A randomized trial to compare patient-completion success of REDCap and Electronic Health Record (EHR)-based anxiety \& depression instrument delivery methods. Study hypothesis is that the screening completion proportion will vary across the 4 modalities tested.
In this randomized study of four modalities, we will compare Twilio text message delivery via REDCap versus (vs.) REDCap email survey links vs. EHR portal questionnaires with reminder message vs. current standard delivery EHR portal questionnaires without reminder. Screening instruments will be delivered by randomized method 7 days prior to scheduled clinic visit and outcomes occur by the time of the scheduled clinic visit. The study setting is the Wake Forest Comprehensive Epilepsy Center, with 2 clinic sites where adult patients are served (Atrium Health Wake Forest Baptist main campus, Atrium Health High Point Medical Center). EHR portal questionnaires without reminder is the current standard care screener delivery method. An exploratory supplement randomizing individuals to text message versus email survey link was later added.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
880
Standard care screening questionnaires on anxiety and depression
Atrium Health Wake Forest Baptist
Winston-Salem, North Carolina, United States
Percentage of Subjects Completing Screening Instruments
Percentage of subjects completing screening instruments by each of the 4 methods prior to clinic visit will be used to compare the effect of the different methods on patient self-completion, and to estimate completion rates by different methods for use in future screening implementation trials.
Time frame: Week 1
Research Team Time-sending Instruments
Time in minutes will be recorded
Time frame: Baseline Day 0
Research Team Time-instrument Data Entry
Time in minutes will be recorded
Time frame: Week 1
Participant Time From Instrument Delivery to Completion
Time in minutes will be recorded
Time frame: Week 1
Percent Accuracy of Kit Application Programming Interface (API)
Among participants who completed anxiety and depression screening instruments by one of the two EHR methods, this measure evaluates the % of instrument scores collected via Kit API that were identical to the original EHR source completion.
Time frame: Week 1
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.