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Improving Follow-Up Adherence in a Primary Eye Care Setting

Primary Purpose

Eye Diseases

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Automated Telephone System
Personalized Telephone Call
Usual Care
Sponsored by
Wills Eye
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional health services research trial for Eye Diseases focused on measuring Eye care adherence, health care utilization

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Age: Over 18 years
  • Primary Eye Care Patients who were recommended for a 6-month, 12-month, or 24-month follow-up appointment during September 2013 through November 2013.
  • Access to a telephone

Exclusion Criteria:

  • Does not speak English

Sites / Locations

  • Wills Eye Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Automated Telephone System

Personalized Telephone Call

Usual Care

Arm Description

In addition to a standardized reminder letter, participants also received a telephone call from an automated system to remind them of a recommended follow-up appointment.

In addition to the usual care letter, a staff member called participants one month prior of recommended follow-up appointment. During this call, participants were given the option to schedule an appointment.

Participants randomized to this arm receive a "usual care" letter which is a standard reminder letter from the primary eye care office. This is usual practice in many primary eye care facilities.

Outcomes

Primary Outcome Measures

Appointment Adherence
A research assistant examines the Electronic Medical Records (EMR) system to assess recommended appointment adherence.

Secondary Outcome Measures

Scheduling Appointment
Tracking whether the patient made an appointment within 1 month of the reminder letter (usual care), automated phone call, or personalized phone call.

Full Information

First Posted
November 26, 2013
Last Updated
November 26, 2016
Sponsor
Wills Eye
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1. Study Identification

Unique Protocol Identification Number
NCT02001129
Brief Title
Improving Follow-Up Adherence in a Primary Eye Care Setting
Official Title
Improving Follow-Up Adherence in a Primary Eye Care Setting: A Prospective, Randomized Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
November 2016
Overall Recruitment Status
Completed
Study Start Date
August 2013 (undefined)
Primary Completion Date
February 2014 (Actual)
Study Completion Date
August 2014 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Wills Eye

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
This study aims to examine the effectiveness of three different ways of helping patients attend their recommended eye care appointments.
Detailed Description
The three ways are 1) usual care, which involves a standard reminder letter; 2) automated telephone calls, which utilizes a machine to automatically call patients one month prior to their recommended follow-up date; 3)personalized telephone calls, which utilizes a staff member to personally call patients and offer them the opportunity to schedule at the time of the telephone call.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Eye Diseases
Keywords
Eye care adherence, health care utilization

7. Study Design

Primary Purpose
Health Services Research
Study Phase
Not Applicable
Interventional Study Model
Factorial Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
100 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Automated Telephone System
Arm Type
Experimental
Arm Description
In addition to a standardized reminder letter, participants also received a telephone call from an automated system to remind them of a recommended follow-up appointment.
Arm Title
Personalized Telephone Call
Arm Type
Experimental
Arm Description
In addition to the usual care letter, a staff member called participants one month prior of recommended follow-up appointment. During this call, participants were given the option to schedule an appointment.
Arm Title
Usual Care
Arm Type
Active Comparator
Arm Description
Participants randomized to this arm receive a "usual care" letter which is a standard reminder letter from the primary eye care office. This is usual practice in many primary eye care facilities.
Intervention Type
Behavioral
Intervention Name(s)
Automated Telephone System
Other Intervention Name(s)
Patient appointment message 2000
Intervention Description
Participants receive automated reminder phone calls.
Intervention Type
Behavioral
Intervention Name(s)
Personalized Telephone Call
Other Intervention Name(s)
Study staff phone call
Intervention Description
Participants receive reminder phone calls by study staff.
Intervention Type
Behavioral
Intervention Name(s)
Usual Care
Other Intervention Name(s)
Reminder letter sent in the mail.
Intervention Description
Participants receive a standard reminder letter in the mail.
Primary Outcome Measure Information:
Title
Appointment Adherence
Description
A research assistant examines the Electronic Medical Records (EMR) system to assess recommended appointment adherence.
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Scheduling Appointment
Description
Tracking whether the patient made an appointment within 1 month of the reminder letter (usual care), automated phone call, or personalized phone call.
Time Frame
1 month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age: Over 18 years Primary Eye Care Patients who were recommended for a 6-month, 12-month, or 24-month follow-up appointment during September 2013 through November 2013. Access to a telephone Exclusion Criteria: Does not speak English
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Lisa Hark, PhD
Organizational Affiliation
Wills Eye
Official's Role
Study Director
Facility Information:
Facility Name
Wills Eye Hospital
City
Philadelphia
State/Province
Pennsylvania
ZIP/Postal Code
19107
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
26656245
Citation
Callinan CE, Kenney B, Hark LA, Murchison AP, Dai Y, Leiby BE, Mayro EL, Bilson J, Haller JA. Improving Follow-Up Adherence in a Primary Eye Care Setting. Am J Med Qual. 2017 Jan/Feb;32(1):73-79. doi: 10.1177/1062860615616860. Epub 2016 Jul 10.
Results Reference
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Improving Follow-Up Adherence in a Primary Eye Care Setting

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