Timely Nudge About Lab Results to Increase myGeisinger Uptake

NCT ID: NCT04333199

Last Updated: 2021-06-11

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

5012 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-05-18

Study Completion Date

2020-07-01

Brief Summary

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The purpose of the current study is to test whether sending email communications in a timely manner - when patients have laboratory results available to view on the myGeisinger patient portal - increases enrollment in the portal.

Detailed Description

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Online patient portals are convenient tools that improve patient access to healthcare services while often reducing burden to both patients and providers. However, many patients have not enrolled in such portals, including Geisinger's patient portal, known as myGeisinger.

The purpose of the current study is to test whether sending myGeisinger enrollment information in a timely manner - when the benefits of enrolling are most readily available - increases enrollment. Specifically, messages will be timely in terms of lab test results having just been made available online, with the added benefit that patients can view their results prior to receiving them via mail. Unenrolled patients who recently had a laboratory procedure ordered and whose results are now ready for sharing will be informed via email that their lab results are available. At the same time, these patients will be reminded that these results can be viewed online through myGeisinger.

The primary outcome measure of interest, myGeisinger enrollment rates, will be compared between the emailed population and a control group that similarly has lab results available but will not be contacted. In addition, two different versions of the email communication will be tested. One will highlight that the patient will have to go through a sign-up process before viewing test results (in the service of transparency). The other will provide a presumed direct link to view those results, via a button that potentially serves as a pre-commitment step to undergo the registration process ("foot in the door" effect). Secondary analyses will assess differences in enrollment rates as well as unsubscribe rates between the email versions. Exploratory analyses will further examine differences in the rates at which patients opened and clicked on enrollment links within the two emails. Statistical analyses will employ generalized linear models with a binary distribution and log-link function.

Conditions

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Telehealth Health Behavior

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Every day within the designated study period, an email will be sent to patients who 1) fulfill inclusion criteria, 2) have been randomized to one of the email conditions (rather than the control group), and 3) have not already been randomized to a study condition on a previous day (i.e. no patient will be emailed for this study twice).
Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Participants
Participants (i.e., patients) will not be informed specifically of their assignment to different arms throughout the study.

Study Groups

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Control

Patients do not receive an email

Group Type NO_INTERVENTION

No interventions assigned to this group

Timely nudge - view results

Patients are emailed about myGeisinger when they have a lab result ready to view. The email includes a "View My Lab Results" button, which encourages them to click as a pre-commitment step that then brings them to the myGeisinger sign-up page.

Group Type EXPERIMENTAL

Timely

Intervention Type BEHAVIORAL

Email

Foot-in-the-door

Intervention Type BEHAVIORAL

Email

Timely nudge - get started

Patients are emailed about myGeisinger when they have a lab result ready to view. The email includes a "Get Started With myGeisinger" button that is transparent about the next step in the process, before the patient can view test results.

Group Type EXPERIMENTAL

Timely

Intervention Type BEHAVIORAL

Email

Transparency

Intervention Type BEHAVIORAL

Email

Interventions

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Timely

Email

Intervention Type BEHAVIORAL

Transparency

Email

Intervention Type BEHAVIORAL

Foot-in-the-door

Email

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* Geisinger patient for whom a lab was ordered within 30 days prior to email date
* Patient's lab test result released day before email date

Exclusion Criteria

* Patient already enrolled in myGeisinger
* Patient has already declined myGeisinger
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Geisinger Clinic

OTHER

Sponsor Role lead

Responsible Party

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Amir Goren

Program Director, Behavioral Insights Team

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amir Goren, PhD

Role: PRINCIPAL_INVESTIGATOR

Geisinger Clinic

Locations

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Geisinger

Danville, Pennsylvania, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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2020-0316

Identifier Type: -

Identifier Source: org_study_id

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