Clinical Trial Details
— Status: Recruiting
Administrative data
NCT number |
NCT04441567 |
Other study ID # |
H-38859 |
Secondary ID |
|
Status |
Recruiting |
Phase |
N/A
|
First received |
|
Last updated |
|
Start date |
May 10, 2021 |
Est. completion date |
June 2025 |
Study information
Verified date |
May 2024 |
Source |
Boston Medical Center |
Contact |
Paul Tornetta III, MD |
Phone |
617 414 5757 |
Email |
Paul.Tornetta[@]bmc.org |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Developing novel methods of patient communication is crucial in providing value-based care to
orthopedic patients. Healthcare technology platforms have been developed to improve patient
communication methods particularly for the administration of patient-reported outcome
measures (PROMs). However, the majority of these interventions rely on web-based platforms
that require patients to have computer access. Among American households earning less than
$30,000 per year, only 59% have access to a desktop or laptop and just 47% have broadband
internet at home compared to mobile phone penetration which is estimated at 95% of which 93%
regularly use text messages. The use of phone messaging may be the most effective means to
have patients complete PROMs.
The Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH-funded,
clinically validated method of tracking patient-reported outcomes to efficiently assess
patient health status. PROMIS utilizes Item Response Theory (IRT) and computerized adaptive
testing (CAT) to improve measurement precision and decrease survey time as compared to
traditional PROMs.
The purpose of this two-phase study is to utilize Memora Health's text-messaging platform to
collect web-based PROMIS CAT surveys from patients (Phase 1) and use this information to
right-size clinic visits (Phase 2).
Description:
Phase 1 will be a prospective evaluation of patients with the conditions listed. After
consent, participants will complete PROMIS CAT questionnaires on their mobile phones to
assess health status. During enrollment, participants will choose a method of completing the
surveys throughout the duration of the study. The participants will either 1) receive a short
message service(SMS) with a secure weblink to complete these PROMIS CAT questionnaires on a
secure website, or 2) engage in two-way SMS communication by answering the survey questions
individually by texting back their answers. The investigators will explain that the desired
method of participation is by weblink due to privacy issues associated with two-way texting.
The frequency at which the questionnaires will be sent is condition-specific. All patients
will be seen in clinic at standard follow up time-points and will be asked to complete PROMIS
questionnaires during each clinic visit, identical to the delivery of surveys while at home.
The PROMIS measures collected over a 1-year period will be used to develop patient-based
recovery curves.
Phase 2 will begin at the end of Phase 1 and compare each participant's recovery (based on
the PROMs) against the established recovery curve that was generated in Phase 1 for their
orthopedic condition. The investigators will right-size in-person clinic visits based on
individual recovery as compared with expected recovery. Earlier clinic appointments will be
given to participants at risk for a poor outcome (defined as any PROMIS score ≥1 standard
deviation below the mean). All other participants will receive a phone call to make sure that
participants feel they are doing well and to have any issues addressed. If it is felt that a
visit is warranted, it will be recommended, and if a subject wishes to have a visit it will
be scheduled. If the subject is happy with their progress, then that in-person clinic visit
will be deferred until the next standard follow-up visit and the same process will occur.
Some in-person visits will be mandatory when a physical exam or x-ray is required for optimal
care. These are condition specific. For all participants, a final in-person follow-up visit
will occur unless the subject is happy and does not want to be seen in person.