Advancing Decisions About Virtual Service Encounters
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorVA Office of Research and Development
About this trial
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).
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Veteran inclusion criteria are having an upcoming face-to-face (F2F), telephone, or VA Video Connect (VVC) appointment in the next 8 to 12 weeks
Having at least 3 Primary Care F2F, telephone, or VVC encounters in the previous 12 months
Able to provide informed consent
Willing and able to receive text messages from the VA Patient Engagement, Tracking, and Long-term Support (PETALS) platform
Disqualifiers
Veteran exclusion criteria are a CDW diagnosis of mild cognitive impairment, dementia, or a psychotic disorder
Trial design
Design model
Crossover
Treatments tested in this trial
Clinician Coaching Sessions
BehavioralPCPs 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 interventionDrawing 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.
Treatment groups
600 Participants
are divided into 2 treatment groupsGroup A: Receiving the optimized ADviSE InterventionExperimental treatment 2 interventions
Group B: Control periodNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Veterans' perceptions of the value of their healthcare
Measured by survey at baseline and intervention end
Time frame
6 months prior to intervention and 6-months post interventionSecondary outcomes
1
VA Video Connect (VVC) encounters with assigned Patient Aligned Care Team (PACT)
Measured using Corporate Data Warehouse (CDW) data
Time frame
6 months prior to intervention and 6-months post intervention2
Face-to-Face (F2F) encounters with assigned Patient Aligned Care Team (PACT)
Measured using CDW data
Time frame
6 months prior to intervention and 6-months post intervention3
Telephone encounters with assigned Patient Aligned Care Team (PACT)
Measured using CDW data
Time frame
6 months prior to intervention and 6-months post intervention4
Veterans' satisfaction with healthcare
Measured by survey at baseline and intervention end
Time frame
6 months prior to intervention and 6-months post interventionSponsors and contacts
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Source ClinicalTrials.gov