This real-world, interventional sub-study will evaluate the impact of potential payer subsidies for Turtle Health at-home consults on subsequent interactions with the healthcare system within select sub-populations of interest.
The present study is a sub-study of the SELF-GYN1 study. The SELF-GYN1 study is a multicenter study designed to evaluate the efficacy and safety of the use of the Turtle Health Ultrasound Scanner for the acquisition of transvaginal ultrasound images by a study participant, with no previous training, in her home when guided by real-time remote supervision from a qualified and specially trained ultrasound technologist. In addition to the main questions of the SELF-GYN1 study, additional questions related to patient decision-making and pricing dynamics for patients who purchase patient's decisions to purchase a fertility consult alongside enrolling in the SELF-GYN1 trial, will be studied at Mayo Clinic, through providing subsidies for the purchasing of the fertility consult.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
DOUBLE
Some participants will receive a subsidy when they purchase the fertility consult.
Some participants will receive an invitation from their health center to purchase an at-home fertility consult.
Mayo Clinic
Rochester, Minnesota, United States
Image quality
Percent of women whose stills are clinical quality, in each of 3 populations of interest.
Time frame: 6 weeks
False positives
Rate of false positives of 'significant findings'
Time frame: 6 weeks
Recalled Net Promoter Score
Difference between recalled in-clinic Net Promoter Score and at-home Net Promoter Score. The Net Promoter Score has a range of 0-10 with higher scores indicating more favorable responses.
Time frame: 6 weeks
Number of patients opening box at correct time
Confirming patient opens box at correct time (not early)
Time frame: 6 weeks
Number of correct patients identified
Correct patient is identified by tech and tests (not wrong patient)
Time frame: 6 weeks
Number of patients who used probe cover
Patient correctly applies probe cover without either a) failing to apply it or b) ripping it, including in low light or other sub-optimal conditions
Time frame: 6 weeks
Number of patients placing probe in correct cavity
Patient places probe in correct cavity (vaginal vs. anal)
Time frame: 6 weeks
Rate of return packages sent
Patient ships product back in a timely fashion
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.
Time frame: 6 weeks
Rate of probes that crack
Probe does not crack on out-return trip
Time frame: 6 weeks
Rate of working probes
Probe remains in working condition
Time frame: 6 weeks
Rate of probes being reprocessed
Probe is reprocessed properly per internal SOPs
Time frame: 6 weeks
Adverse events
Number and type of adverse events that occur
Time frame: 6 weeks
Number of participants per subsidy
Level of participation (purchase and completion of consult) per subsidy level within each cohort of interest
Time frame: 6 months
Number of couples who participate
Level of participation in couple consults where offered - i.e., purchase of both male and female consult, per subsidy level within each cohort of interest
Time frame: 6 months
Clinically significant findings
Percentage of patients in which clinically significant findings are identified
Time frame: 6 weeks
Number of IVF cycles
Number of IVF cycles conducted
Time frame: 6 months
Percentage of IVF cycles
Percentage of IVF cycles considered clinically necessary based on treating physician survey
Time frame: 6 months
Number of gynecological surgeries
Number of gynecological surgeries conducted
Time frame: 6 months
Percentage of minimally invasive gynecological surgeries
Percentage of those surgeries that are considered minimally invasive based on treating physician survey
Time frame: 6 months
Percentage of gynecological surgeries
Percentage of those surgeries that are considered clinically necessary within next 12 months based on treating physician survey
Time frame: 12 months
Number of additional TVUS
Number of additional transvaginal ultrasounds conducted to monitor findings identified during at-home consult
Time frame: 6 months
Number of other follow-up care
Number of other follow-up care sought based on findings identified during at-home consult
Time frame: 6 months
Percentage of follow up care per arm
Percentage of patients in each arm seeking follow up care of any kind; fertility care in particular after consult
Time frame: 6 months