Randomized Controlled Trial of a Nudge Intervention for Common Musculoskeletal Conditions
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 144
- 试验地点
- 1
- 主要终点
- Pre-visit enthusiasm for additional care
研究概览
简要总结
The goal of this clinical trial is to learn if a brief, reassuring pre-visit message affects patients' expectations and planned follow-up care in adults with common musculoskeletal conditions. The main questions it aims to answer are:
- Does reading a brief reassurance message before a clinic visit change how interested patients are in additional care, such as follow-up visits, tests, injections, or surgery?
- Does the message affect whether patients actually schedule follow-up care after the visit?
Researchers will compare participants who receive the pre-visit reassurance message to those who receive usual care to see if the message changes patients' enthusiasm for care or their follow-up decisions.
Participants will:
- Read a short, easy-to-understand message about musculoskeletal symptoms and options for care (for those in the intervention group)
- Complete a brief questionnaire rating their interest in follow-up visits, tests, injections, or surgery
- Have their scheduled follow-up care recorded after the clinic visit
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 (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
- •Adult (18+ years)
- •English or Spanish language literacy
- •Seeking musculoskeletal specialty care
- •Diagnosed with any non-traumatic musculoskeletal condition
- •New or return patient to clinic
排除标准
- •Cognitive or other impairment precluding completion of a survey on a tablet
- •Acute traumatic pathophysiology (fracture, dislocation, sprain/strain)
研究组 & 干预措施
Intervention Arm (Nudge / Reassurance Message)
Participants randomized to the intervention group will read a brief, easy-to-understand message (generated by a Large Language Model) before their musculoskeletal clinic visit. The message explains that many musculoskeletal symptoms are common, often related to normal body changes, and can improve with simple self-care. It emphasizes that visits, tests, injections, and treatments are often optional, and patients can decide how much care they wish to pursue. After reading the message, participants will complete a short questionnaire rating their interest in follow-up visits, tests, injections, and surgery. Clinicians providing care will be blinded to participants' group assignment.
干预措施: Nudge intervention (Behavioral)
Control arm (Usual Care)
Participants randomized to the control group will receive usual care prior to their musculoskeletal clinic visit, without any pre-visit reassurance message. They will complete the same questionnaire rating their interest in follow-up visits, tests, injections, and surgery. Clinicians providing care will be blinded to participants' group assignment.
结局指标
主要结局
Pre-visit enthusiasm for additional care
时间窗: Immediately after intervention
The primary outcome is pre-visit enthusiasm for additional care, measured as participants' self-reported interest in pursuing a return visit, diagnostic tests, physical therapy, injections, or surgery. Participants rate each item on a 0-10 scale, where 0 indicates "not at all interested" and 10 indicates "definitely want it." This outcome is assessed immediately after the intervention (or usual care) and before the clinic visit.
次要结局
- Actual scheduled follow-up care(Immediately following clinic visit)
研究者
David Ring
Associate Dean for Comprehensive Care; Professor and Associate Chair for Faculty Academic Affairs, Department of Surgery and Perioperative Care; Courtesy Professor of Psychiatry and Behavioral Sciences
University of Texas at Austin