Recruiting

Memora Platform

Sponsor:

Boston Medical Center

Code:

NCT04441567

Conditions

Orthopedic Disorders

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Right-size clinic visits

Study Details

Brief summary:

Developing novel methods of patient communication is crucial in providing value-based care to orthopedic patients. Healthcare technology platforms have been developed to improve patient communication methods particularly for the administration of patient-reported outcome measures (PROMs). However, the majority of these interventions rely on web-based platforms that require patients to have computer access. Among American households earning less than $30,000 per year, only 59% have access to a desktop or laptop and just 47% have broadband internet at home compared to mobile phone penetration which is estimated at 95% of which 93% regularly use text messages. The use of phone messaging may be the most effective means to have patients complete PROMs.

The Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH-funded, clinically validated method of tracking patient-reported outcomes to efficiently assess patient health status. PROMIS utilizes Item Response Theory (IRT) and computerized adaptive testing (CAT) to improve measurement precision and decrease survey time as compared to traditional PROMs.

The purpose of this two-phase study is to utilize Memora Health's text-messaging platform to collect web-based PROMIS CAT surveys from patients (Phase 1) and use this information to right-size clinic visits (Phase 2).

Conditions

Orthopedic Disorders

Study ID

NCT04441567

Start date

May 10, 2021

Status verified date

Oct, 2025

Completion date

Sep, 2026

Anticipated

Primary completion date

Sep, 2026

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Subjects that are classified by the Current Procedural Terminology/International Classification of Diseases (CPT/ICD)-10 Diagnosis Codes, having sustained the injury within 3 weeks of enrollment for non-operative treatment or will undergo surgery during the enrollment period:
  • Ankle Fracture
  • Distal Radius Fracture
  • Tibial Plateau Open reduction internal fixation (ORIF)
  • Spine Operative

  • Anterior cervical discectomy with fusion (ACDF)
  • Cervical Laminectomy
  • Lumbar Fusion
  • Lumbar Decompression
  • Spine Non-operative

  • Lumbar Stenosis
  • Lumbar Degenerative Disc Disease
  • Rotator Cuff Repair
  • Anterior cruciate ligament (ACL) Reconstruction
  • Have personal use of cellular phone with access to the internet
  • Speak either English or English as a primary language:

Exclusion Criteria:

  • Limited and non-readers
  • Vulnerable populations - incarcerated patients
  • Patients with no cell phone to use for scoring

Study Design

Enrollment

3000 participants

Anticipated

Allocation

Non randomized

Intervention Model

Sequential

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

no intervention: Phase 1

Participants in phase 1 will be observed and data about their recovery time will be collected from which recovery curves will be calculated for Phase 2

experimental: Phase 2

Participants in Phase 2 will have their clinic visits potentially revised based on the phase 1 recovery curves which may increase or decrease the number of clinic visits they receive based on the PROMs reported.

Interventions

Right-size clinic visits

The curve created in Phase 1 will be used to guide the number of clinic visits based on PROMs reported by the participants in Phase 2.

Primary outcome measure

  • Right-size clinic visits for specific orthopedic conditions [ Time Frame: 2 years ]
  • Patient-based recovery curves for specific orthopedic conditions [ Time Frame: 1 year ]

Central Contacts and Locations

Central contacts

Paul Tornetta III, MD

617 414 5757Paul.Tornetta@bmc.org

Katarzyna Wegrzyn, MD

617-414-5757Katarzyna.Wegrzyn@bmc.org

Locations

Boston Medical Center

Recruiting

Boston, Massachusetts, United States, 02118

Contacts

Paul Tornetta III, MD

617-414-5757Paul.Tornetta@bmc.org

Katarzyna Wegrzyn, MD

617-414-5757Katarzyna.Wegrzyn@bmc.org

More Information

Sponsor

Boston Medical Center

Last update posted

Oct 14, 2025

Last verified

Oct, 2025

Keywords

  • PROM
  • PROMIS
  • Memora Health Text messaging platform
  • SMS (Short Message Service)
  • Orthopedic conditions
  • Recovery curves
  • Right-size clinic visits
  • CAT
  • SMS

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Boston Medical Center on 2025-10-14.