Twilio Well-Child Visit Pilot Open Trial

NCT05189080 | Completed

• 1 other identifier: IRB00074978-OT
• Study Type: interventional
• Target: 500
• 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 no-showed for WCVs. The first phase of the study will be an open trial to assess feasibility and acceptability of three different reminder messages, analyze preliminary data, and collect feedback from participants using interviews to identify the top one or two performing messages. Each reminder message will at minimum direct parents/guardians to reschedule by phone or by the patient portal. These findings will be used to conduct the second phase of the study, a randomized controlled trial.

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 no-showed well child visit

• Number of completed (rescheduled) well child visits

  If parent/guardian completed (rescheduled) well child visit

  6 weeks after no-showed well child visit

Secondary Outcomes (2)

• Number of child patient emergency department visits

  6 weeks after no-showed well child visit

• Number of child patient hospitalizations

  6 weeks after no-showed well child visit

Study Arms (1)

Open Trial

EXPERIMENTAL

Patients within the Wake Forest Baptist Health system who no-showed for scheduled well child visits at Pediatrics-Downtown Health Plaza, Family Medicine-Piedmont Plaza, Pediatrics-Winston East, Family Medicine-Peace Haven, and Pediatrics-Clemmons.

Other: Text message reminders; Other: Interviews; Other: Survey

Interventions

Text message reminders OTHER

Text messages will be sent to parents/guardians of children ages 0 to 17 years who no-showed for their well child visits.

Open Trial

Interviews OTHER

Interviews will be conducted with a subset of participants to identify the top one or two performing text messages.

Open Trial

Survey OTHER

Alongside notification text messages regarding no-showed visits, participants will be invited to participate in a survey about their experience with the health system. This survey will assess reasons for missing the WCV and primary caregiver's perspective on the experience at the prior visit.

Open Trial

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

MeSH Terms

Interventions

Interviews as Topic; Surveys and Questionnaires

Intervention Hierarchy (Ancestors)

Data Collection; Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Katherine Poehling, MD

  Wake Forest University Health Sciences

  PRINCIPAL INVESTIGATOR

Study Design

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

Model Details: The first phase of the study will be an open trial to assess feasibility and acceptability of three different reminder messages, analyze preliminary data, and collect feedback from participants using interviews to identify the top one or two performing messages. Each reminder message will at minimum direct parents/guardians to reschedule by phone or by the patient portal.

Study Record Dates

• First Submitted: December 29, 2021
• First Posted: January 12, 2022
• Study Start: December 17, 2021
• Primary Completion: April 8, 2022
• Study Completion: April 8, 2022
• Last Updated: July 6, 2022

Record last verified: 2022-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)