Informing Low-acuity Emergency Department Patients of Non-emergent Resources (2)

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

RECRUITING

Clinical Phase

NA

Total Enrollment

8286 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-15

Study Completion Date

2026-01-31

Brief Summary

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The goal of this campaign is to reduce unnecessary visits to a Geisinger emergency department (ED). In this campaign, patients will be assigned to receive or not receive outreach following ED discharge with a low-acuity visit designation. Outreach will occur via a text message the day after discharge from the ED as well as information added to the patient's after visit summary (AVS). Depending on the assigned condition, it will include calls to see their primary care provider (PCP) or use an Intelligent Triage tool. The study will assess whether ED use within the following 120 days differs across patients in different outreach conditions (current standard practice vs contact your PCP vs use Intelligent Triage). It will also examine whether patients follow through on the message-specific calls to action differently across conditions.

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Detailed Description

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Conditions

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Emergency Service, Hospital Behavior Change Interventions

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

NONE

Patients will be aware of their own messages but not of messages sent to other patients or in other arms.

Study Groups

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Control

This arm will receive no intervention outside of usual care.

Group Type NO_INTERVENTION

No interventions assigned to this group

Contact your PCP

Intervention content emphasizes contacting a primary care provider (content will vary slightly based on whether the patient has a Geisinger PCP)

Group Type EXPERIMENTAL

Contact your PCP

Intervention Type BEHAVIORAL

Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider.

Use Intelligent Triage

Intervention content emphasizes using Intelligent Triage to assess symptoms.

Group Type EXPERIMENTAL

Use Intelligent Triage

Intervention Type BEHAVIORAL

Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.

Interventions

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Contact your PCP

Text messages will be sent and discharge paperwork will be modified to encourage contacting a primary care provider.

Intervention Type BEHAVIORAL

Use Intelligent Triage

Text messages will be sent and discharge paperwork will be modified to encourage using Intelligent Triage.

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* \>= 18 years of age
* Geisinger ED visit rated as low acuity (L4 or L5)
* Discharged from Geisinger ED in past 24 hours

Exclusion Criteria

* Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out
* Admitted to hospital
* Already included in intervention in past 365 days

Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No