Health MaintenanceNCT05979987
UCLA Health Patient Health Maintenance Text Reminder July 2023
A study testing Reminder of preventive care measures, Persuasion via anecdote and Persuasion via anecdote without link in people with Health Maintenance and Diabetes, run by University of California, Los Angeles at 1 site in United States.
Trial summary
This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text message reminders impact patient engagement with primary care. This prospective randomized control trial is being implemented in conjunction with UCLA Health's larger quality improvement initiative (the My Action Plan… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Health Maintenance, Diabetes, Cancer
- What is being tested?
- Reminder of preventive care measures, Persuasion via anecdote and Persuasion via anecdote without link
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 6,894 participants
- Where
- 1 siteUnited States
- Study dates
- 27 Jul 2023to 31 Jul 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Empaneled to UCLA Health DOM Primary Care
- Has at least one overdue health maintenance measure that the My Action Plan initiative focuses on
- Has an active MyChart status
- Can accept SMS messages from UCLA Health
- Has not opened the My Action Plan electronic letter within 7 days of initial outreach
- Has a July Birthday
Who cannot join
- Under the age of 18
- Deceased patients
- Hospice patients
- Has opted out electronic communication (bulk messages, email, and/or text)
- For the final analysis, the investigators will further exclude patients who have scheduled appointments for all screenings/tests or completed all screenings/tests prior to the date when they are supposed to receive the reminder from this trial
Trial locations and contacts
1 site in 1 country.
United States1 site
UCLA Health Department of Medicine, Quality Office
Los Angeles, California, 90095
About this study
This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text message reminders impact patient engagement with primary care. This prospective randomized control trial is being implemented in conjunction with UCLA Health's larger quality improvement initiative (the My Action Plan Quality Improvement Initiative) in order to improve primary care preventive measure completion rates.
Read the detailed description
UCLA Health will launch an initiative called My Action Plan which is an outreach effort targeting the primary care patients at UCLA who have an outstanding, clinically indicated primary care preventative care gap (e.g., overdue colorectal cancer screening, outstanding diabetes tests) and aims at encouraging patients to complete their overdue health maintenance measures.
At the beginning of each month, identified UCLA Health primary care patients will be enrolled in a trial the investigators have pre-registered under the title "UCLA Health Patient Health Maintenance Outreach Text Message" and randomized to receive one of four text messages informing them that they have overdue health maintenance measures and urging them to take action to complete these measures. These text messages will contain a link to their MyChart patient portal account, specifically linking them to a My Action Plan electronic letter that will contain a personalized list of outstanding preventive care items and actionable steps to complete the items.
In July 2023, if participants do not open their My Action Plan electronic letter within 7 days after the initial outreach, they will be enrolled in the trial described in the current pre-registration. Patients will be randomly assigned in a 1:1:1:1 ratio to receive one of four text reminders 2 weeks after the initial outreach message. Additionally, within each text-reminder arm, patients will be randomized to one of three time slots for getting the reminder. The investigators will examine patients' interaction with these reminders and how that ultimately translates to them completing their indicated health maintenance measures.
The UCLA Department of Medicine (DOM) intends to roll out this QI initiative at the beginning of the 2023 calendar year and continue it for a span of at least 12 months. Each month, the initiative targets patients whose birthday falls into that month. This proposed trial will run for one month (July 2023).
Analysis Plan:
The investigators will utilize patient-level ordinary least squares (OLS) estimation, with statistical inferences based on model-robust standard errors. The primary model term will be indicator variables for arm assignment.
The analysis will adjust for sex, age, race/ethnicity, indicators for screenings/tests that patients are due for, and whether patients have upcoming primary care appointments. Missing covariate values will be handled by including 'unknown' indicators, along with mean imputation for quantitative covariates.
The investigators will first compare Arm 2 with Arm 1 to test the effect of encouraging patients to read the story about a patient whose life was saved by preventive screening.. If the difference is significant in an outcome measure, the investigators will then compare Arms 3 and 4 with Arms 1 and 2 to shed light on why Arm 2 differs from Arm 1.
Exploratory analyses will investigate heterogeneous treatment effects of Arm 2 (vs. Arm 1) by patients' gender, age, race/ethnicity, history of cancer and other pre-existing conditions, family cancer history, past adherence to screenings/tests that are included in the My Action Plan Initiative, past receipt of influenza vaccination, frequency of doctor visits.
- Conditions
- Health Maintenance, Diabetes, Cancer
- Being tested
- Reminder of preventive care measures, Persuasion via anecdote, Persuasion via anecdote without link, Persuasion via research
- Keywords
- primary care, digital outreach
- Medical subject headings
- Diabetes Mellitus, Neoplasms
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Reminder of preventive care measuresBehavioural
The investigators will send randomized participants an SMS reminder encouraging them to click the provided link and close their outstanding, overdue preventive care measures.
The provided link will take them to their MyChart login page; after logging in, they would see their personalized My Action Plan Letter detailing their personalized, overdue preventive care measures.
Persuasion via anecdoteBehavioural
The message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message prompts patients to click on a link to read the story about the patient.
Persuasion via anecdote without linkBehavioural
The message will contain a link to an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message won't contain a link to the story, but it will briefly describe the story.
Persuasion via researchBehavioural
This message will mention that research has shown promptly closing health gaps saves lives.The message will contain a link to an official website that supports the statement.
| Study group | Role | What they receive |
|---|---|---|
| Control Reminder | Experimental | Eligible, randomized participants will receive a generic text message reminding them to close their outstanding health gap. Receives: Behavioral: Reminder of preventive care measures |
| Anecdote-based Reminder | Experimental | Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message prompts patients to click on a link to read the story about the patient. Receives: Behavioral: Reminder of preventive care measures; Behavioral: Persuasion via anecdote |
| Anecdote-based Reminder without link | Experimental | Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message won't contain a link to the story, but it will briefly describe the story. Receives: Behavioral: Reminder of preventive care measures; Behavioral: Persuasion via anecdote without link |
| Research-based Reminder | Experimental | Eligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will mention that research has shown promptly closing health gaps saves lives. The message will contain a link to an official website that supports the statement. Receives: Behavioral: Reminder of preventive care measures; Behavioral: Persuasion via research |
What is being measured
The primary outcome is the main question the study is designed to answer.
Opening link within SMS Text message
Percentage of participants across the different reminder arms who click on the link in the reminder message
Measured: 1 week after getting the reminder
Secondary outcomes (4)
MyChart letter opened
Percentage of participants across the different arms who open their personalized My Action Plan letter on MyChart
Measured: 1 week after getting the reminder
Direct scheduling appointment rate
Rate of which eligible participants directly schedule an appointment for diabetic retinal exams, diabetes education, or breast cancer screening in order to complete these overdue screening/test(s). These screenings/tests have dedicated appointment resources that people can directly schedule for.
Measured: 2 weeks after getting the reminder
Rate of taking action for one overdue screening/test
Rate of which participants schedule an appointment to complete their overdue screening/test or start the online tool for colorectal screening
Measured: 2 weeks after getting the reminder
Completion rate of one screening/test
Rate of completion of at least one screening/test within the observation window.
Measured: 6 months after getting the initial outreach text message
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted7 Aug 2023
- Study start27 Jul 2023
- Primary completion20 Apr 2024
- Study completion31 Jul 2024
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Health MaintenanceStudies of the same condition, open and under way.
- More trials run by University of California, Los AngelesThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Parallel-arm randomized control trial
- Masking
- Double blind
- Who is masked
- Participant, Care provider
- Enrolment
- 6,894 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of California, Los Angeles
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Richard K. Leuchter, MD, University of California, Los Angeles
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05979987
- Sponsor's protocol ID
- MAPreminder3
- Status last verified
- Jun 2025
- First submitted
- 30 Jul 2023
- Last updated
- 2 Jul 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: We do not plan to make any individual participant data available.
Study at a glance
From the registry record, last updated by the sponsor on 2 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- UCLA Health Patient Health Maintenance Text Reminder July 2023
- ClinicalTrials.gov ID
- NCT05979987
- Acronym / sponsor ID
- MAPreminder3
- Conditions
- Health Maintenance, Diabetes, Cancer
- Keywords
- primary care, digital outreach
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 6,894 participants (actual)
- Lead sponsor
- University of California, Los AngelesUniversity, hospital or other
- Study start
- 27 Jul 2023 (actual)
- Primary completion
- 20 Apr 2024 (actual)
- Study completion
- 31 Jul 2024 (actual)
- First posted
- 7 Aug 2023 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a prospective randomized clinical trial evaluating how behaviorally-informed outreach text message reminders impact patient engagement with primary care. This prospective randomized control trial is being implemented in conjunction with UCLA Health's larger quality improvement initiative (the My Action Plan Quality Improvement Initiative) in order to improve primary care preventive measure completion rates.
Detailed description
UCLA Health will launch an initiative called My Action Plan which is an outreach effort targeting the primary care patients at UCLA who have an outstanding, clinically indicated primary care preventative care gap (e.g., overdue colorectal cancer screening, outstanding diabetes tests) and aims at encouraging patients to complete their overdue health maintenance measures.
At the beginning of each month, identified UCLA Health primary care patients will be enrolled in a trial the investigators have pre-registered under the title "UCLA Health Patient Health Maintenance Outreach Text Message" and randomized to receive one of four text messages informing them that they have overdue health maintenance measures and urging them to take action to complete these measures. These text messages will contain a link to their MyChart patient portal account, specifically linking them to a My Action Plan electronic letter that will contain a personalized list of outstanding preventive care items and actionable steps to complete the items.
In July 2023, if participants do not open their My Action Plan electronic letter within 7 days after the initial outreach, they will be enrolled in the trial described in the current pre-registration. Patients will be randomly assigned in a 1:1:1:1 ratio to receive one of four text reminders 2 weeks after the initial outreach message. Additionally, within each text-reminder arm, patients will be randomized to one of three time slots for getting the reminder. The investigators will examine patients' interaction with these reminders and how that ultimately translates to them completing their indicated health maintenance measures.
The UCLA Department of Medicine (DOM) intends to roll out this QI initiative at the beginning of the 2023 calendar year and continue it for a span of at least 12 months. Each month, the initiative targets patients whose birthday falls into that month. This proposed trial will run for one month (July 2023).
Analysis Plan:
The investigators will utilize patient-level ordinary least squares (OLS) estimation, with statistical inferences based on model-robust standard errors. The primary model term will be indicator variables for arm assignment.
The analysis will adjust for sex, age, race/ethnicity, indicators for screenings/tests that patients are due for, and whether patients have upcoming primary care appointments. Missing covariate values will be handled by including 'unknown' indicators, along with mean imputation for quantitative covariates.
The investigators will first compare Arm 2 with Arm 1 to test the effect of encouraging patients to read the story about a patient whose life was saved by preventive screening.. If the difference is significant in an outcome measure, the investigators will then compare Arms 3 and 4 with Arms 1 and 2 to shed light on why Arm 2 differs from Arm 1.
Exploratory analyses will investigate heterogeneous treatment effects of Arm 2 (vs. Arm 1) by patients' gender, age, race/ethnicity, history of cancer and other pre-existing conditions, family cancer history, past adherence to screenings/tests that are included in the My Action Plan Initiative, past receipt of influenza vaccination, frequency of doctor visits.
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, care provider)
- Number of arms
- 4
- Model description
- Parallel-arm randomized control trial
| Arm | Type | Receives |
|---|---|---|
| Control Reminder | Experimental | Behavioral: Reminder of preventive care measuresEligible, randomized participants will receive a generic text message reminding them to close their outstanding health gap. |
| Anecdote-based Reminder | Experimental | Behavioral: Reminder of preventive care measures, Behavioral: Persuasion via anecdoteEligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message prompts patients to click on a link to read the story about the patient. |
| Anecdote-based Reminder without link | Experimental | Behavioral: Reminder of preventive care measures, Behavioral: Persuasion via anecdote without linkEligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message won't contain a link to the story, but it will briefly describe the story. |
| Research-based Reminder | Experimental | Behavioral: Reminder of preventive care measures, Behavioral: Persuasion via researchEligible, randomized participants will receive a text message reminding them to close their outstanding health gap. This message will mention that research has shown promptly closing health gaps saves lives. The message will contain a link to an official website that supports the statement. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- Empaneled to UCLA Health DOM Primary Care
- Has at least one overdue health maintenance measure that the My Action Plan initiative focuses on
- Has an active MyChart status
- Can accept SMS messages from UCLA Health
- Has not opened the My Action Plan electronic letter within 7 days of initial outreach
Key exclusion criteria (5 listed)
- Under the age of 18
- Deceased patients
- Hospice patients
- Has opted out electronic communication (bulk messages, email, and/or text)
- For the final analysis, the investigators will further exclude patients who have scheduled appointments for all screenings/tests or completed all screenings/tests prior to the date when they are supposed to receive the reminder from this trial
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Reminder of preventive care measuresThe investigators will send randomized participants an SMS reminder encouraging them to click the provided link and close their outstanding, overdue preventive care measures. The provided link will take them to their MyChart login page; after logging in, they would see their personalized My Action Plan Letter detailing their personalized, overdue preventive care measures. | Behavioural | Anecdote-based Reminder, Anecdote-based Reminder without link, Control Reminder, Research-based Reminder |
| Persuasion via anecdoteThe message will contain an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message prompts patients to click on a link to read the story about the patient. | Behavioural | Anecdote-based Reminder |
| Persuasion via anecdote without linkThe message will contain a link to an anecdote of a patient whose cancer was caught early through similar, recommended preventive screenings. The message won't contain a link to the story, but it will briefly describe the story. | Behavioural | Anecdote-based Reminder without link |
| Persuasion via researchThis message will mention that research has shown promptly closing health gaps saves lives.The message will contain a link to an official website that supports the statement. | Behavioural | Research-based Reminder |
Primary outcome
Opening link within SMS Text message
Time frame: 1 week after getting the reminder
Percentage of participants across the different reminder arms who click on the link in the reminder message
4 secondary outcomes
MyChart letter opened
Time frame: 1 week after getting the reminder
Direct scheduling appointment rate
Time frame: 2 weeks after getting the reminder
Rate of taking action for one overdue screening/test
Time frame: 2 weeks after getting the reminder
Completion rate of one screening/test
Time frame: 6 months after getting the initial outreach text message
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Jul 2025.
- Individual participant dataSharing planned: No. We do not plan to make any individual participant data available.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Reminder of preventive care measures, Persuasion via anecdote and Persuasion via anecdote without link in people with Health Maintenance and Diabetes, run by University of California, Los Angeles at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Opening link within SMS Text message (time frame: 1 week after getting the reminder). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Jul 2025.