COMPLETED

Nudging High-acuity Emergency Department Patients to Schedule a Follow-up Visit

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 emergency department (ED) visits by encouraging patients with high acuity visits to follow up with an appropriate primary care provider (PCP) or specialist and therefore obtain appropriate care outside of the ED. In this campaign, patients will be assigned to receive or not receive outreach following ED discharge that is aligned with the goal. Outreach will occur via a text message and information added to the patient's after visit summary, and will include a contact number to schedule and hyperlink to allow self-scheduling. The study will assess whether ED use differs across patients in different outreach conditions. It will also examine whether patients followed through on the calls to action in the messages differently across conditions.

Official Title

Nudging High-acuity Emergency Department Patients to Schedule a Follow-up Visit With a Primary Care Provider or Specialist Following Discharge to Decrease Emergency Department Utilization

Quick Facts

Study Start:2024-08-09
Study Completion:2025-04-06
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:COMPLETED

Study ID

NCT06535347

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. * \>= 18 years of age
  2. * ED visit rated as high acuity (level L2 or L3)
  3. * Discharged from ED in past 24 hours
  4. * Attributed to a Geisinger PCP in Community Medicine Service Line
  1. * Have an appointment scheduled within 7 days following discharge with a primary care provider or specialist
  2. * Institutionalized
  3. * 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
  4. * Admitted to hospital
  5. * Eloped from ED
  6. * Left ED without being seen
  7. * Deceased prior to messaging

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 Date2024-08-09
Study Completion Date2025-04-06

Study Record Updates

Study Start Date2024-08-09
Study Completion Date2025-04-06

Terms related to this study

Additional Relevant MeSH Terms

  • Emergency Service, Hospital