What this study is
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).
What's being tested
- Clinician Coaching Sessions
Intervention · BEHAVIORAL
PCPs 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
Intervention · OTHER
Drawing 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.
Study details
- Official title
- Advancing Decisions About Virtual Service Encounters (ADViSE)
- Sponsor
- VA Office of Research and Development
- Conditions
- Health Care Costs · Delivery of Health Care
- Enrolling
- 600 people
- Starts
- 2026-04-01
- Est. completion
- 2028-06-30
- Design
- Open-label, randomized, crossover
- Record
- View on ClinicalTrials.gov ↗
Who can join
Age 18 Years and overSex ALLHealthy volunteers Not acceptedYou may qualify if
- 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
You can't join if
- Veteran exclusion criteria are a CDW diagnosis of mild cognitive impairment, dementia, or a psychotic disorder
Sign in and we'll check these against your records.Full criteria on ClinicalTrials.gov ↗
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Study locations (1)
1 openVA Ann Arbor Healthcare System, Ann Arbor, MI
Ann Arbor, Michigan, United States
- Fatima Makki, MPH MSW · Contact734-845-3623fatima.makki@va.gov
- Nicholas R Yankey, MPH MSW · Contact(734) 222-8987Nicholas.Yankey@va.gov
- Amanda C Blok, PhD MSN · Sub-investigator
- Jeffrey T. Kullgren, MD MPH MS · Principal investigator
- Jeremy B. Sussman, MD MS · Sub-investigator
- Lewei Lin, MD · Sub-investigator
- Sarah T Hawley, PhD MPH BA · Sub-investigator
Recruiting
Study team
Sponsor
VA Office of Research and Development
Study ID IIR 22-172
Principal investigator
Jeffrey T. Kullgren, MD MPH MS
VA Ann Arbor Healthcare System, Ann Arbor, MI
Frequently asked questions
The sponsor hasn't published answers to common questions for this trial.