Advancing Decisions About Virtual Service Encounters

Part of paid clinical trials in Ann Arbor, Michigan.

Sponsor
VA Office of Research and Development
Study ID
NCT06539988
Status
Recruiting
Apply to this trial

Conditions

  • Delivery of Health Care
  • Health Care Costs

Eligibility Criteria

Sex
ALL
Age
18 Years - N/A
Healthy Volunteers
Not accepted

Interventions

  • Clinician Coaching Sessions — BEHAVIORAL
    PCPs will receive interactive coaching sessions from a Clinician Coach 2 months into the intervention period and again at 4 months into the intervention period.
  • Personalized text messages to patients — OTHER
    Drawing upon a library of messages that have previously been developed and refined, Veterans will receive 6 months of optimized text messages. The frequency of text messages will be determined based on feedback from Veterans in earlier phases of the research.

Study Details

Expanded availability of virtual care encounters in Primary Care provides new opportunities to improve Veterans' outcomes by aligning encounter modalities with their needs and preferences. Yet, Veterans and their Primary Care physicians (PCPs) lack personalized information about the benefits and costs of different Primary Care modalities that is needed to maximize the value of Primary Care encounters. To address this problem, in this study the investigators will use surveys and interviews to identify what Veterans and PCPs perceive to be the benefits and optimal uses of different Primary Care encounter modalities. They will then supplement their existing system for communicating encounter costs to Veterans and PCPs with new interactive messaging about benefits and optimal uses of different encounter modalities. Finally, this novel Advancing Decisions about Virtual Service Encounters (ADViSE) intervention will be optimized through user-centered refinement before evaluating its effects on Veteran-centered outcomes, use of virtual care, and intermediate health outcomes in a randomized controlled trial (RCT).

Key Dates

Start date
Apr 1, 2026
Status verified
Apr 2026
Primary completion
Sep 30, 2027
Completion
Jun 30, 2028

Study Design

Enrollment
600 participants (estimated)
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • Experimental: Receiving the optimized ADviSE Intervention
    6 months of selected text messages from a library developed and refined in previous study aims.
  • No Intervention: Control period
    Usual care.

Primary Outcome Measure

Veterans' perceptions of the value of their healthcare [ Time Frame: 6 months prior to intervention and 6-months post intervention ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
VA Ann Arbor Healthcare System, Ann Arbor, MIAnn ArborMichigan48105-2303
Fatima Makki, MPH MSW
[email protected]
734-845-3623
Nicholas R Yankey, MPH MSW
[email protected]
(734) 222-8987
Amanda C Blok, PhD MSN (SUB_INVESTIGATOR)
Jeffrey T. Kullgren, MD MPH MS (PRINCIPAL_INVESTIGATOR)
Jeremy B. Sussman, MD MS (SUB_INVESTIGATOR)
Lewei Lin, MD (SUB_INVESTIGATOR)
Sarah T Hawley, PhD MPH BA (SUB_INVESTIGATOR)

Find similar trials in Ann Arbor, MI

By research site
VA Ann Arbor Healthcare System, Ann Arbor, MI· Ann Arbor, MI

Related Studies