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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05000619
Other study ID # 2021-0442
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date July 12, 2021
Est. completion date August 26, 2022

Study information

Verified date November 2022
Source Geisinger Clinic
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this study is to determine the most effective messages for encouraging patients with chronic conditions, who have not seen their doctor in at least one year, to return to the clinic. Study participants will receive postcards or letters encouraging them to make an appointment. Researchers will assess whether messages increase appointment scheduling (and attendance).


Description:

About 18,500 Geisinger patients, Geisinger Health Plan members, and Medicaid patients with chronic illness have not been seen in a clinic for at least one year, which is concerning because regular appointments are necessary for chronic disease management. Geisinger is therefore working to encourage those with chronic illness and overdue appointments to return to the clinic. In the present study, patients will either receive a mailer (with a message encouraging them to schedule an appointment with their physician), or no mailer. The purpose of the study is to compare three different mailers to assess which is most effective at encouraging patients to schedule and attend an appointment. The three mailers include (1) a standard outreach postcard (emphasizing that we are "checking in" with the patient), and, informed by behavioral science research, (2) a postcard with a cartoon and humorous messages and (3) a letter signed by a physician. The study will compare the effectiveness of the three experimental mailer arms to each other and to a no-contact control arm.


Recruitment information / eligibility

Status Completed
Enrollment 21562
Est. completion date August 26, 2022
Est. primary completion date August 26, 2021
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: - Geisinger patient, Geisinger Health Plan member or Medicaid patient - Chronic illness - No appointment for > 1 year

Study Design


Intervention

Behavioral:
Outreach mailer
Postcard or letter
Humor/Salience
Funny cartoon
Doctor's authority
Letter from a doctor
Information
Information about benefits of the appointment

Locations

Country Name City State
United States Geisinger Danville Pennsylvania

Sponsors (1)

Lead Sponsor Collaborator
Geisinger Clinic

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Other Patients - Appointment scheduling - Comparing mailers Proportion of Geisinger patients who schedule an appointment, comparing relative efficacy of the interventions. Note: this analysis will inform internal operations but will not be reported in publication. 14 days
Other Patients - Calls to scheduling line Proportion of Geisinger patients who call the appointment scheduling line. 30 days
Primary Patients - Appointment scheduling Proportion of Geisinger patients who schedule an appointment 30 days
Secondary Patients - Appointment scheduling - Comparing mailers Proportion of Geisinger patients who schedule an appointment, comparing relative efficacy of the mailers 30 days
Secondary Patients - Attendance at scheduled appointments within 180 days of mailer Proportion of appointments (from the primary outcome) that were attended. This outcome focuses on attendance at appointments that were scheduled within 30 days of the mailer drop date.
It is possible to schedule an appointment months in advance, so the Time Frame needs to be long to capture attendance at any appointment scheduled within 30 days of the mailer. 180 days should be sufficient to capture all scheduled appointments.
180 days
Secondary Patients, Members & Medicaid - Attendance at any appointment Attendance at any appointment within 30 days of drop date 30 days
Secondary Patients, Members & Medicaid - Attendance at any appointment Attendance at any appointment within 90 days of drop date 90 days
Secondary Patients, Members & Medicaid - Attendance at any appointment Attendance at any appointment within 180 days of drop date 180 days
Secondary Patients, Members & Medicaid - Timing of appointment Number of days between the drop date and any appointment captured in Secondary Outcome 3 30 days
Secondary Patients, Members & Medicaid - Timing of appointment Number of days between the drop date and any appointment captured in Secondary Outcome 4 90 days
Secondary Patients, Members & Medicaid - Timing of appointment Number of days between the drop date and any appointment captured in Secondary Outcome 5 180 days
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