ACTIVE_NOT_RECRUITING

Nudging High Emergency Department Utilizers to Consider Non-emergent Healthcare Resources

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

The goal of this campaign is to reduce unnecessary ED visits by providing patients who are high ED utilizers (with a visit of any acuity) with alternative resources to manage their health outside of the ED. In this campaign, patients will be randomized to receive one of two types of outreach following discharge aligned with the goal. Outreach may occur via (1) a phone call from a Geisinger Community Health Worker (CHW) or Community Medical Assistant (CMA); current standard practice or (2) an interactive chatbot message providing similar information and questions to those provided by the CHW/CMA. The study team will measure whether ED use differs across patients in different outreach conditions. The study team will also examine whether patients followed through on the message-specific calls to action in the messages differently across conditions.

Official Title

Point of ED Discharge Interactive Outreach: High ED Utilizers

Quick Facts

Study Start:2025-02-03
Study Completion:2025-10
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:ACTIVE_NOT_RECRUITING

Study ID

NCT06818825

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * Geisinger Health Plan insurance or KACO membership
  2. * Any PCP or no PCP
  3. * Visit of any acuity
  4. * 4 or more ED visits in the past 6 months
  1. * Institutionalized
  2. * Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the electronic health record or because the patient opted out
  3. * Admitted to hospital
  4. * Eloped from ED
  5. * Left ED without being seen
  6. * Deceased prior to messaging
  7. * Qualifies for more intensive care management due to higher-level category of complexity

Contacts and Locations

Principal Investigator

Amir Goren, PhD
PRINCIPAL_INVESTIGATOR
Geisinger Clinic

Study Locations (Sites)

Geisinger Health System
Danville, Pennsylvania, 17822
United States

Collaborators and Investigators

Sponsor: Geisinger Clinic

  • Amir Goren, PhD, PRINCIPAL_INVESTIGATOR, Geisinger Clinic

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2025-02-03
Study Completion Date2025-10

Study Record Updates

Study Start Date2025-02-03
Study Completion Date2025-10

Terms related to this study

Additional Relevant MeSH Terms

  • Emergency Service, Hospital