Recruiting

Observational Study

Sponsor:

VA Ann Arbor Healthcare System

Code:

NCT05026684

Conditions

Delivery of Health Care

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Personalized cost handout

Study Details

Brief summary:

The COVID-19 pandemic has transformed the delivery of ambulatory care in the US. One of the most notable changes to ambulatory care practice has been the rapid expansion of telemedicine services. Such expansion sought to preserve access to necessary care for patients while protecting them and their clinicians from undue risk of exposure to COVID-19.

This multiphase, Veteran-centered approach to developing and evaluating a novel behavioral intervention to provide full cost transparency to Veterans will achieve the following aims:

Aim 1: Create an automated system to generate personalized estimates of Veterans' full costs (travel costs, time costs, and out-of-pocket costs) for different types of primary care visits.

Aim 2: Develop and refine a novel behavioral intervention that will help Veterans and their clinicians use personalized information about the full costs of different types of primary care visits in the VHA.

Aim 3: Evaluate the acceptability, feasibility, and preliminary effectiveness of the developed intervention to Veterans and their clinicians.

Conditions

Delivery of Health Care

Study ID

NCT05026684

Start date

Jul 15, 2021

Status verified date

Apr, 2022

Completion date

Jun 30, 2022

Anticipated

Primary completion date

May 30, 2022

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Age 18 years or older with an upcoming face-to-face, telephone, or VVC appointment with a consenting Primary Care provider at the Ann Arbor VA.

Exclusion Criteria:

  • Under the age of 18.
  • Mild cognitive impairment, dementia, psychotic disorder, or unable to provide informed consent.

Study Design

Enrollment

150 participants

Anticipated

Intervention Model

Single group

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Experimental group

Personalized cost information group.

Interventions

Personalized cost handout

Patients will be given a personalized cost handout to make transparent the full costs to Veterans of different types of ambulatory visits in order to optimize the value of their health care investments.

Primary outcome measure

  • Level of confidence in understanding costs of different visit type options [ Time Frame: Within one week of appointment ]

Central Contacts and Locations

Central contacts

Jeffrey T. Kullgren, MD, MS, MPH

(734) 845-3502Jeffrey.Kullgren@va.gov

Nora A. Metzger, MSW

734-222-7682nora.metzger2@va.gov

Locations

VA Ann Arbor Healthcare System

Recruiting

Ann Arbor, Michigan, United States, 48105

Contacts

Jeffrey T. Kullgren, MD, MS, MPH

734-845-3613Jeffrey.Kullgren@va.gov

Nora Metzger, MSW

734-222-7682nora.metzger2@va.gov

Principal Investigator:

Jeffrey T Kullgren, MD, MS, MPH

More Information

Sponsor

VA Ann Arbor Healthcare System

Last update posted

Apr 29, 2022

Last verified

Apr, 2022

Keywords

  • Cost
  • Value
  • Veterans
  • Behavioral Intervention
  • Personalized healthcare

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-09. This information was provided to ClinicalTrials.gov by VA Ann Arbor Healthcare System on 2022-04-29.