UCLA Health Patient Health Maintenance With Interactive Text Reminder

NCT05791955 | Completed

• 1 other identifier: MAPreminder2
• Study Type: interventional
• Target: 10,751
• Locations: 1 country
• Sites: 1

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.

Conditions

Health Maintenance; Diabetes; Cancer

Keywords

primary care; digital 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

  2 weeks after getting the reminder

• Rate of taking action for one overdue screening/test

  2 weeks after getting the reminder

• Completion rate of one screening/test

  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 by clicking on the link to make an appointment.

Behavioral: Reminder of preventive care measures

Personal Responsibility Reminder

EXPERIMENTAL

Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will ask them to click on the link to schedule an appointment, or to text back to acknowledge they are taking responsibility for closing the health gap on their own.

Behavioral: Reminder of preventive care measures; Behavioral: Acknowledgement of personal responsibility

Planning prompt reminder

EXPERIMENTAL

Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will prompt participants to either click on the link to schedule an appointment right away, or text back when they will do so

Behavioral: Reminder of preventive care measures; Behavioral: Planning prompt

Interventions

Reminder of preventive care measures BEHAVIORAL

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.

Control Reminder; Personal Responsibility Reminder; Planning prompt reminder

Acknowledgement of personal responsibility BEHAVIORAL

The message will contain a request for the participant to take personal responsibility for their health by either clicking on the link to make an appointment or replying "noted" to the text message.

Personal Responsibility Reminder

Planning prompt BEHAVIORAL

The message will prompt people to either click on the link to make an appointment now or text back when they plan to close their health gap

Planning prompt reminder

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (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 May or June 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

Sponsors & Collaborators

• University of California, Los Angeles: lead

Study Sites (1)

UCLA Health Department of Medicine, Quality Office

Los Angeles, California, 90095, United States

Location

MeSH Terms

Conditions

Diabetes Mellitus; Neoplasms

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine 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
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical Instructor of Medicine

Model Details: Parallel-arm randomized control trial

Study Record Dates

• First Submitted: March 17, 2023
• First Posted: March 30, 2023
• Study Start: May 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

Locations

US (1)