NCT05793788

Brief Summary

This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text messages 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
40,912

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

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 9, 2023

Completed
Same day until next milestone

Study Start

First participant enrolled

March 9, 2023

Completed
22 days until next milestone

First Posted

Study publicly available on registry

March 31, 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 9, 2023

Last Update Submit

June 28, 2025

Conditions

Keywords

primary caredigital outreach

Outcome Measures

Primary Outcomes (1)

  • Opening link within SMS Text message

    Percentage of participants across the different arms who click on the link from the outreach message

    1 week after getting the outreach text message

Secondary Outcomes (4)

  • Opening My Action Plan Letter

    1 week after getting the outreach text message

  • Direct scheduling appointment rate

    2 weeks after getting the outreach text message

  • Rate of taking action for one overdue screening/test

    2 weeks after getting the outreach text message

  • Completion rate of one screening/test

    6 months after getting the outreach text message

Study Arms (4)

Arm 1: Specific

EXPERIMENTAL

Eligible, randomized participant will receive a brief, specific SMS message informing patients that they should obtain screenings and tests they are due for.

Behavioral: Outreach Text MessagesBehavioral: Specific

Arm 2: General

EXPERIMENTAL

Eligible, randomized participant will receive a brief, generic SMS message informing patients that they have a health gap to be closed.

Behavioral: Outreach Text MessagesBehavioral: General

Arm 3: Intention-oriented; General

EXPERIMENTAL

Eligible, randomized participant will receive an intention-oriented, generic SMS message informing patients that they have a health gap to be closed and highlighting the importance of doing so.

Behavioral: Outreach Text MessagesBehavioral: GeneralBehavioral: Elevating Intentions

Arm 4: Action-oriented; General

EXPERIMENTAL

Eligible, randomized participant will receive an action-oriented, generic SMS-message informing patients that they have a health gap to be closed and prompting them to act soon before they forget.

Behavioral: Outreach Text MessagesBehavioral: GeneralBehavioral: Prompting Action

Interventions

The investigators will send randomized participants an SMS message encouraging them to click 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. Message content will vary based on randomization arm as noted below.

Arm 1: SpecificArm 2: GeneralArm 3: Intention-oriented; GeneralArm 4: Action-oriented; General
SpecificBEHAVIORAL

The message will inform patients that the care team has identified tests/screenings that they are due for.

Arm 1: Specific
GeneralBEHAVIORAL

The message will inform patients that the care team has identified a care gap in their record.

Arm 2: GeneralArm 3: Intention-oriented; GeneralArm 4: Action-oriented; General

The message will point out that even if patients feel healthy, their doctor recommends them to take care of their health gaps.

Arm 3: Intention-oriented; General

The message will prompt patients to take care of their health gaps right away before they forget.

Arm 4: Action-oriented; General

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 a March, April, 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, we will further exclude patients who have scheduled appointments for all screening/tests or completed all screenings/tests prior to the date when they are supposed to receive the text message

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 9, 2023

First Posted

March 31, 2023

Study Start

March 9, 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