Use of Telehealth In-home Messaging to Improve GI (Gastrointestinal) Endoscopy Completion Rates
GIVER
Use of Telehealth In-Home Messaging to Improve GI Endoscopy Completion Rates
1 other identifier
interventional
3,610
1 country
1
Brief Summary
Low endoscopy completion rates are a major problem in the VA, causing delay or failure to receive essential care, increased clinic wait times, lost capacity, increased costs, thus limiting endoscopic screening for colorectal cancer. This study tests whether an Interactive Voice Response (IVR) messaging system is equally effective in promoting the completion of flexible sigmoidoscopy and colonoscopy as usual clinical care practices that include phone calls from nurses to patients prior to preparation and procedures. Previous studies have examined the role of scheduling facilitation or patient adherence on endoscopy completion and the use of IVR technology to enhance patient adherence in other medical contexts. This is the first study, however, to evaluate the use of IVR for endoscopy completion and the first to compare it to the effectiveness of phone calls from nurses prior to an endoscopy appointment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable colorectal-cancer
Started Jul 2007
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 30, 2006
CompletedFirst Posted
Study publicly available on registry
April 3, 2006
CompletedStudy Start
First participant enrolled
July 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2009
CompletedResults Posted
Study results publicly available
September 25, 2014
CompletedJune 30, 2020
June 1, 2020
1.5 years
March 30, 2006
September 16, 2014
June 15, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Appointment Nonadherence-colonoscopy
Nonattendance was defined as canceling the colonoscopy appointment or not attending the appointment
3 months
Secondary Outcomes (3)
Nonattendance-flexible Sigmoidoscopy
3 months
Preparation Nonadherence-colonoscopy
3 months
Preparation Non-adherence-flexible Sigmoidoscopy
3 months
Study Arms (3)
Usual Care with nurse phone call
EXPERIMENTALUsual Care--Nurses telephoned patients 7 days prior to appointment to remind patients about scheduled GI appointment and to answer any questions.
interactive voice response 3 days prior
EXPERIMENTALInteractive voice response system was used to remind patients 3 days before a scheduled appointment and to educate them about preparation procedures for the appointment (IVR3)
interactive voice response 7 days prior
EXPERIMENTALInteractive voice response system was used to remind patients 7 days before a scheduled appointment and to educate them about preparation procedures for the appointment (IVR7)
Interventions
Interactive voice response system (IVR) calls patients 7 or 3 days prior to their appointment. Information available in the IVR system is based on the same template nurses use in usual care and includes an appointment reminder, preparation instructions, basic information about the procedure, and answers to commonly asked questions.
Eligibility Criteria
You may qualify if:
- All patients with either flexible sigmoidoscopy or colonoscopy appointments scheduled greater than 7 days before their appointment in the GI endoscopy clinic from August 20, 2007 through October 31, 2008.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Minneapolis VA Health Care System, Minneapolis, MN
Minneapolis, Minnesota, 55417, United States
Related Publications (1)
Griffin JM, Hulbert EM, Vernon SW, Nelson D, Hagel EM, Nugent S, Baines Simon A, Bangerter A, van Ryn M. Improving endoscopy completion: effectiveness of an interactive voice response system. Am J Manag Care. 2011 Mar;17(3):199-208.
PMID: 21504256RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Results Point of Contact
- Title
- Dr. Joan Griffin
- Organization
- MInneapolis VA Health Care System
Study Officials
- PRINCIPAL INVESTIGATOR
Joan M. Griffin, PhD
Minneapolis VA Health Care System, Minneapolis, MN
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
March 30, 2006
First Posted
April 3, 2006
Study Start
July 1, 2007
Primary Completion
January 1, 2009
Study Completion
February 1, 2009
Last Updated
June 30, 2020
Results First Posted
September 25, 2014
Record last verified: 2020-06