Effect of Reminder Strategies on No-Show Rates in a Nicotine Cessation Clinic: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 300
- 试验地点
- 1
- 主要终点
- Patient attendance at scheduled follow-up visit
研究概览
简要总结
The goal of this clinical trial is to learn whether different appointment reminder methods can improve attendance at an anti-smoking (smoking cessation) clinic among adult smokers.
The main question it aims to answer is:
"Which reminder method helps participants come to their scheduled smoking cessation clinic appointments most often?" Researchers will compare different appointment reminder methods with standard appointment scheduling to see if they help participants attend their clinic visits more often.
Participants will:
- Receive appointment reminders using different methods
- Come to their scheduled visits at a smoking cessation (anti-nicotine) clinic
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
- Single (Participant)
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
- •Age ≥ 18 years. Confirmed diagnosis of nicotine dependence (F17 according to the International Classification of Diseases, 10th Revision [ICD-10]) and active patient status at the Smoking Cessation Clinic.
- •Provision of voluntary, written, informed consent to participate in the study and to be contacted by telephone or short text message.
- •Ability to independently provide information and operate a mobile phone.
- •At the time of study enrollment, attendance at an initial visit at the clinic.
排除标准
- •Age < 18 years.
- •Lack of written, informed consent to participate in the study.
- •Inability to independently understand the study procedures or provide responses (e.g., due to dementia or a language barrier).
研究组 & 干预措施
Standard of care - Text message
Participants will receive a standard, automated text message reminding them of their scheduled appointment. The message will be sent 1 day before the scheduled appointment. The content of the message will be limited to logistical information (date, time, and location) and instructions on how to reschedule or cancel the appointment.
Text message and standard phone call
Participants will receive a text message (similar to Arm 1) one day before the appointment and, additionally, a phone call from a trained staff member 1-5 days before the appointment. The conversation will follow a strictly standardized script limited solely to confirming the appointment date, without any motivational or therapeutic elements.
干预措施: Standard phone call (Behavioral)
Text message and phone call with MINDSPACE elements
Participants will receive a short text message (similar to Arm 1) and a phone call 1-5 days before their appointment. The conversation will follow a standardized script incorporating behavioral intervention (nudging) elements based on the MINDSPACE (Messenger, Incentives, Norms, Defaults, Salience, Priming, Affect, Commitments, Ego) framework. Key components of the script include:
- Messenger (Sender): Emphasizing that the information comes from the medical team.
- Norms (Social Norms): Referring to success statistics for regular visits.
- Commitment: Encouraging verbal confirmation of attendance.
- Affect (Emotions): Providing short messages reinforcing a sense of support.
干预措施: phone call with MINDSPACE elements (Behavioral)
结局指标
主要结局
Patient attendance at scheduled follow-up visit
时间窗: At the second scheduled visit at the Nicotine Cessation Clinic (2-8 weeks after baseline).
Primary Outcome: The primary outcome measure is a binary assessment of patient attendance (Present/Absent) at the scheduled second visit, which takes place 2-8 weeks after the initial visit, as determined by the physician's individual assessment. Attendance will be verified on the day of the scheduled visit based on objective data recorded in the "CliniNET" hospital system.
次要结局
- Impact of sociodemographic and clinical factors on patient attendance(at baseline and 2 to 8 weeks after enrollment)
研究者
Łukasz Balwicki
Habilitated Doctor, Associate Professor
Medical University of Gdansk