RecruitingNot ApplicableNCT06539988

Advancing Decisions About Virtual Service Encounters

Advancing Decisions About Virtual Service Encounters (ADViSE)


Sponsor

VA Office of Research and Development

Enrollment

600 participants

Start Date

Apr 1, 2026

Study Type

INTERVENTIONAL

Conditions

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).


Eligibility

Min Age: 18 Years

Inclusion Criteria3

  • 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

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Interventions

BEHAVIORALClinician 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.

OTHERPersonalized 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.


Locations(1)

VA Ann Arbor Healthcare System, Ann Arbor, MI

Ann Arbor, Michigan, United States

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NCT06539988


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