NCT Number: NCT06539988
Expanded availability of virtual care encounters in Primary Care provides new opportunities to improve Veterans' outcomes by aligning encounter modalities with their needs and preferences. Yet, Veterans and their Primary Care physicians (PCPs) lack personalized information about the benefits and costs of different Primary Care modalities that is needed to maximize the value of Primary Care encounters. To address this problem, in this study the investigators will use surveys and interviews to identify what Veterans and PCPs perceive to be the benefits and optimal uses of different Primary Care encounter modalities. They will then supplement their existing system for communicating encounter costs to Veterans and PCPs with new interactive messaging about benefits and optimal uses of different encounter modalities. Finally, this novel Advancing Decisions about Virtual Service Encounters (ADViSE) intervention will be optimized through user-centered refinement before evaluating its effects on Veteran-centered outcomes, use of virtual care, and intermediate health outcomes in a randomized controlled trial (RCT).
Interested in participating?
Request Info18 year and older
All sexes
Interventional
Not applicable
Ann Arbor, Michigan, 48105-2303, United States
Location status: Recruiting
Amanda C Blok, PhD MSN
SUB_INVESTIGATOR
Fatima Makki, MPH MSW
CONTACT
Jeffrey T. Kullgren, MD MPH MS
PRINCIPAL_INVESTIGATOR
Jeremy B. Sussman, MD MS
SUB_INVESTIGATOR
Lewei Lin, MD
SUB_INVESTIGATOR
Nicholas R Yankey, MPH MSW
CONTACT
Sarah T Hawley, PhD MPH BA
SUB_INVESTIGATOR
The investigators will evaluate, in a stepped wedge cluster RCT, the effectiveness of the optimized ADViSE intervention, which will use interactive text messages for Veterans and point-of-care (POC) information and brief coaching for PCPs to help Veterans and their clinicians make well-informed decisions about available encounter types to meet each Veteran's needs and optimize the perceived value of their healthcare. A mixed methods stepped wedge cluster RCT will be conducted in which the optimized ADViSE intervention will be rolled out to PCPs and Veterans in each of 6 VA Ann Arbor Healthcare System (VAAAHS) Patient Aligned Care Teams (PACTs) in a randomly assigned order. For each Veteran participant, pre-post differences in outcomes during the 6-month intervention period will be compared to a 6-month pre-intervention control period.
Healthy volunteers accepted: No
Only the study team can determine whether someone qualifies for participation.
Inclusion criteria
Exclusion criteria
PCPs will receive interactive coaching sessions from a Clinician Coach 2 months into the intervention period and again at 4 months into the intervention period.
Drawing upon a library of messages that have previously been developed and refined, Veterans will receive 6 months of optimized text messages. The frequency of text messages will be determined based on feedback from Veterans in earlier phases of the research.
Time frame: 6 months prior to intervention and 6-months post intervention
Measured by survey at baseline and intervention end
Time frame: 6 months prior to intervention and 6-months post intervention
Measured using Corporate Data Warehouse (CDW) data
Time frame: 6 months prior to intervention and 6-months post intervention
Measured using CDW data
Time frame: 6 months prior to intervention and 6-months post intervention
Measured using CDW data
Time frame: 6 months prior to intervention and 6-months post intervention
Measured by survey at baseline and intervention end
Time frame: 6 months prior to intervention and 6-months post intervention
Measured by survey at baseline and intervention end
Time frame: 6 months prior to intervention and 6 months post intervention
Sum of copay costs, travel costs, and time costs measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Electronic quality measure (eQM) measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Measured using CDW data
Time frame: 6 months prior to intervention and 6 months post intervention
Measured using CDW data
Contact information is provided by the study sponsor or research team.
Jeffrey T Kullgren, MD MPH MS
CONTACT
Nora A Metzger, BA MSW
CONTACT
VA Office of Research and Development
Fed
Advancing Decisions About Virtual Service Encounters (ADViSE)
Acronym: ADViSE
OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.
View the official ClinicalTrials.gov record (opens in a new tab)This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.
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