Preventing No-shows With Pre-appointment "Reserved for You" Nudges

NCT07829432 | Not Yet Recruiting

• 1 other identifier: 2026-0690
• Study Type: interventional
• Target: 17,376
• Locations: 0 countries
• Sites: N/A

Brief Summary

The study team will run an A/B test to assess whether pre-appointment messages can reduce appointment no-shows. One message version will indicate the appointment is "reserved" for the patient; another version will be nearly identical but will not include the "reserved" language. A passive control group will not be sent messages.

Conditions

Appointment Reminders; Appointment Attendance

Outcome Measures

Primary Outcomes (1)

• No showed to appointment (y/n)

  Patient no-showed to the target appointment

  1 day (10 days following the message date)

Other Outcomes (3)

• Canceled or rescheduled more than 2 days pre-appointment (y/n)

  On the message date or in the 7 subsequent days (8 days total)

• Canceled or rescheduled 2 or fewer days pre-appointment (y/n)

  In the 2 days pre-appointment or on the appointment date (3 days total)

• Attended the originally scheduled appointment (y/n)

  1 day (10 days following the message date)

Study Arms (3)

Passive control

NO INTERVENTION

Patient will not be sent a message

Message without "reserved" language

EXPERIMENTAL

Patient will be sent a message encouraging them to reschedule or cancel their appointment if they cannot attend. This message will NOT state the appointment is reserved for them.

Behavioral: Message

Message with "reserved" language

EXPERIMENTAL

Patient will be sent a message encouraging them to reschedule or cancel their appointment if they cannot attend. This message WILL state the appointment is reserved for them.

Behavioral: Message

Interventions

Message BEHAVIORAL

The message will be sent via MyChart or text message depending on communication preferences for each patient.

Message with "reserved" language; Message without "reserved" language

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• at least a 50% probability of no-showing for the appointment based on the no-show algorithm
• eligible to be sent MyChart messages or text messages
• has an upcoming appointment in 10 days

You may not qualify if:

• Ancillary visits
• Nursing visits

Sponsors & Collaborators

• Geisinger Clinic: lead

Central Study Contacts

Gail Rosenbaum, PhD

CONTACT

570-243-1199; grosenbaum@geisinger.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Patients will know what messages they receive if assigned to a message group, but they will not know that other patients get different messages or no messages.
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Program Director, Geisinger Behavioral Insights Team

Study Record Dates

• First Submitted: September 14, 2026
• First Posted: September 21, 2026
• Study Start: September 1, 2026
• Primary Completion (Estimated): November 1, 2026
• Study Completion (Estimated): November 1, 2026
• Last Updated: September 21, 2026

Record last verified: 2026-09

Data Sharing

• IPD Sharing: Will not share