Health TrialsbyHealthPanel

Right-Size Clinic Visits Using Memora Platform for PROMIS

ConditionOrthopedic Disorders
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorBoston Medical Center

About this trial

Developing novel methods of patient communication is crucial in providing value-based care to orthopedic patients. Healthcare technology platforms have been developed to improve patient communication methods particularly for the administration of patient-reported outcome measures (PROMs). However, the majority of these interventions rely on web-based platforms that require patients to have computer access. Among American households earning less than $30,000 per year, only 59% have access to a desktop or laptop and just 47% have broadband internet at home compared to mobile phone penetration which is estimated at 95% of which 93% regularly use text messages. The use of phone messaging may be the most effective means to have patients complete PROMs.

The Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH-funded, clinically validated method of tracking patient-reported outcomes to efficiently assess patient health status. PROMIS utilizes Item Response Theory (IRT) and computerized adaptive testing (CAT) to improve measurement precision and decrease survey time as compared to traditional PROMs.

The purpose of this two-phase study is to utilize Memora Health's text-messaging platform to collect web-based PROMIS CAT surveys from patients (Phase 1) and use this information to right-size clinic visits (Phase 2).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ankle Fracture

Distal Radius Fracture

Tibial Plateau Open reduction internal fixation (ORIF)

Spine Operative

Disqualifiers

Limited and non-readers

Vulnerable populations - incarcerated patients

Patients with no cell phone to use for scoring

Trial design

Design model

Sequential

Treatments tested in this trial

  • Right-size clinic visits

    Other intervention

    The curve created in Phase 1 will be used to guide the number of clinic visits based on PROMs reported by the participants in Phase 2.

Treatment groups

3,000 Participants
are divided into 2 treatment groups
Group A: Phase 1No intervention 0 interventions
Group B: Phase 2Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Right-size clinic visits for specific orthopedic conditions

Right-size clinic visits for patients recovering at/better than expected while maintaining or improving overall patient-reported outcomes (PROMS) will be assessed by comparing to the mean condition-specific recovery curve from phase 1. Earlier clinic visits will be scheduled for those who are more than 1 standard deviation from the mean recovery at any time point and less frequent visits for all others to establish the right size clinic visits.

Time frame
2 years
2

Patient-based recovery curves for specific orthopedic conditions

Each participant's recovery (based on the patient-reported outcome measures- PROMs) for their orthopedic condition will be assessed against the established recovery curve that was generated in phase one of the research for their condition.

Time frame
1 year

Secondary outcomes

1

Average number of PROMs collected through SMS and weblink

The number of PROMs collected through SMS and weblink will be assessed. PROMs are standardized, validated questionnaires completed by patients to measure their perception of their functional well-being and health status.

Time frame
1 year
2

Average number of PROMs collected during clinic visits

The number of PROMs collected during clinic visits will be assessed. PROMs are standardized, validated questionnaires completed by patients to measure their perception of their functional well-being and health status.

Time frame
1 year

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Boston Medical Center

Lead sponsor

Source ClinicalTrials.gov
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