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Completed

NCT Number: NCT05317884

Email-based Reminders Promoting Recommended Pediatric Preventative Visits

The purpose of this study is to assess, prospectively, the effect of email reminders for well-child check (WCC) visits on adherence to these visits among those who have not yet scheduled the visit. The investigators hypothesize that sending reminders will increase scheduling WCC visits, attending WCC visits, and being up to date for the child's required immunizations beyond what occurs in the absence of these reminders.

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Key information

Conditions

Immunization Programs

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Geisinger

Danville, Pennsylvania, 17822, United States

About this study

Regular attendance at recommended WCC visits is associated with having up-to-date immunizations. Standard care involves scheduling a follow-up WCC visit at the end of the current visit. However, if the child's parents do not choose to schedule a follow-up visit at that time or miss a WCC visit, they may not be offered another easy opportunity to schedule one. That is, they would have to remember to schedule a visit and contact the clinic proactively.

In this study, 30 days before a child is due for their WCC visit, parents who have not yet scheduled a WCC visit for up to 30 days (for 5-month-olds) or 60 days (for all other ages) after their child is due for a visit will be randomly assigned to two groups with a random number generator. One group will receive an email reminder, while the other group will not receive any reminder.

The randomization of participants to different conditions will be in place until 800 participants have been identified and randomly assigned to one of the arms (estimated sample to detect at least a 10% absolute difference) or 180 days, whichever comes first. To account for delays in updating clinical databases, the final outcome data will be checked 90 days after the last eligible visit (for a maximum study period of 270 days).

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Parents (or contact on record) of children aged 5, 8, 11, 14, or 17 months
  • No WCC visits scheduled 30 days after the child's monthly birthday (for 5 month-olds) or 60 days (for all other ages) ahead of their due date for a WCC (i.e., month 6, 9, 12, 15, or 18)
  • Has an email address on record
  • Child is currently seen in Pediatric clinics under the Geisinger umbrella (has at least one prior visit)

Exclusion criteria

  • Did not opt out of emails

Treatment and study plan

Reminder

Behavioral

Email

Primary outcomes

  1. WCC visit scheduled

    Time frame: 30-60 days from the email send date

    Binary variable of scheduling a WCC visit as established by visit type, visit reasons, and billing codes (if available)

Secondary outcomes

  1. WCC visit made

    Time frame: 30-60 days from the email send date

    Binary variable of going to a WCC visit as established by billing codes

  2. Immunization status

    Time frame: 60 days from the email send date

    Binary variable indicating whether pediatric vaccinations are up to date, defined as having no current immunization care gaps

Other outcomes

  1. Emails opened

    Time frame: 60 days from the email send date

    Binary variable of opening the email

  2. Follow-up WCC visit scheduled

    Time frame: 61-150 days from the email send date

    Binary variable of scheduling a WCC visit as established by visit type, visit reasons, and billing codes (if available)

  3. Measles, Mumps, and Rubella immunization status

    Time frame: 60 days from the email send date

    Binary variable indicating whether Measles, Mumps, and Rubella (MMR) vaccinations are up to date, defined as having no current immunization care gaps

  4. Hepatitis A immunization status

    Time frame: 60 days from the email send date

    Binary variable indicating whether Hepatitis A vaccinations are up to date, defined as having no current immunization care gaps

  5. Hepatitis B immunization status

    Time frame: 60 days from the email send date

    Binary variable indicating whether Hepatitis B vaccinations are up to date, defined as having no current immunization care gaps

  6. Varicella immunization status

    Time frame: 60 days from the email send date

    Binary variable indicating whether Varicella vaccinations are up to date, defined as having no current immunization care gaps

Sponsors and collaborators

Lead sponsor

Geisinger Clinic

Other

Registry information

Official study title

Evaluation of Email-based Reminders in Promoting Adherence to the Recommended Pediatric Preventative-visit Schedule Among Rural Patients

Important dates

Study start
2022
Primary completion
2022
Study completion
2022
First posted
Apr 8, 2022
Registry last updated
Nov 23, 2022

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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