Precision Nudging Drives Wellness Visit Attendance at Scale

Health Behavior Clinical Trial

Official title:

Employing Machine Learning and Behavioral Science Solutions to Increase Women's Wellness Scheduling and Attendance: A Randomized Controlled Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05509049
• Other study ID #: LRRHWWRCT
• Secondary ID: IRB 2129
• Status: Completed
• Phase: N/A
• Start date: September 7, 2022
• Est. completion date: January 9, 2024

Study information

• Verified date: January 2024
• Source: Lirio
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of the present randomized controlled trial is to explore the effectiveness of a 12-month well woman digital health intervention leveraging Precision Nudging - the application of behavioral science and reinforcement learning to create individualized, tailored health messaging at scale that matches the right message to the right person at the right time - in promoting behavior change. Specifically, it is hypothesized that scaling behavioral science through reinforcement learning will be more effective at motivating participants to engage with well woman messages and to schedule and to attend a well woman visit compared to a standard of care message.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 30068
• Est. completion date: January 9, 2024
• Est. primary completion date: January 9, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Female
• Age group: 21 Years to 65 Years

Eligibility

Inclusion Criteria:

• Patient of health care system.
• Visit with OBGYN office in the last 36 months.
• OBGYN office provider is a Women's Wellness group approved provider.

Exclusion Criteria:

• Completed a women's wellness within the last 366 days.
• Upcoming women's wellness appointment.
• Had a childbirth episode (e.g., C-section vaginal delivery, or other event, including stillbirth) within the last 3 months or has a pregnancy due date in the future.
• Unsubscribed.

Related Conditions & MeSH terms

• Health Behavior
• Prevention
• Women's Health

Intervention

Other:
• Precision nudging
Precision nudging (i.e., the application of behavioral science and reinforcement learning to create individualized, tailored health messaging at scale that matches the right message to the right person at the right time)
• Standard of care
Standard of care communication (e.g., personalized letters and patient portal notices)

Locations

Country	Name	City	State
United States	Rochester Regional Health	New York	New York

Sponsors (2)

Lead Sponsor	Collaborator
Lirio	Rochester Regional Health

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Proportion of participants who attended a well woman visit		3 months
Primary	Proportion of participants who attended a well woman visit		6 months
Primary	Proportion of participants who attended a well woman visit		9 months
Primary	Proportion of participants who attended a well woman visit		12 months
Primary	Proportion of participants who scheduled a well woman visit		3 months
Primary	Proportion of participants who scheduled a well woman visit		6 months
Primary	Proportion of participants who scheduled a well woman visit		9 months
Primary	Proportion of participants who scheduled a well woman visit		12 months
Primary	Proportion of participants who scheduled a well woman visit and did not attend (and did not Cancel and/or Reschedule)		3 months
Primary	Proportion of participants who scheduled a well woman visit and did not attend (and did not Cancel and/or Reschedule)		6 months
Primary	Proportion of participants who scheduled a well woman visit and did not attend (and did not Cancel and/or Reschedule)		9 months
Primary	Proportion of participants who scheduled a well woman visit and did not attend (and did not Cancel and/or Reschedule)		12 months
Secondary	Proportion of participants who opened and/or clicked Call-to-Action, or otherwise engaged with the communication(s)		3 months
Secondary	Proportion of participants who opened and/or clicked Call-to-Action, or otherwise engaged with the communication(s)		6 months
Secondary	Proportion of participants who opened and/or clicked Call-to-Action, or otherwise engaged with the communication(s)		9 months
Secondary	Proportion of participants who opened and/or clicked Call-to-Action, or otherwise engaged with the communication(s)		12 months