Clinical Trials Logo

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 missed Well Child Visits (WCVs). The first phase of this project was an open trial. This second phase of the study will be a randomized controlled trial (RCT) to randomly assign parents/guardians of children who missed a WCV to an intervention condition or no intervention, and assess reasons for missed visits and experiences at last visit. Parents/guardians will receive text messages notifying them of missed visits and prompting them to reschedule, as well as inviting them to complete an online survey. Each reminder message will at minimum direct parents/guardians to reschedule by phone or by the patient portal. Outcomes of the follow-up campaign will be evaluated, including rescheduled visits within 6 weeks of missed visit and attendance at rescheduled visit. This aim will incorporate patient Electronic Health Record (EHR) data into mixed effects logistic regressions for the primary study outcomes.


Clinical 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. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05086237
Study type Interventional
Source Wake Forest University Health Sciences
Contact
Status Completed
Phase N/A
Start date May 13, 2022
Completion date August 9, 2022

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
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
Completed NCT05189080 - Twilio Well-Child Visit Pilot Open Trial N/A
Recruiting NCT05288023 - Azithromycin for Child Survival in Niger: Programmatic Trial (AVENIR) Phase 4
Recruiting NCT05108831 - Dynamic CDSA to Manage Sick Children in Rwanda N/A