NCT05791942

Brief Summary

This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text message reminders impact patient engagement with primary care. This prospective randomized control trial is being implemented in conjunction with UCLA Health's larger quality improvement initiative (the My Action Plan Quality Improvement Initiative) in order to improve primary care preventive measure completion rates.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
10,583

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2023

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 17, 2023

Completed
6 days until next milestone

Study Start

First participant enrolled

March 23, 2023

Completed
7 days until next milestone

First Posted

Study publicly available on registry

March 30, 2023

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 20, 2024

Completed
2 months until next milestone

Study Completion

Last participant's last visit for all outcomes

June 30, 2024

Completed
Last Updated

July 2, 2025

Status Verified

June 1, 2025

Enrollment Period

1.1 years

First QC Date

March 17, 2023

Last Update Submit

June 28, 2025

Conditions

Keywords

primary caredigital outreach

Outcome Measures

Primary Outcomes (1)

  • MyChart letter opened

    Percentage of participants across the different arms who open their personalized My Action Plan letter on MyChart

    1 week after getting the reminder

Secondary Outcomes (4)

  • Opening link within SMS Text message

    1 week after getting the reminder

  • Direct scheduling appointment rate

    Time Frame: 2 weeks after getting the reminder

  • Rate of taking action for one overdue screening/test

    Time Frame: 2 weeks after getting the reminder

  • Completion rate of one screening/test

    Time Frame: 6 months after getting the initial outreach text message

Study Arms (4)

Holdout Condition: No reminder

NO INTERVENTION

Eligible, randomized participants will receive no text message reminder.

Control Reminder

EXPERIMENTAL

Eligible, randomized participants will receive a generic text message reminding them to close their outstanding health gap.

Behavioral: Reminder of preventive care measures

Anecdote-based Reminder

EXPERIMENTAL

Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings.

Behavioral: Reminder of preventive care measuresBehavioral: Persuasion via anecdote

Call-to-action Reminder

EXPERIMENTAL

Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will prompt people to take care of the health gap right away before it slips their mind.

Behavioral: Reminder of preventive care measuresBehavioral: Behavioral: Action prompt

Interventions

The investigators will send randomized participants an SMS reminder encouraging them to click the provided link and close their outstanding, overdue preventive care measures. The provided link will take them to their MyChart login page; after logging in, they would see their personalized My Action Plan Letter detailing their personalized, overdue preventive care measures.

Anecdote-based ReminderCall-to-action ReminderControl Reminder

The message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings.

Anecdote-based Reminder

The message will prompt people to take care of the health gap right away before it slips their mind.

Call-to-action Reminder

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Empaneled to UCLA Health DOM Primary Care
  • Has at least one overdue health maintenance measure that the My Action Plan initiative focuses on
  • Has an active MyChart status
  • Can accept SMS messages from UCLA Health
  • Has not opened the My Action Plan electronic letter within 7 days of initial outreach
  • Has a March or April Birthday

You may not qualify if:

  • Under the age of 18
  • Deceased patients
  • Hospice patients
  • Has opted out electronic communication (bulk messages, email, and/or text)
  • For the final analysis, the investigators will further exclude patients who have scheduled appointments for all screenings/tests or completed all screenings/tests prior to the date when they are supposed to receive the reminder from this trial

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

UCLA Health Department of Medicine, Quality Office

Los Angeles, California, 90095, United States

Location

MeSH Terms

Conditions

Diabetes MellitusNeoplasms

Condition Hierarchy (Ancestors)

Glucose Metabolism DisordersMetabolic DiseasesNutritional and Metabolic DiseasesEndocrine System Diseases

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, CARE PROVIDER
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Model Details: Parallel-arm randomized control trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Clinical Instructor of Medicine

Study Record Dates

First Submitted

March 17, 2023

First Posted

March 30, 2023

Study Start

March 23, 2023

Primary Completion

April 20, 2024

Study Completion

June 30, 2024

Last Updated

July 2, 2025

Record last verified: 2025-06

Data Sharing

IPD Sharing
Will not share

We do not plan to make any individual participant data available.

Locations