- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT02442089
Impact of Automated Calls on Pediatric Patient Attendance in Chile (Health Call)
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.
Panoramica dello studio
Descrizione dettagliata
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.
Tipo di studio
Iscrizione (Effettivo)
Fase
- Non applicabile
Contatti e Sedi
Luoghi di studio
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-
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Santiago, Chile
- Hospital Luis Calvo Mackenna
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
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.
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Ricerca sui servizi sanitari
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Separare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
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Nessun intervento: No Intervention
The intervention arm subjects will not receive the automated interactive voice reminder before their appointment.
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Sperimentale: Intervention
The intervention arm subjects will receive the automated interactive voice reminder before their appointment.
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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.
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
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Intervention impact
Lasso di tempo: 9 months
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Evaluate whether a patient reminder system, Health Call, can decrease the overall failure to attend appointment rate as a percentage of overall appointments
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9 months
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Key attendance factors
Lasso di tempo: 9 months
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Examine what demographic or health belief factors are significantly related to appointment attendance as measured by a psychometric questionnaire
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9 months
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Develop new interventions
Lasso di tempo: 9 months
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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
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9 months
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Collaboratori e investigatori
Investigatori
- Investigatore principale: William Weiss, DrPH, MA, Johns Hopkins Bloomberg School of Public Health
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento primario (Effettivo)
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- Esperimento casuale controllato
- mHealth
- eHealth
- Salute globale
- Sistemi sanitari integrati
- Chile
- Tecnologia sanitaria
- Sistemi sanitari
- Health Information Systems
- Rinvio e consultazione
- Mancata presenza
- No Show
- Efficiency, Organizational
- Pediatric Hospitals
- Sistemi sanitari
- Community Health Systems
- Community Medicine
Altri numeri di identificazione dello studio
- 00004109
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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