underserved populations.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Sites must be:
- •Serve at least a 51 percent self-pay and Medicaid patients
- •Be willing to provide limited data sets of clinic data to the research team
- •Be willing to undertake and support and organizational improvement project to improve show rates
- •Staff must be:
- •A paid staff member at a participating clinic
- •Be able and willing to provide written or verbal consent
排除标准
- •No exclusion criteria for clinics or staff
研究组 & 干预措施
Reminder Messages & Walk-in visits
干预措施: Reminder Messages (Behavioral)
Control
Walk-in visits & Motivation-enhanced Communication
干预措施: Walk-in Visits (Behavioral)
Reminder Messages
干预措施: Reminder Messages (Behavioral)
Walk-in visits & Motivation-enhanced Communication
干预措施: Motivation-enhanced Communication (Behavioral)
Walk-in Visits
干预措施: Walk-in Visits (Behavioral)
Motivation-enhanced Communication
干预措施: Motivation-enhanced Communication (Behavioral)
Reminder Messages & Walk-in visits
干预措施: Walk-in Visits (Behavioral)
Reminder Messages & Motivation-enhanced Communication
干预措施: Reminder Messages (Behavioral)
Reminder Messages & Motivation-enhanced Communication
干预措施: Motivation-enhanced Communication (Behavioral)
Reminder Messages, Walk-in visits, & Motivation-enhanced Communication
干预措施: Reminder Messages (Behavioral)
Reminder Messages, Walk-in visits, & Motivation-enhanced Communication
干预措施: Walk-in Visits (Behavioral)
Reminder Messages, Walk-in visits, & Motivation-enhanced Communication
干预措施: Motivation-enhanced Communication (Behavioral)
结局指标
主要结局
Change in proportion of scheduled appointments for which the patient attends, pre-to-post intervention
时间窗: 6 months pre-intervention to 12 months post-intervention
To test the efficacy of motivation-enhanced communication, reminder messaging, and walk-in visits as compared to treatment as usual For each of the three interventions, the pre-to-post intervention change in show rates. Show rate is defined as the proportion of scheduled appointments for which the patient attends their scheduled clinic appointment. Appointments cancelled or rescheduled more than 24 hours in advance are not included in the calculation. Outcome will be measured by data exported from the clinical electronic health records monthly.
次要结局
- Organizational Change Manager (OCM) Score(Survey will be administered at 3 months)
- Statistical Comparison of Interventions for Effectiveness Analysis(6 months pre-intervention to 12 months post-intervention)
- Statistical Comparison of Combining Multiple Interventions for Interaction Analysis(6 months pre-intervention to 12 months post-intervention)