Twilio Well-Child Visit Pilot Open Trial

Child Health Clinical Trial

Official title:

Text Message Follow-up for Patients Who Have Missed Well-Child Visits: Open Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05189080
• Other study ID #: IRB00074978-OT
• Status: Completed
• Phase: N/A
• 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
• 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

Related Conditions & MeSH terms

• Child Health
• Text Messaging

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