Text Message Reminders for Hearing Healthcare

NCT05438225 | Completed

• 1 other identifier: IRB-66347
• Study Type: interventional
• Target: 41
• Locations: 1 country
• Sites: 1

Brief Summary

Many individuals with hearing loss do not receive adequate hearing healthcare. Given their close and long-term relationships with patients, primary care providers (PCPs) could play a vital role in improving access to hearing healthcare. Unfortunately, hearing loss is often underdiagnosed in primary care settings, because hearing screening is not a routine part of primary care visits, and the responsibility often falls on the patient or family to recognize and address the issue. The investigators propose to pilot test the use of text message reminders to encourage elderly patients to discuss hearing assessment with there PCPs. The study objectives are to: 1) design an automated text-messaging reminder system; 2) assess the feasibility of deploying the intervention in a clinical trial setting; and 3) evaluate whether the intervention increases willingness to seek hearing healthcare.

Conditions

Hearing Loss

Keywords

hearing loss; elderly; primary care; text message

Outcome Measures

Primary Outcomes (1)

• Likelihood of patient-physician discussion of hearing loss or hearing assessment

  Participant-reported rating of the likelihood of discussing hearing assessment with their PCP in the next 6 months. Likelihood will be assessed on an 11-point visual analogue scale (VAS). Score range: 0 to 10 (0 = not likely, 10 = very likely). Participants who have already discussed hearing assessment with their PCP will be assigned a score of 10.

  3 months after enrollment

Secondary Outcomes (2)

• Likelihood of obtaining audiogram

  3 months after enrollment

• Likelihood of obtaining hearing aids

  3 months after enrollment

Study Arms (2)

Automated Text Message Reminder

EXPERIMENTAL

Participants will receive automated reminder text instructing them to discuss hearing issues with their PCPs, and to request a referral to audiology or otolaryngology if they have hearing loss.

Behavioral: Automated text message reminder

Control Group

NO INTERVENTION

Interventions

Automated text message reminder BEHAVIORAL

Participants in the intervention group will receive monthly automated reminder text instructing them to discuss hearing issues with their PCPs, and to request a referral to audiology or otolaryngology if they have hearing loss.

Automated Text Message Reminder

Eligibility Criteria

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

You may qualify if:

• English-speaking adult patients aged 65 and older
• Have not audiometric testing within the past 5 years
• Has had at least one prior visit encounter with a Stanford primary care provider the past 1 year
• Has a cell phone with a valid phone number

You may not qualify if:

• History of childhood hearing loss
• Hearing aid users
• Limited English proficiency

Sponsors & Collaborators

• Stanford University: lead

Study Sites (1)

Stanford University

Stanford, California, 94305, United States

Location

MeSH Terms

Conditions

Hearing Loss

Condition Hierarchy (Ancestors)

Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor of Otolaryngology - Head & Neck Surgery

Study Record Dates

• First Submitted: June 24, 2022
• First Posted: June 29, 2022
• Study Start: October 17, 2022
• Primary Completion: October 25, 2023
• Study Completion: October 25, 2023
• Last Updated: October 27, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)