Recruiting

ADViSE Intervention

Sponsor:

VA Office of Research and Development

Code:

NCT06539988

Conditions

Health Care Costs

Delivery of Health Care

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

Clinician Coaching Sessions

Personalized text messages to patients

Study Details

Brief summary:

Expanded availability of virtual care encounters in Primary Care provides new opportunities to improve Veterans' outcomes by aligning encounter modalities with their needs and preferences. Yet, Veterans and their Primary Care physicians (PCPs) lack personalized information about the benefits and costs of different Primary Care modalities that is needed to maximize the value of Primary Care encounters. To address this problem, in this study the investigators will use surveys and interviews to identify what Veterans and PCPs perceive to be the benefits and optimal uses of different Primary Care encounter modalities. They will then supplement their existing system for communicating encounter costs to Veterans and PCPs with new interactive messaging about benefits and optimal uses of different encounter modalities. Finally, this novel Advancing Decisions about Virtual Service Encounters (ADViSE) intervention will be optimized through user-centered refinement before evaluating its effects on Veteran-centered outcomes, use of virtual care, and intermediate health outcomes in a randomized controlled trial (RCT).

Conditions

Health Care Costs

Delivery of Health Care

Study ID

NCT06539988

Start date

Apr 1, 2026

Status verified date

Apr, 2026

Completion date

Jun 30, 2028

Anticipated

Primary completion date

Sep 30, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Veteran inclusion criteria are having an upcoming face-to-face (F2F), telephone, or VA Video Connect (VVC) appointment in the next 8 to 12 weeks
  • Having at least 3 Primary Care F2F, telephone, or VVC encounters in the previous 12 months
  • Able to provide informed consent
  • Willing and able to receive text messages from the VA Patient Engagement, Tracking, and Long-term Support (PETALS) platform

Exclusion Criteria:

  • Veteran exclusion criteria are a CDW diagnosis of mild cognitive impairment, dementia, or a psychotic disorder

Study Design

Enrollment

600 participants

Anticipated

Allocation

Randomized

Intervention Model

Crossover

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: Receiving the optimized ADviSE Intervention

6 months of selected text messages from a library developed and refined in previous study aims.

no intervention: Control period

Usual care.

Interventions

Clinician Coaching Sessions

PCPs will receive interactive coaching sessions from a Clinician Coach 2 months into the intervention period and again at 4 months into the intervention period.

Personalized text messages to patients

Drawing upon a library of messages that have previously been developed and refined, Veterans will receive 6 months of optimized text messages. The frequency of text messages will be determined based on feedback from Veterans in earlier phases of the research.

Primary outcome measure

  • Veterans' perceptions of the value of their healthcare [ Time Frame: 6 months prior to intervention and 6-months post intervention ]

Central Contacts and Locations

Central contacts

Jeffrey T Kullgren, MD MPH MS

(734) 845-5290Jeffrey.Kullgren@va.gov

Nora A Metzger, BA MSW

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

Locations

VA Ann Arbor Healthcare System, Ann Arbor, MI

Recruiting

Ann Arbor, Michigan, United States, 48105-2303

Contacts

Fatima Makki, MPH MSW

734-845-3623fatima.makki@va.gov

Nicholas R Yankey, MPH MSW

(734) 222-8987Nicholas.Yankey@va.gov

Principal Investigator:

Jeffrey T. Kullgren, MD MPH MS

More Information

Sponsor

VA Office of Research and Development

Last update posted

Apr 8, 2026

Last verified

Apr, 2026

Keywords

  • Access
  • Behavior (patient)
  • Behavior (provider)
  • Rural Health
  • Patient preferences
  • Decision support
  • Telemedicine
  • Patient-centered Care
  • Communication (doctor-patient)
  • Cost
  • Patient outcomes
  • Primary care
  • Satisfaction (patient)
  • Virtual care

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by VA Office of Research and Development on 2026-04-08.