Outreach for Check-up

Age: 65+

Sex: Any

Trial Phase: Academic

Sponsor: Northwestern University

Disqualifiers: Palliative care, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

174 Participants Needed

Trial Summary

What is the purpose of this trial?

The goal of this randomized pilot study is to learn the impact of a primary care outreach intervention on the proportion of patients with Medicare insurance who are up-to-date on Medicare Annual Wellness Visit completion. At two clinics, researchers will randomize clinicians (and their associated, eligible patients) to early or delayed outreach.

Eligibility Criteria

This trial is for patients with Medicare insurance who are eligible to receive their Annual Wellness Visit. It focuses on reducing disparities in check-up rates among different racial and ethnic groups. Clinicians and their associated patients at two clinics will be randomly chosen to participate.

Inclusion Criteria

Attributed primary care clinic is 1 of the participating clinics in the pilot trial

≥1 risk factor associated with being overdue for Medicare Annual Wellness Visits: Black/African American race or Latino/Hispanic ethnicity, Not up-to-date for social needs screening, Positive social need in past 18 months, Medicaid insurance, No use of scheduling features within patient portal in past 18 months

Preferred language English

Exclusion Criteria

Clinician feels outreach for preventive care is inappropriate

I am receiving care focused on relieving symptoms.

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Early Outreach Intervention

Patients receive mailed letter and telephone outreach encouraging them to schedule an Annual Wellness Visit with a primary care clinician. Social determinants of health screening and resource provision if applicable will be included in telephone outreach by health navigator.

6 months

Delayed Outreach Intervention

Patients receive no outreach for 6 months after study start and then receive the same outreach intervention as early outreach arm.

6 months

Follow-up

Participants are monitored for the impact of the outreach intervention on Medicare Annual Wellness Visit completion

4 weeks

Treatment Details

Interventions

• Outreach to encourage Annual Wellness Visit completion

Trial Overview The study is testing the effectiveness of a primary care outreach program designed to increase the number of Medicare-insured patients completing their Annual Wellness Visits. Clinicians, along with their eligible patients, will be divided into two groups: one receiving early outreach and another receiving delayed outreach.

Participant Groups

Group I: Early outreach Experimental Treatment 1 Intervention

Patients assigned to early outreach will receive mailed letter and telephone outreach encouraging them to schedule an Annual Wellness Visit with a primary care clinician. Social determinants of health screening and resource provision if applicable will be included in telephone outreach by health navigator.

Group II: Delayed outreach Experimental Treatment 1 Intervention

Patients assigned to delayed outreach will receive no outreach for 6 months after study start and then will receive the same outreach intervention as early outreach arm.

Who Is Running the Clinical Trial?

Northwestern University

Lead Sponsor

Trials

1,674

Recruited

989,000+

National Institute on Aging (NIA)

Collaborator

Trials

1,841

Recruited

28,150,000+