Encouraging Annual Wellness Visits Among ACO Beneficiaries

NCT04526873 | Completed

• 1 other identifier: 2020-0577
• Study Type: interventional
• Target: 41,472
• Locations: 1 country
• Sites: 1

Brief Summary

Annual Wellness Visits (AWVs) are a type of detailed healthcare checkup to which Medicare beneficiaries are entitled, free of charge, once per year. The purpose of the current study is to assess what content and communication modality results in the most effective messaging campaign to encourage Medicare beneficiaries to schedule their AWVs.

Conditions

Health Promotion; Prevention; Risk Reduction Behavior; Telehealth

Keywords

Behavioral Economics; Humor; Salience; Present Bias

Outcome Measures

Primary Outcomes (2)

• Proportion of patients who scheduled an AWV appointment

  Patient scheduled an AWV appointment

  1 month after start of intervention

• Proportion of patients who completed an AWV visit

  Patient completed an AWV

  3 months after start of intervention

Secondary Outcomes (3)

• Proportion of patients who scheduled an AWV appointment

  3 months after start of intervention

• Proportion of patients who initiated contact

  3 months after start of intervention

• Proportion of visits that were in-person vs. tele-visit

  3 months after start of intervention

Other Outcomes (1)

• Per patient campaign cost

  3 months after start of intervention

Study Arms (6)

Control

NO INTERVENTION

No intervention control group

Postcard: non-telehealth, photo

EXPERIMENTAL

This group receives a postcard that does not include telehealth information and features a stock photo

Behavioral: Postcard

Postcard: non-telehealth, salience/humorous cartoon

EXPERIMENTAL

This group receives a postcard that does not include telehealth information and features a humorous cartoon as well as examples of serious health risks that the visit could help prevent (stroke and heart attack)

Behavioral: Postcard; Behavioral: Humor/Salience

Postcard: telehealth, photo

EXPERIMENTAL

This group receives a postcard that does includes telehealth information and features a stock photo

Behavioral: Postcard; Behavioral: Telehealth

Postcard: telehealth, salience/humorous cartoon

EXPERIMENTAL

This group receives a postcard that includes telehealth information and features a humorous cartoon as well as examples of serious health risks that the visit could help prevent (stroke and heart attack)

Behavioral: Postcard; Behavioral: Humor/Salience; Behavioral: Telehealth

Phone call

EXPERIMENTAL

This group receives a phone call

Behavioral: Phone call

Interventions

Postcard BEHAVIORAL

Mailed

Postcard: non-telehealth, photo; Postcard: non-telehealth, salience/humorous cartoon; Postcard: telehealth, photo; Postcard: telehealth, salience/humorous cartoon

Phone call BEHAVIORAL

May be automated or by human

Phone call

Humor/Salience BEHAVIORAL

Funny cartoon + health risk examples

Postcard: non-telehealth, salience/humorous cartoon; Postcard: telehealth, salience/humorous cartoon

Telehealth BEHAVIORAL

Information about video visit

Postcard: telehealth, photo; Postcard: telehealth, salience/humorous cartoon

Eligibility Criteria

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

You may qualify if:

• KACO Medicare beneficiary
• Haven't had an AWV or due for their next one
• For phone call condition only: patients of Evangelical Community Hospital, Wayne Memorial Hospital, and the Wright Center

You may not qualify if:

• Patient has already been called about AWV or had a visit scheduled
• For "patient initiated contact" outcome only: patients of Wayne Memorial Hospital or who have not been assigned to a partner site. This is because postcards received by these patients will not include a specific phone number to call.
• For telehealth conditions only: patients of Wayne Memorial Hospital

Sponsors & Collaborators

• Geisinger Clinic: lead

Study Sites (1)

Geisinger

Danville, Pennsylvania, 17822, United States

Location

MeSH Terms

Conditions

Risk Reduction Behavior

Interventions

Telemedicine

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Delivery of Health Care; Patient Care Management; Health Services Administration

Study Officials

• Amir Goren, PhD

  Geisinger Clinic

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: Participants (i.e., patients) will not be informed specifically of their assignment to different arms throughout the study. Providers who conduct AWVs will not be randomized to study arms or informed of patient assignment.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Program Director, Behavioral Insights Team

Model Details: Postcard content will follow a factorial design (crossing telehealth vs. non-telehealth with cartoon/salience vs. stock photo). In addition, there will be a no-contact control group and a phone call group.

Study Record Dates

• First Submitted: August 14, 2020
• First Posted: August 26, 2020
• Study Start: September 11, 2020
• Primary Completion: December 18, 2020
• Study Completion: December 18, 2020
• Last Updated: January 28, 2021

Record last verified: 2021-01

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)