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Electronic Health Record Strategies to Promote Diverse Participation in Research

Yale University logo

Yale University

Status

Completed

Conditions

Patient Participation

Treatments

Other: Traditional Letter
Other: Banner
Other: Direct to Patient Message
Other: Chatbot

Study type

Interventional

Funder types

Other
Other U.S. Federal agency

Identifiers

NCT05348603
75F40120C00174 (Other Grant/Funding Number)
2000032716

Details and patient eligibility

About

The purpose of this study is to determine the effectiveness of enhanced features in an online patient portal including banners, a chatbot, and direct to patient message and traditional mailed letters on increasing interest in research among online patient portal users.

Full description

The primary objective is to examine the effectiveness of enhanced online patient portal features including banners, a chatbot, and direct to patient message and traditional mailed letters on increasing interest in research among online patient portal users, as measured by the user's creation of a research profile.

The secondary objective is to examine the effectiveness of two enhanced online patient portal features including banners, a chatbot and direct-to-patient messages and traditional mailed letters on increasing participation in research among online patient portal users, as measured by the user joining a research study.

This study tests the hypothesis that at one year follow-up, various user engagement tools (e.g. messaging, banners) will increase the proportion of research profiles created by online patient portal users over profiles created by online patient portal users in the absence of those interventions.

Enrollment

726,199 patients

Sex

All

Ages

18+ years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

  • Has an account with the online patient portal
  • Has logged into the online patient portal at least once in the past year
  • Has not set up a research profile

Exclusion criteria

  • Currently enrolled in a clinical trial
  • Opted out of research
  • Has received a direct to patient recruitment message within the past year
  • On active cancer treatment
  • Active member of the study team

Trial design

Primary purpose

Other

Allocation

Randomized

Interventional model

Factorial Assignment

Masking

Double Blind

726,199 participants in 16 patient groups

No Intervention
No Intervention group
Description:
\*No intervention.
Traditional Letter Only
Experimental group
Description:
\*A mailed letter will invite the patient to set up a research profile in their patient portal.
Treatment:
Other: Traditional Letter
Direct to Patient Message Only
Experimental group
Description:
\*An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research.
Treatment:
Other: Direct to Patient Message
Chatbot Only
Experimental group
Description:
\*A real-time, interactive chatbot on the patient portal will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests.
Treatment:
Other: Chatbot
Banner Only
Experimental group
Description:
\*Banner-type "advertisements" will appear during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Traditional Letter + Direct to Patient Message
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research.
Treatment:
Other: Direct to Patient Message
Other: Traditional Letter
Traditional Letter + Chatbot
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * A real-time, interactive chatbot will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests.
Treatment:
Other: Chatbot
Other: Traditional Letter
Traditional Letter + Banner
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Other: Traditional Letter
Direct to Patient Message + Chatbot
Experimental group
Description:
* An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research; AND * A real-time, interactive chatbot will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests.
Treatment:
Other: Direct to Patient Message
Other: Chatbot
Direct to Patient Message + Banner
Experimental group
Description:
* An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research AND * Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Other: Direct to Patient Message
Chatbot + Banner
Experimental group
Description:
* A real-time, interactive chatbot will encourage research participation and direct patients to learn more about clinical trial opportunities and trials that match their interests; AND * Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care will inform patients of research opportunities.
Treatment:
Other: Banner
Other: Chatbot
Traditional Letter + Direct to Patient Message + Chatbot
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research; AND * A real-time, interactive chatbot will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests.
Treatment:
Other: Direct to Patient Message
Other: Chatbot
Other: Traditional Letter
Traditional Letter + Direct to Patient Message + Banner
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research; AND * Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Other: Direct to Patient Message
Other: Traditional Letter
Traditional Letter + Chatbot + Banner
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * A real-time, interactive chatbot will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests. AND \*Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Other: Chatbot
Other: Traditional Letter
Direct to Patient Message + Chatbot + Banner
Experimental group
Description:
* An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research; AND * A real-time, interactive chatbot will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests; AND * Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Other: Direct to Patient Message
Other: Chatbot
Traditional Letter + Direct to Patient Message + Chatbot + Banner
Experimental group
Description:
* A mailed letter will invite the patient to set up a research profile in their patient portal; AND * An e-mail sent to the patient will inform the patient that there is a message pending in their patient portal regarding opportunities to participate in research; AND * A real-time, interactive chatbot will encourage research participation and direct patients to learn more about research opportunities and trials that match their interests; AND * Banner-type "advertisements" during routine viewing and use of of the patient's portal for their our medical/clinical care inform patients of research opportunities.
Treatment:
Other: Banner
Other: Direct to Patient Message
Other: Chatbot
Other: Traditional Letter

Trial contacts and locations

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Central trial contact

Helen Seow, PhD

Data sourced from clinicaltrials.gov

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