NCT03879616

Optimizing Gastrointestinal Procedure Appointments

Optimizing the Use of Reminders for Gastrointestinal Procedure Appointments

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 15,974 (actual)
• Sponsor: Kaiser Permanente · Academic / Other
• Sex: All
• Age: 21 Years – 120 Years
• Healthy volunteers: Accepted

Summary

This project will address the question: Does an "enhanced" IVR-T protocol differ in effectiveness from the standard IVR-T protocol in reducing missed appointments and late cancellations for GI endoscopy? Hypothesis: The enhanced IVR-T protocol will be more effective.

Detailed description

This study will be a randomized trial over a 6-month period (March 8 through September 7, 2019) in 3 GI endoscopy clinics (Franklin, Rock Creek, and Lone Tree). All members currently receive a text reminder 7 days prior to their procedure, which rolls over to a telephone reminder if the text cannot be delivered or the member's phone is not text-enabled. Members will be randomized either to receive this standard IVR-T protocol (control) or to receive an enhanced reminder (intervention) protocol. Randomization: Beginning in March 8, 2019, a randomization algorithm will be used in the Structured Query Language program that manages the IVR relational database to assign each visit for a procedure at all three sites to control or intervention. Since members with multiple procedures on different days during the study period could receive control or intervention for different visits, the statistical analysis will be limited to the first randomized appointment during the project period. Randomization will be stratified by clinic site.

Conditions

• Gastrointestinal Disease

Interventions

Type	Name	Description
BEHAVIORAL	An Enhanced Reminder	This study will be a randomized trial over a 6-month period (March 8 through September 7, 2019) in 3 GI endoscopy clinics (Franklin, Rock Creek, and Lone Tree). All members currently receive a text reminder 7 days prior to their procedure, which rolls over to a telephone reminder if the text cannot be delivered or the member's phone is not text-enabled. Members will be randomized either to receive this standard IVR-T protocol (control) or to receive an enhanced reminder (intervention) protocol. Data from the randomized trial, for both intervention and control participants, will be analyzed to develop a statistical prediction rule that identifies members at highest risk of missing their procedure.

Timeline

• Start date: 2019-03-08
• Primary completion: 2019-09-08
• Completion: 2021-12-31
• First posted: 2019-03-19
• Last updated: 2022-02-21

Locations

1 site across 1 country: United States