NCT04332614

Brief Summary

The purpose of the current study is to test different email messages to determine the most effect way of promoting enrollment in Geisinger's patient portal, called myGeisinger.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
14,099

participants targeted

Target at P75+ for all trials

Timeline
Completed

Started Apr 2020

Shorter than P25 for all trials

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 31, 2020

Completed
2 days until next milestone

First Posted

Study publicly available on registry

April 2, 2020

Completed
4 days until next milestone

Study Start

First participant enrolled

April 6, 2020

Completed
7 days until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 13, 2020

Completed
25 days until next milestone

Study Completion

Last participant's last visit for all outcomes

May 8, 2020

Completed
12 months until next milestone

Results Posted

Study results publicly available

May 3, 2021

Completed
Last Updated

May 3, 2021

Status Verified

April 1, 2021

Enrollment Period

7 days

First QC Date

March 31, 2020

Results QC Date

April 6, 2021

Last Update Submit

April 30, 2021

Conditions

Keywords

Behavioral EconomicsPatient PortalSocial ProofEndowment EffectLess-is-better

Outcome Measures

Primary Outcomes (3)

  • Email Opened: Control vs. Less-is-better vs. Social Proof vs. Endowment

    Whether email was opened (yes / no)

    8-10 days post-intervention

  • Link Clicked: Control vs. Less-is-better vs. Social Proof vs. Endowment

    Whether the link / button to start the activation process was clicked (yes / no)

    8-10 days post-intervention

  • Enrollment: Control vs. Less-is-better vs. Social Proof vs. Endowment

    Whether the patient enrolled in myGeisinger (yes / no)

    8-10 days post-intervention

Secondary Outcomes (9)

  • Email Opened: Control vs. Less-is-better vs. Social Proof vs. Endowment

    32-35 days post-intervention

  • Link Clicked: Control vs. Less-is-better vs. Social Proof vs. Endowment

    32-35 days post-intervention

  • Enrollment: Control vs. Less-is-better vs. Social Proof vs. Endowment

    32-35 days post-intervention

  • Email Opened: Within Less-is-better (Provider Communication vs. Managing Appointments vs. Medical Information Access)

    8-10 days post-intervention

  • Link Clicked: Within Less-is-better (Provider Communication vs. Managing Appointments vs. Medical Information Access)

    8-10 days post-intervention

  • +4 more secondary outcomes

Study Arms (6)

Control

A standard marketing message encouraging activation and describing the benefits of myGeisinger

Behavioral: Standard email

Focused on provider communication

A simple message focused on one benefit of myGeisinger: communicating easily with providers

Behavioral: Less-is-better

Focused on scheduling

A simple message focused on one benefit of myGeisinger: scheduling and managing appointments online

Behavioral: Less-is-better

Focused on medical information access

A simple message focused on one benefit of myGeisinger: accessing medical information, like test results

Behavioral: Less-is-better

Social proof

A message similar to control, but including information about how many other patients are using myGeisinger

Behavioral: Social proof

Endowment / decision staging

A message similar to control, but framing myGeisinger as something that patients already have, and just need to take one more step to activate. Endowment: Give patients the impression they already have the account, so they value it more. Decision staging: Break down the process into multiple stages - "having" an account and "activating" that account- and giving the impression that they are almost there because the first stage is complete

Behavioral: Endowment / decision staging

Interventions

Less-is-betterBEHAVIORAL

Email

Focused on medical information accessFocused on provider communicationFocused on scheduling
Social proofBEHAVIORAL

Email

Social proof

Email

Endowment / decision staging
Standard emailBEHAVIORAL

Email

Control

Eligibility Criteria

Age18 Years - 88 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)
Sampling MethodProbability Sample
Study Population

The population consists of Geisinger patients whose myGeisinger status is "Pending" and who have an email address on file.

You may qualify if:

  • Geisinger patients whose myGeisinger status is "Pending", meaning an activation code has been generated for them, but they have not completed activation

You may not qualify if:

  • Patients without email addresses on file
  • Patients who received emails from this monthly myGeisinger marketing campaign within the last 2 months

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Geisinger

Danville, Pennsylvania, 17822, United States

Location

MeSH Terms

Conditions

Health Behavior

Interventions

Financial Management

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

EconomicsHealth Care Economics and Organizations

Limitations and Caveats

For this study, we only received data about engagement with the email and enrollment in the patient portal. Demographic information such as age, sex, or gender were not collected. Note that for some patients, enrollment data could not be extracted from Geisinger's electronic health records; these patients were excluded from analyses. Also note that "1 week" and "1 month" outcome data were extracted within a time range that was a few days longer than 7 and 30 days post-intervention, respectively.

Results Point of Contact

Title
Amir Goren, PhD
Organization
Geisinger Clinic

Study Officials

  • Amir Goren, PhD

    Geisinger Clinic

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
Yes

Study Design

Study Type
observational
Observational Model
CASE CONTROL
Time Perspective
PROSPECTIVE
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Program Director, Behavioral Insights Team

Study Record Dates

First Submitted

March 31, 2020

First Posted

April 2, 2020

Study Start

April 6, 2020

Primary Completion

April 13, 2020

Study Completion

May 8, 2020

Last Updated

May 3, 2021

Results First Posted

May 3, 2021

Record last verified: 2021-04

Data Sharing

IPD Sharing
Will share

Data with no personally identifiable information will be made available to other researchers on the Open Science Framework for transparency. This will include the essential data and code needed to replicate the analysis that yielded reported findings.

Shared Documents
ANALYTIC CODE
Time Frame
The data will become available after publication of study results in a scientific journal and will be available as long as the Open Science Framework hosts the data.
Access Criteria
The data on the Open Science Framework will be open to anyone requesting that information.
More information

Locations