Text-Message Reminders for Routine Check-ups
(HEDIS Trial)
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial tests how different reminder methods help children complete their Well-Child Visits (regular health check-ups). It compares traditional reminders to automated text messages (Automated SMS) and texts with additional scheduling assistance (Automated SMS + Scheduling Assistance). The goal is to determine which method most effectively encourages attendance at check-ups. Children aged 0-21 who haven't had a check-up in the past year and can receive texts are eligible. The study aims to enhance how healthcare providers remind families about important medical visits. As an unphased trial, it offers families an opportunity to contribute to improving healthcare communication strategies.
Will I have to stop taking my current medications?
The trial information does not specify whether participants need to stop taking their current medications. It seems unlikely, as the study focuses on text-message reminders for routine check-ups.
What prior data suggests that these outreach strategies are safe for children?
Previous studies have shown that text message reminders effectively increase appointment attendance. Research indicates that these reminders can improve attendance rates in children's clinics, offering a promising way to reduce missed appointments.
For automated text messages that also assist with scheduling, findings suggest this combination not only reminds families of their appointments but also simplifies scheduling. This two-part approach has successfully increased both the scheduling and attendance of children's check-ups.
Both methods—simple text reminders and those with added scheduling help—have shown no significant safety concerns. They involve sending messages, which people generally find acceptable. No reports of negative effects from receiving these text messages exist.
Overall, these outreach strategies are considered safe and can help ensure more children attend their important check-ups.12345Why are researchers excited about this trial?
Researchers are excited about using automated text-message reminders for routine check-ups because they offer a modern twist on appointment reminders. Unlike traditional reminders, these automated SMS messages are sent at strategic intervals to boost attendance. The addition of scheduling assistance takes it a step further by allowing patients to set appointments directly through their phones, making the process seamless and convenient. This approach not only aims to improve attendance rates for Well-Child Visits but also simplifies the scheduling process, potentially leading to better healthcare outcomes.
What evidence suggests that these outreach strategies are effective for improving Well-Child Visit completion rates?
Research has shown that text message reminders effectively help people attend Well-Child Visits. For example, one study found that text messages increased visit attendance from 46.6% to 84.6%. Another study demonstrated that electronic reminders, such as automated text messages, significantly improved attendance. In this trial, one group will receive Automated SMS messages, while another group will receive Automated SMS combined with Scheduling Assistance. When text messages were paired with scheduling help, they proved even more effective. This combined approach led to more appointments being made soon after the messages were sent. These findings suggest that using automated texts, especially with scheduling assistance, can successfully increase attendance at Well-Child Visits.12567
Are You a Good Fit for This Trial?
This trial is for children aged 0-21 years who are due for a Well-Child Visit (WCV). It's designed to see if text messages or texts plus help with scheduling can make it more likely that kids go to their routine check-ups and address healthcare disparities.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants receive outreach according to their group assignment: traditional passive outreach, automated SMS, or automated SMS with scheduling assistance.
Follow-up
Participants are monitored for the effectiveness of outreach strategies in closing HEDIS gaps for Well-Child Visits.
What Are the Treatments Tested in This Trial?
Interventions
- Automated SMS
- Automated SMS + Scheduling Assistance
Trial Overview
The study tests whether automated SMS reminders alone, or combined with scheduling assistance, increase the rate of completed WCVs compared to standard passive outreach. Participants will be randomly placed into one of three groups: no texts, texts only, or texts plus help booking visits.
How Is the Trial Designed?
3
Treatment groups
Experimental Treatment
Active Control
Participants received standard health plan outreach consisting of periodic mailed reminders. Families retained access to all standard appointment scheduling methods including telephone calls to provider offices.
Participants received automated text message reminders with response options. When families expressed interest, structured follow-up texts collected appointment preferences (preferred dates, times, locations, number of children needing visits). An AI-powered telephone scheduling system (GPT-4o, OpenAI) then contacted the child's primary care provider directly to book appointments on behalf of families. The system disclosed its automated nature at call initiation and escalated to human staff when clinic policies were incompatible with automated scheduling or technical failures occurred.
Participants received standardized automated text message reminders at predetermined intervals (initial contact, 2-week follow-up, 4-week follow-up). Messages provided general information about visit importance and instructions to call providers to schedule. Messages did not include interactive scheduling or conversational capabilities.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Waymark
Lead Sponsor
Published Research Related to This Trial
Citations
Text Message Reminders Increase Appointment ...
Our results indicate that sending text message reminders is an effective means to improve appointment adherence at a pediatric resident clinic in an urban ...
Effect of Electronic Outreach Using Patient Portal ...
Well child care visit completion rates were 24.1% in the standard message group (aRR, 1.92; 95% CI, 1.38-2.60) and 19.4% in the tailored message ...
3.
archive.hshsl.umaryland.edu
archive.hshsl.umaryland.edu/bitstreams/4c15e19d-be21-4d3e-bbf6-ba00ba3b545f/downloadimplementing text messaging
The results of the outcomes data of the number of well child visit completion was 84.6%, while prior to intervention it was 46.6%. Most data points were above ...
Effect of Automated and Personalized Outreach Messages ...
Objective: To determine the effectiveness of text/telephone outreach messages and personal contact attempts on well child care (WCC) scheduling and completion ...
5.
telehealthandmedicinetoday.com
telehealthandmedicinetoday.com/index.php/journal/article/view/375/735A Digital Intervention to Reduce Disparities in Well-Child ...
Interventions such as text message reminders have proved effective at improving immunization rates.14 CHEC-UP augmented the concept of “reminder ...
Text4Health: Impact of Text Message Reminder–Recalls ...
Abstract. Objectives. We conducted 2 studies to determine the impact of text message immunization reminder–recalls in an urban, low-income population.
Effect of Patient Portal Outreach Messages on Well Child ...
Our objective is to determine the effectiveness of varied outreach methods (e.g. automated reminder calls/text.
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