Clinical Trials Logo

Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT05189080
Other study ID # IRB00074978-OT
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date December 17, 2021
Est. completion date April 8, 2022

Study information

Verified date May 2022
Source Wake Forest University Health Sciences
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This project will use Twilio as a platform for a text messaging campaign to implement timely follow up with parents/guardians of children ages 0 to 17 years who have no-showed for WCVs. The first phase of the study will be an open trial to assess feasibility and acceptability of three different reminder messages, analyze preliminary data, and collect feedback from participants using interviews to identify the top one or two performing messages. Each reminder message will at minimum direct parents/guardians to reschedule by phone or by the patient portal. These findings will be used to conduct the second phase of the study, a randomized controlled trial.


Description:

Well-Child visits (WCV) are an opportunity to maximize the health and future well-being and development of children. Missed visits, however, can result in negative outcomes for patients and families and for the healthcare system. For patients, missed primary care visits can result in greater Emergency Department (ED) visits and hospitalizations, and in delays in diagnosing a variety of medical conditions, including identification of child abuse and neglect. For healthcare systems, missed visits result in decreased efficiency, lower quality measures, decreased provider productivity, and loss in revenue. Although smart phones are nearly ubiquitous, even among more economically disadvantaged populations, literature to date has reported only on using text messages for pre-visit reminders. There is a tremendous opportunity to study use of text messaging to engage families in follow-up for missed WCV. Even more so, testing the use of text messages with different content is missing, as well as using text messages to invite patients to share reasons for missing the last WCV.


Recruitment information / eligibility

Status Completed
Enrollment 500
Est. completion date April 8, 2022
Est. primary completion date April 8, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: Patients included in text messaging campaign (caregivers receive text messages): - Are 0-17 years - No-showed for a well-child visit scheduled at one of five locations: Pediatrics-Downtown Health Plaza, Family Medicine-Piedmont Plaza, Pediatrics-Winston East, Family Medicine-Peace Haven, or Pediatrics-Clemmons - Have a phone number on record for a primary caregiver - With primary language for contact that is English or Spanish Caregivers must be 18 years or older Exclusion Criteria: Patients who: - Are 18+ years old - No-showed for a different type of visit, or no-showed for a WCV at a different practice location - Already rescheduled their appointment by the time the sample list was generated - Have primary language specified that is not English or Spanish. Caregivers who are under 18 years old

Study Design


Related Conditions & MeSH terms


Intervention

Other:
Text message reminders
Text messages will be sent to parents/guardians of children ages 0 to 17 years who no-showed for their well child visits.
Interviews
Interviews will be conducted with a subset of participants to identify the top one or two performing text messages.
Survey
Alongside notification text messages regarding no-showed visits, participants will be invited to participate in a survey about their experience with the health system. This survey will assess reasons for missing the WCV and primary caregiver's perspective on the experience at the prior visit.

Locations

Country Name City State
United States Wake Forest University Health Sciences Winston-Salem North Carolina

Sponsors (1)

Lead Sponsor Collaborator
Wake Forest University Health Sciences

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of rescheduled well child visits If parent/guardian rescheduled well child visit 6 weeks after no-showed well child visit
Primary Number of completed (rescheduled) well child visits If parent/guardian completed (rescheduled) well child visit 6 weeks after no-showed well child visit
Secondary Number of child patient emergency department visits If child patient had an emergency department visit 6 weeks after no-showed well child visit
Secondary Number of child patient hospitalizations If child patient required hospitalization 6 weeks after no-showed well child visit
See also
  Status Clinical Trial Phase
Recruiting NCT06185413 - Children's Cooperation Denmark: a 3-year System Dynamics Trial N/A
Completed NCT04082247 - Healthy Children 2021 Study in Childcare Centers N/A
Recruiting NCT05394363 - Generation Victoria Cohort 2020s: A Statewide Longitudinal Cohort Study of Victorian Children and Their Parents
Recruiting NCT03228875 - Boston Birth Cohort Study
Recruiting NCT05570396 - Long-term Follow-up on Childhood Adiposity - The FitKids Study
Completed NCT05618665 - The Effect of Asthma Education Given by Taking Health Literacy Into Account N/A
Recruiting NCT06077578 - Understanding the Perceptions, Behavior, and Attitudes Towards Hospital Play Services
Completed NCT05239104 - Laos Out-Of-Pocket Costs: an Observational Study on the Impact of Severe Childhood Illness on the Health, Wealth and Wellbeing of Household Members in Laos
Completed NCT05086237 - Well-Child Visit Trial N/A
Recruiting NCT05667675 - Targeting Child Mental Health and Household Poverty N/A
Recruiting NCT04774991 - Azithromycin for Child Survival in Niger: Delivery Trial Phase 4
Completed NCT04910750 - Tools for the Integrated Management of Childhood Illness (TIMCI): Evaluation of Pulse Oximetry & Clinical Decision Support Algorithms in Primary Care N/A
Completed NCT04074083 - An Evaluation of the Effectiveness of e-IMCI Implementation in Primary Health Care Clinics in South Africa. N/A
Active, not recruiting NCT06290804 - Assessing Sustainable Behaviors and Health Impacts of Climate Change N/A
Completed NCT04455373 - Long-term Outcome in Pediatric Surgical Bypass Grafting After Traumatic Injury and Tumor Resection
Recruiting NCT05435937 - Partnering for Change in Sweden - Intervention to Increase Pupils' Engagement and Participation N/A
Recruiting NCT04192799 - Comparative Effectiveness of Direct Admission & Admission Through Emergency Departments for Children N/A
Completed NCT03297970 - Bogota School Children Cohort N/A
Recruiting NCT05288023 - Azithromycin for Child Survival in Niger: Programmatic Trial (AVENIR) Phase 4
Recruiting NCT05144763 - Dynamic CDSA to Manage Sick Children in Tanzania N/A