Well-Child Visit Trial

NCT05086237 | Completed

• 1 other identifier: IRB00074978-RCT
• Study Type: interventional
• Target: 739
• Locations: 1 country
• Sites: 1

Brief Summary

This project will use Twilio as a platform for a text messaging campaign to implement timely follow up with parents/guardians of children ages 0 to 17 years who have missed Well Child Visits (WCVs). The first phase of this project was an open trial. This second phase of the study will be a randomized controlled trial (RCT) to randomly assign parents/guardians of children who missed a WCV to an intervention condition or no intervention, and assess reasons for missed visits and experiences at last visit. Parents/guardians will receive text messages notifying them of missed visits and prompting them to reschedule, as well as inviting them to complete an online survey. Each reminder message will at minimum direct parents/guardians to reschedule by phone or by the patient portal. Outcomes of the follow-up campaign will be evaluated, including rescheduled visits within 6 weeks of missed visit and attendance at rescheduled visit. This aim will incorporate patient Electronic Health Record (EHR) data into mixed effects logistic regressions for the primary study outcomes.

Conditions

Child Health; Text Messaging

Keywords

child health; well child visits; text messaging

Outcome Measures

Primary Outcomes (2)

• Number of rescheduled well child visits

  If parent/guardian rescheduled well child visit

  6 weeks after missed well child visit

• Number of completed (rescheduled) well child visits

  If parent/guardian completed (rescheduled) well child visit

  6 weeks after missed well child visit

Secondary Outcomes (2)

• Number of child patient emergency department visits

  6 weeks after missed well child visit

• Number of child patient hospitalizations

  6 weeks after missed well child visit

Study Arms (2)

Reminder

EXPERIMENTAL

Participants will be sent a text message reminder of their missed well-child visit.

Other: Text message reminders

Treatment as usual

NO INTERVENTION

This group will receive treatment as usual, which involves no text messaging follow-up.

Interventions

Text message reminders OTHER

Text messages will be sent to parents/guardians of children ages 0 to 17 years who missed their well child visits.

Reminder

Eligibility Criteria

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

You may qualify if:

• Patients included in text messaging campaign (caregivers receive text messages):
• Are 0-17 years
• No-showed for a well-child visit scheduled at one of five locations: Pediatrics-Downtown Health Plaza, Family Medicine-Piedmont Plaza, Pediatrics-Winston East, Family Medicine-Peace Haven, or Pediatrics-Clemmons
• Have a phone number on record for a primary caregiver
• With primary language for contact that is English or Spanish
• Caregivers must be 18 years or older

You may not qualify if:

• Patients who:
• Are 18+ years old
• No-showed for a different type of visit, or no-showed for a WCV at a different practice location
• Already rescheduled their appointment by the time the sample list was generated
• Have primary language specified that is not English or Spanish.
• Caregivers who are under 18 years old

Sponsors & Collaborators

• Wake Forest University Health Sciences: lead

Study Sites (1)

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

Related Publications (1)

• Debinski B, Daniel SS, Rigdon J, Mayfield A, Tzintzun T, Poehling KA. A Pilot Randomized Controlled Trial of Text Messages to Improve Well-Child Visit Attendance After No-Show. Acad Pediatr. 2024 Nov-Dec;24(8):1210-1219. doi: 10.1016/j.acap.2024.06.003. Epub 2024 Jun 7.

  PMID: 38852906 DERIVED

Study Officials

• Katherine Poehling, MD

  Wake Forest University Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: The second phase of the study will be an randomized controlled trial to randomly assign parents/guardians of children who missed a WCV to an intervention condition or no intervention, and assess reasons for missed visits and experiences at last visit. Each reminder message will at minimum direct parents/guardians to reschedule by phone or by the patient portal.

Study Record Dates

• First Submitted: September 15, 2021
• First Posted: October 20, 2021
• Study Start: May 13, 2022
• Primary Completion: August 9, 2022
• Study Completion: August 9, 2022
• Last Updated: September 30, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)