eHealth Partnered Evaluation Initiative - Evaluation of the Initial Deployment of VA's Annie Texting System

NCT03898349 | Completed Results

• 1 other identifier: PEX 19-001
• Study Type: interventional
• Target: 750
• Locations: 1 country
• Sites: 1

Brief Summary

Conduct a rigorous formative evaluation of the initial deployment of the Annie texting system across several pilot test sites and from these findings, develop and test an augmented implementation strategy to facilitate more rapid adoption of Annie across VA.

Conditions

Hepatitis C

Keywords

Automated Text Messaging System; Implementation science; Hepatitis C

Outcome Measures

Primary Outcomes (1)

• Perception of HCV Treatment Success

  The primary goal of the automated text messaging system is to improve patient self-management. As such, we measured illness perception and patient activation using a validated instrument adapted for HCV (Fisher L, Glasgow RE, Mullan JT, Skaff MM, Polonsky WH. Development of a brief diabetes distress screening instrument. Ann Fam Med 2008;6(3):246-252). The item "Feeling that I am failing with my HCV treatment" represents patient perceptions about their ability to take medications as prescribed and reflects concerns about failing HCV treatment.

  Post (after 12 weeks of Annie text messaging use)

Study Arms (2)

Non-Texters

NO INTERVENTION

Patients did not receive the automated text messaging system "Annie"

Texters

ACTIVE COMPARATOR

Patients received the Annie text messaging system for patient self-management of HCV treatment including medication, lab, and appointment reminders, and motivational messages.

Other: Annie text messaging system; Other: Annie text messaging system with Usual implementation; Other: Annie text messaging system with Augmented implementation

Interventions

Annie text messaging system OTHER

Annie text messaging system for patient self-management of HCV treatment including medication, lab, and appointment reminders, and motivational messages.

Texters

Annie text messaging system with Usual implementation OTHER

Three comparison sites received usual implementation of the automated text messaging system "Annie" only, which involves an orientation/training meeting and the option of attending twice-monthly Annie clinical adoption calls

Texters

Annie text messaging system with Augmented implementation OTHER

Four facilities received the automated text messaging system "Annie" and our augmented implementation strategy. These facilities had regular facilitation calls, a site visit to assist with implementation, and were given the toolkit, in addition to receiving usual implementation assistance

Texters

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Starting HCV treatment at a VA clinic
• Have access/ability to text messaging

You may not qualify if:

• Not being treating for HCV
• No access/ability to use a cell phone

Sponsors & Collaborators

• VA Office of Research and Development: lead
• VA Office of Connected Care: collaborator

Study Sites (1)

VA Bedford HealthCare System, Bedford, MA

Bedford, Massachusetts, 01730-1114, United States

Location

Related Publications (2)

• Yakovchenko V, McInnes DK, Petrakis BA, Gillespie C, Lipschitz JM, McCullough MB, Richardson L, Vetter B, Hogan TP. Implementing Automated Text Messaging for Patient Self-management in the Veterans Health Administration: Qualitative Study Applying the Nonadoption, Abandonment, Scale-up, Spread, and Sustainability Framework. JMIR Mhealth Uhealth. 2021 Nov 15;9(11):e31037. doi: 10.2196/31037.

  PMID: 34779779 DERIVED

• Yakovchenko V, Hogan TP, Houston TK, Richardson L, Lipschitz J, Petrakis BA, Gillespie C, McInnes DK. Automated Text Messaging With Patients in Department of Veterans Affairs Specialty Clinics: Cluster Randomized Trial. J Med Internet Res. 2019 Aug 4;21(8):e14750. doi: 10.2196/14750.

  PMID: 31444872 DERIVED

MeSH Terms

Conditions

Hepatitis C

Condition Hierarchy (Ancestors)

Blood-Borne Infections; Communicable Diseases; Infections; Hepatitis, Viral, Human; Virus Diseases; Flaviviridae Infections; RNA Virus Infections; Hepatitis; Liver Diseases; Digestive System Diseases

Results Point of Contact

• Title: Vera Yakovchenko
• Organization: VA

vera.yakovchenko@va.gov

7816873374

Study Officials

• Timothy Patrick Hogan, PhD MS BS

  VA Bedford HealthCare System, Bedford, MA

  PRINCIPAL INVESTIGATOR

• Christopher Gillespie, PhD MA BS

  VA Bedford HealthCare System, Bedford, MA

  PRINCIPAL INVESTIGATOR

• Donald K McInnes, ScD MS BA

  VA Bedford HealthCare System, Bedford, MA

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: Patients and providers did not know which facilitation group they were in
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: FED
• Responsible Party: SPONSOR

Model Details: Four facilities were randomized to serve as intervention sites and receive our augmented implementation strategy. These facilities had regular facilitation calls, a site visit to assist with implementation, and were given the toolkit, in addition to receiving usual implementation assistance. An additional three comparison sites received usual implementation of Annie only, which involves an orientation/training meeting and the option of attending twice-monthly Annie clinical adoption calls run by the Office of Connected Care. Two control sites did not receive Annie.

Study Record Dates

• First Submitted: March 20, 2019
• First Posted: April 2, 2019
• Study Start: October 1, 2015
• Primary Completion: September 30, 2017
• Study Completion: September 30, 2017
• Last Updated: July 27, 2023
• Results First Posted: December 13, 2019

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)