Assessing People's Hospital Outpatient Appointment Preferences in the United Kingdom

University of Warwick

Status: Completed

Conditions: Chronic Disease; Hospital Outpatient Clinics

Treatments: Behavioral: Video Default; Behavioral: In-Person Default; Behavioral: Active Choice

Study type: Interventional

Funder types: Other

Identifiers

NCT04536259

BSREC 110/19-20

Details and patient eligibility

About

The sustainability of the United Kingdom's National Health Service's (NHS) is threatened immediately by Covid-19 and continually by an increasing prevalence of long-conditions that cannot be cured but can be maintained. Shifting traditional face-to-face outpatient appointments to remote video consultations may help the NHS continue to serve patients efficiently. While much research has examined healthcare providers' attitudes and beliefs about remote video consultations, less has attempted to understand how NHS service providers should invite patients to attend them. The present study examines how the framing of an invitation to attend a hospital outpatient appointment by video influences the proportion of people who agree to attend by video. It also explores some of the barriers and facilitators people may experience to attending appointments by video across diagnostic complexities and age groups. The results of this study should help hospitals better present patients with the option to attend video consultations where appropriate, and provide support to mitigate common barriers to people's willingness to give video consultations a go.

Enrollment: 1,481 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

All participants will:

• be 18 years old or older;
• be resident in the United Kingdom; and
• indicate having been diagnosed with a chronic diseases such as diabetes, heart disease, stroke etc.

Exclusion criteria

• be less than 18 years old;
• not be resident in the United Kingdom; and
• not indicate having been diagnosed with a chronic diseases such as diabetes, heart disease, stroke etc.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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1,481 participants in 3 patient groups

Video Default

Experimental group

Description:

The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend your next consultation by video. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) Yes, I would be happy to attend a video consultation. B) If possible, I would rather attend the appointment in person.

Treatment:

Behavioral: Video Default

In-Person Default

Experimental group

Description:

The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend your next consultation in person. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) Yes, I would be happy to attend an in-person consultation. B) If possible, I would rather attend the appointment by video.

Treatment:

Behavioral: In-Person Default

Active Choice

Experimental group

Description:

The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend a consultation by video or in person. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) I would prefer a video consultation. B) I would prefer an in-person consultation.

Treatment:

Behavioral: Active Choice