Nudging and Relationship Building With Frequent Contact

NCT07104305 | Withdrawn

• 1 other identifier: 2019-07-0005
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to test in what way a care strategy incorporating frequent contact can benefit patients with musculoskeletal condition that necessitates some adaptation and resiliency to symptoms and limitations that are expected to be either long-lasting or permanent. Patients will be randomized into either group A, where they will receive the standard amount of contact with their clinician, or group B, in which they will have contact with their clinican more frequently. The communication strategy may utilize text, email, portal, phone, video or other options as agreed on. The frequency will be at least once a week. All patients will complete a set of questionnaires at the end of the visit.

Conditions

Any Musculoskeletal Condition

Keywords

Musculoskeletal; Orthopedics; Mental health; Patient-Clinician relationship

Outcome Measures

Primary Outcomes (1)

• Guttman Satisfaction scale

  The Guttman Satisfaction Scale is a unidimensional questionnaire designed to measure the degree of patient satisfaction with the care they received. It consists of a series of hierarchically ordered yes/no items, with each successive item indicating a higher level of satisfaction. Total scores range from 0 to 7, with higher scores reflecting greater satisfaction, representing a better outcome.

  1 month after enrollment

Secondary Outcomes (5)

• PROMIS Physical Function CAT

  1 month after enrollment

• Negative Pain Thoughts Questionnaire (NPTQ-4)

  1 month after enrollment

• PROMIS Depression CAT

  1 month after enrollment

• Jefferson Scale of Patient's Perceptions of Physician Empathy (JSPPE)

  1 month after enrollment

• Communication effectiveness

  1 month after enrollment

Study Arms (2)

Standard care

NO INTERVENTION

Patients in this arm will receive the standard amount of contact with their clinician.

High-contact communication strategy

EXPERIMENTAL

Patients will have contact with their clinician more frequently. The communication strategy may utilize text, email, portal, phone, video or other options as agreed on. The frequency will be at least once a week. All patients will complete a set of questionnaires at the end of the visit.

Behavioral: High-contact communication strategy

Interventions

High-contact communication strategy BEHAVIORAL

Patients will have contact with their clinician more frequently. The communication strategy may utilize text, email, portal, phone, video or other options as agreed on. The frequency will be at least once a week. All patients will complete a set of questionnaires at the end of the visit.

High-contact communication strategy

Eligibility Criteria

• Age: 18 Years - 89 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult patient
• New or return visit
• English or Spanish speaker
• A musculoskeletal condition that necessitates some adaptation and resiliency to symptoms and limitations that are expected to be either long-lasting or permanent

You may not qualify if:

• Cognitive dysfunction
• Language other than English or Spanish

Sponsors & Collaborators

• University of Texas at Austin: lead

Study Sites (1)

University of Texas Health Austin (UTHA)

Austin, Texas, 78701, United States

Location

MeSH Terms

Conditions

Psychological Well-Being

Condition Hierarchy (Ancestors)

Personal Satisfaction; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor, Dean associate of surgery department

Model Details: New or return patients with some opportunity to better adapt to a long-standing or permanent symptoms will be randomized to a high-contact communication strategy agreed on by the clinician and patient or standard care (the patient initiates between visit contact as needed). The communication strategy may utilize text, email, portal, phone, video or other options as agreed on. The frequency will be at least once a week. All patients will complete a set of questionnaires at the end of the visit. At the end of the initial visit and 1 month after enrollment, people will be contacted by their method of choice to repeat the questionnaires.

Study Record Dates

• First Submitted: December 23, 2019
• First Posted: August 5, 2025
• Study Start: January 1, 2026
• Primary Completion: March 1, 2026
• Study Completion: March 1, 2026
• Last Updated: June 10, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)