Идёт набор NCT06539988

Advancing Decisions About Virtual Service Encounters

Без фазы С лечением Health Care Costs Delivery of Health Care

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают: В протоколе указаны: Clinician Coaching Sessions, Personalized text messages to patients.
Кому может быть актуально: Состояния в реестре: Health Care Costs, Delivery of Health Care. Базовые параметры: от 18 лет · Все.
Что важно проверить: Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится: США
Следующий шаг: Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →

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Официальное название

Advancing Decisions About Virtual Service Encounters (ADViSE)

Обзор

Expanded availability of virtual care encounters in Primary Care provides new opportunities to improve Veterans' outcomes by aligning encounter modalities with their needs and preferences. Yet, Veterans and their Primary Care physicians (PCPs) lack personalized information about the benefits and costs of different Primary Care modalities that is needed to maximize the value of Primary Care encounters. To address this problem, in this study the investigators will use surveys and interviews to identify what Veterans and PCPs perceive to be the benefits and optimal uses of different Primary Care encounter modalities. They will then supplement their existing system for communicating encounter costs to Veterans and PCPs with new interactive messaging about benefits and optimal uses of different encounter modalities. Finally, this novel Advancing Decisions about Virtual Service Encounters (ADViSE) intervention will be optimized through user-centered refinement before evaluating its effects on Veteran-centered outcomes, use of virtual care, and intermediate health outcomes in a randomized controlled trial (RCT).

Подробное описание

The investigators will evaluate, in a stepped wedge cluster RCT, the effectiveness of the optimized ADViSE intervention, which will use interactive text messages for Veterans and point-of-care (POC) information and brief coaching for PCPs to help Veterans and their clinicians make well-informed decisions about available encounter types to meet each Veteran's needs and optimize the perceived value of their healthcare. A mixed methods stepped wedge cluster RCT will be conducted in which the optimized ADViSE intervention will be rolled out to PCPs and Veterans in each of 6 VA Ann Arbor Healthcare System (VAAAHS) Patient Aligned Care Teams (PACTs) in a randomly assigned order. For each Veteran participant, pre-post differences in outcomes during the 6-month intervention period will be compared to a 6-month pre-intervention control period.

Вмешательства

Поведенческое Clinician Coaching Sessions
PCPs will receive interactive coaching sessions from a Clinician Coach 2 months into the intervention period and again at 4 months into the intervention period.
Другое Personalized text messages to patients
Drawing upon a library of messages that have previously been developed and refined, Veterans will receive 6 months of optimized text messages. The frequency of text messages will be determined based on feedback from Veterans in earlier phases of the research.

Первичные конечные точки

Veterans' perceptions of the value of their healthcare [Срок оценки: 6 months prior to intervention and 6-months post intervention]

Вторичные конечные точки (12)

VA Video Connect (VVC) encounters with assigned Patient Aligned Care Team (PACT) [Срок оценки: 6 months prior to intervention and 6-months post intervention]
Face-to-Face (F2F) encounters with assigned Patient Aligned Care Team (PACT) [Срок оценки: 6 months prior to intervention and 6-months post intervention]
Telephone encounters with assigned Patient Aligned Care Team (PACT) [Срок оценки: 6 months prior to intervention and 6-months post intervention]
Veterans' satisfaction with healthcare [Срок оценки: 6 months prior to intervention and 6-months post intervention]
Veterans' preferences for virtual care [Срок оценки: 6 months prior to intervention and 6-months post intervention]
Total healthcare-associated costs for Veterans [Срок оценки: 6 months prior to intervention and 6 months post intervention]
Hemoglobin A1c level <8% among Veterans with diabetes [Срок оценки: 6 months prior to intervention and 6 months post intervention]
Blood pressure (BP) < 140/90 among Veterans with diabetes [Срок оценки: 6 months prior to intervention and 6 months post intervention]
Statin use among Veterans with diabetes [Срок оценки: 6 months prior to intervention and 6 months post intervention]
Statin use among Veterans with ischemic heart disease [Срок оценки: 6 months prior to intervention and 6 months post intervention]
Breast cancer screening among female Veterans [Срок оценки: 6 months prior to intervention and 6 months post intervention]
Cervical cancer screening among female Veterans [Срок оценки: 6 months prior to intervention and 6 months post intervention]

Критерии участия

Критерии включения

Veteran inclusion criteria are having an upcoming face-to-face (F2F), telephone, or VA Video Connect (VVC) appointment in the next 8 to 12 weeks
Having at least 3 Primary Care F2F, telephone, or VVC encounters in the previous 12 months
Able to provide informed consent
Willing and able to receive text messages from the VA Patient Engagement, Tracking, and Long-term Support (PETALS) platform