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Our objective is to determine the effectiveness of varied outreach methods (e.g. standard versus tailored MyChart messaging) to children age 6-17 years old who are due for a WCC visit and don't have one scheduled in the next 45 days on the outcomes of appointment scheduling and appointment completion.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| No message | Placebo Comparator | No message sent |
|
| Standard message | Active Comparator | 2 MyChart reminders that child is overdue for well child check visit |
|
| Tailored message | Active Comparator | 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No Message | Other | No messages are sent |
| |
| Standard message |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Completed Well Child Check Visit | Participants completed well child check visit as determined by presence of a well visit billing code documentation in the electronic health record. | Within 8 weeks of the date of intervention or the date of randomization for the control group |
| Measure | Description | Time Frame |
|---|---|---|
| Number of Participants Who Scheduled an Appointment for a Well Child Check Visit. | Participant scheduled a well child check visit as determined by electronic health record documentation. | Within 8 weeks of the date of intervention or the date of randomization for the control group |
| Number of Participants Who Received Their First COVID-19 Vaccination |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| William Brinkman, MD | Cincinnati Children's | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 36399342 | Derived | Berset AE, Burkhardt MC, Xu Y, Mescher A, Brinkman WB. Effect of Electronic Outreach Using Patient Portal Messages on Well Child Care Visit Completion: A Randomized Clinical Trial. JAMA Netw Open. 2022 Nov 1;5(11):e2242853. doi: 10.1001/jamanetworkopen.2022.42853. |
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| ID | Title | Description |
|---|---|---|
| FG000 | No Message | No message sent No Message: No messages are sent |
| FG001 | Standard Message | 2 MyChart reminders that child is overdue for well child check visit Standard message: 2 MyChart reminders that child is overdue for well child check visit |
| FG002 | Tailored Message | 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age Tailored message: 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age |
| Title | Milestones | Reasons Not Completed | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | No Message | No message sent No Message: No messages are sent |
| BG001 | Standard Message | 2 MyChart reminders that child is overdue for well child check visit Standard message: 2 MyChart reminders that child is overdue for well child check visit |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Number of Participants Who Completed Well Child Check Visit | Participants completed well child check visit as determined by presence of a well visit billing code documentation in the electronic health record. | Posted | Count of Participants | Participants | Within 8 weeks of the date of intervention or the date of randomization for the control group |
|
8 weeks
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | No Message | No message sent No Message: No messages are sent | 0 |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. William B. Brinkman | Cincinnati Children's | 513-636-2576 | bill.brinkman@cchmc.org |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP | Yes | Yes | No | Study Protocol and Statistical Analysis Plan | Jun 27, 2022 | Dec 22, 2022 | Prot_SAP_000.pdf |
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| ID | Term |
|---|---|
| D010342 | Patient Acceptance of Health Care |
| ID | Term |
|---|---|
| D000074822 | Treatment Adherence and Compliance |
| D015438 | Health Behavior |
| D001519 | Behavior |
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| ID | Term |
|---|---|
| C093953 | NMT1 protein, S pombe |
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| Other |
2 MyChart reminders that child is overdue for well child check visit |
|
| Tailored message | Other | 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age |
|
Participant receipt of their first COVID-19 vaccination as determined by presence of documentation of vaccine administration in the electronic health record. |
| Within 8 weeks of the date of the intervention or the date of randomization for the control group |
| BG002 | Tailored Message | 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age Tailored message: 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age |
| BG003 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Count of Participants | Participants |
|
| OG002 |
| Tailored Message |
2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age Tailored message: 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age |
|
|
|
| Secondary | Number of Participants Who Scheduled an Appointment for a Well Child Check Visit. | Participant scheduled a well child check visit as determined by electronic health record documentation. | Posted | Count of Participants | Participants | Within 8 weeks of the date of intervention or the date of randomization for the control group |
|
|
|
|
| Secondary | Number of Participants Who Received Their First COVID-19 Vaccination | Participant receipt of their first COVID-19 vaccination as determined by presence of documentation of vaccine administration in the electronic health record. | Posted | Count of Participants | Participants | Within 8 weeks of the date of the intervention or the date of randomization for the control group |
|
|
|
| Post-Hoc | Number of Participants Who Received DTaP Vaccination | Participant receipt of DTaP vaccination as determined by presence of documentation of vaccine administration in the electronic health record. | Analysis includes all patients eligible to receive this vaccine during the 8-week study period | Posted | Count of Participants | Participants | Within 8 weeks of the date of intervention or the date of randomization for the control group |
|
|
|
| Post-Hoc | Number of Participants Who Received HPV Vaccination | Participant receipt of HPV vaccination as determined by presence of documentation of vaccine administration in the electronic health record. | Analysis includes all patients eligible to receive this vaccine during the 8-week study period | Posted | Count of Participants | Participants | Within 8 weeks of the date of intervention or the date of randomization for the control group |
|
|
|
| Post-Hoc | Number of Participants Who Received MCV4 Vaccination | Participant receipt of MCV4 vaccination as determined by presence of documentation of vaccine administration in the electronic health record. | Analysis includes all patients eligible to receive this vaccine during the 8-week study period | Posted | Count of Participants | Participants | Within 8 weeks of the date of intervention or the date of randomization for the control group |
|
|
|
| 315 |
| 0 |
| 315 |
| 0 |
| 315 |
| EG001 | Standard Message | 2 MyChart reminders that child is overdue for well child check visit Standard message: 2 MyChart reminders that child is overdue for well child check visit | 0 | 315 | 0 | 315 | 0 | 315 |
| EG002 | Tailored Message | 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age Tailored message: 2 MyChart reminders that child is overdue for well child check visit with date of last WCC and age | 0 | 315 | 0 | 315 | 0 | 315 |
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| 0.040 |
| Risk Ratio (RR) |
| 1.57 |
| 2-Sided |
| 95 |
| 1.02 |
| 2.34 |
Tailored Message vs. No Message |
| Superiority |
| Regression, Logistic | 0.202 | Risk Ratio (RR) | 1.26 | 2-Sided | 95 | 0.88 | 1.74 | Standard Message vs. Tailored Message | Superiority |