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Impact of Automated Calls on Pediatric Patient Attendance in Chile (Health Call)

10. juni 2016 opdateret af: Johns Hopkins Bloomberg School of Public Health

Health Call: A Randomized Control Trial of Interactive Automated Reminder Calls to Reduce Failure to Attend Rates at an Urban Referral Hospital in Chile

Missed health care appointments present a serious challenge to patient care. Especially in government funded health systems like that of Chile, missed appointments can lead to delayed care, wasted resources, and escalating costs.

This private-public-research collaboration seeks to provide a rigorous, practical evaluation of a new patient reminder system, evaluate how health beliefs impact patient attendance, and capture the potential for scaling up this or other health technology systems. Using a mixed-methods approach this study will provide contextualized, triangulated analysis of pediatric patient attendance in Chile.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

The Health Call study is divided into two phases. The first phase is a randomized controlled trial and side-by- side cost-benefit analysis. Enrolled guardians of pediatric patients will complete a questionnaire at the point of referral and then be randomized to intervention, the automated reminder system, or no reminder. The investigators will then monitor attendance status at their subsequent appointment and evaluate whether the appointment reminders affected attendance as well as the cost-benefit ratio of using the reminder system.

The second phase will involve interviewing guardians and healthcare professionals. These interviews have two foci. First, combined with patient, guardian, and/or household data from the randomized trial, these results will be used to develop a more comprehensive understanding of why pediatric patients attend appointments. The second focus is on improving the reminder system and developing new health technology interventions that can increase patient attendance.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

263

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Chile
      • Santiago, Chile
        • Hospital Luis Calvo Mackenna

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

Ikke ældre end 18 år (Barn, Voksen)

Tager imod sunde frivillige

Ja

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Guardian with a phone number (land-line or mobile) who is able to receive and answer voice calls
  • Guardian who is willing to take part in the study and complete the consent form
  • Guardian who is sufficiently proficient in Spanish so as to complete the questionnaire
  • Guardian's patient who has a referral appointment at Hospital Luis Calvo Mackenna who is 18 years of age or younger

Exclusion Criteria:

  • Guardian or child who do not meet the inclusion criteria
  • Anyone that lives in the same household as an enrolled study participant.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Sundhedstjenesteforskning
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Enkelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Ingen indgriben: No Intervention
The intervention arm subjects will not receive the automated interactive voice reminder before their appointment.
Eksperimentel: Intervention
The intervention arm subjects will receive the automated interactive voice reminder before their appointment.
Adfærdsmæssigt: Health Call
Health Call is an automated interactive voice reminder system that can contact guardians of patients ahead of their child's appointment, asks then confirms a security question about the patient, then, if the call recipient passes the security screen, provides a reminder about upcoming appointment.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Intervention impact
Tidsramme: 9 months
Evaluate whether a patient reminder system, Health Call, can decrease the overall failure to attend appointment rate as a percentage of overall appointments
9 months
Key attendance factors
Tidsramme: 9 months
Examine what demographic or health belief factors are significantly related to appointment attendance as measured by a psychometric questionnaire
9 months
Develop new interventions
Tidsramme: 9 months
Investigate staff and recipient opinions of patient attendance, the Health Call system, and ideas for future interventions to reduce failure to attend as measured through in-depth interviews
9 months

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Johns Hopkins Bloomberg School of Public Health

Samarbejdspartnere

Hospital Luis Calvo Mackenna
Merlin Telecom

Efterforskere

  • Ledende efterforsker: William Weiss, DrPH, MA, Johns Hopkins Bloomberg School of Public Health

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. december 2013

Primær færdiggørelse (Faktiske)

1. januar 2016

Studieafslutning (Faktiske)

1. juni 2016

Datoer for studieregistrering

Først indsendt

6. april 2015

Først indsendt, der opfyldte QC-kriterier

8. maj 2015

Først opslået (Skøn)

13. maj 2015

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

14. juni 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

10. juni 2016

Sidst verificeret

1. maj 2015

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • 00004109

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Health Call

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

Medicinske tilstande

Narkotikainterventioner

CROs by country

CROs in Trinidad & Tobago

Betingelser

Sjældne sygdomme

Narkotikainterventioner

Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

Abonner