The Use of Implementation Intentions to Increase the Appointment Attendance of OEF/OIF Veterans

This study is not yet open for participant recruitment.
Verified February 2013 by VA Connecticut Healthcare System
Sponsor:
Information provided by (Responsible Party):
VA Connecticut Healthcare System
ClinicalTrials.gov Identifier:
NCT01649934
First received: July 22, 2012
Last updated: February 13, 2013
Last verified: February 2013
  Purpose

The purpose of the current pilot study will be to utilize implementation intentions to increase patient compliance with appointment attendance. Participants in the current study will be individuals referred for evaluation of their treatment needs. Experimental groups will create a simple induction consisting of "what/when/where" statements (implementation intentions) with the intention of increasing their rate of calling to schedule and subsequently attend appointments associated with their care. It is anticipated that participants who take an active role in their plan and utilize the implementation intention procedures will be more likely to make and attend the appointments suggested by their treating clinician. This pilot project will provide valuable initial data as to the potential effectiveness of a simple, cost-effective means of increasing appointment attendance. If successful, it could lead to cost savings and a decrease in the appointment wait time for people by increasing the utilization of available appointments.


Condition Intervention
Brain Injuries
Behavioral: Implementation Intention
Behavioral: Contact Clinic

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: The Use of Implementation Intentions to Increase the Appointment Attendance of Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) Veterans

Resource links provided by NLM:


Further study details as provided by VA Connecticut Healthcare System:

Primary Outcome Measures:
  • Attendance at Scheduled Appointments [ Time Frame: Over a 60 Day Period ] [ Designated as safety issue: No ]
    The attendance of the participants at their scheduled appointments will be measured.


Estimated Enrollment: 60
Study Start Date: June 2013
Estimated Study Completion Date: December 2013
Estimated Primary Completion Date: December 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Scheduling as Usual
Participants will be subject to the current appointment scheduling procedures.
Experimental: Contact Clinic
This group will be required to contact the clinic themselves to make appointments.
Behavioral: Contact Clinic
Participants will be asked to sign a form indicating their need to contact the recommended clinics to make their appointments.
Experimental: Implementation Intentions
This group will create Implementation Intentions to contact the clinic to make their appointments and to attend those appointments.
Behavioral: Implementation Intention
Implementation Intentions are a series of what/when/where statements that a participant will make to create automatic cues to complete a behaviorally advantageous action.

Detailed Description:

The purpose of the current pilot study will be to utilize implementation intentions to increase patient compliance with appointment attendance. It is anticipated that participants who take an active role in their plan and utilize the implementation intention procedures will be more likely to make and attend the appointments suggested by their treating clinician. Sixty participants will be recruited to participate in the research project. Participants in the current study will be individuals referred for a secondary Traumatic Brain Injury (TBI) screen. This appointment serves to develop the plan of care that will be used for determination of the treatments that would be beneficial to the Veteran and as such the appointments necessary for further assessment or treatment in affiliated clinics (i.e. mental health, physical therapy, neuropsychology). Twenty participants will serve as controls who will receive treatment planning as usual. Twenty participants will receive treatment as usual but will be asked to contact the clinics directly to make their appointments. Twenty participants will be provided with a simple implementation intention induction. The simple induction will consist of the creation of "what/when/where" statements surrounding their intention to call to schedule and to attend medical appointments associated with their care. Research staff will then monitor the participants' appointment schedule daily to determine if they made the appropriate appointments and subsequently attended those appointments. Primary data for the examination will be these yes/no data points as to whether the participant successfully adhered to their initial intention to schedule the prescribed appointments. Additionally, for those who schedule the prescribed appointments, the latency in days from the time they indicated they intended to make their appointments will serve as a measure of their compliance. Across all groups, attendance at those appointments will be recorded to determine if the procedures lead to an increase in their attendance at their appointments compared to the treatment as usual group. This pilot project will provide valuable initial data as to the potential effectiveness of a simple, cost-effective means of increasing appointment attendance. If successful, it could lead to cost savings to the VA system and a decrease in the appointment wait time for Veterans by increasing the utilization of available appointments.

  Eligibility

Ages Eligible for Study:   22 Years to 50 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Completed appointment for secondary TBI screen
  • English speaker

Exclusion Criteria:

  • Neurological injury leading to dementia
  • In ability to consent owing to cognitive barriers
  • Non-English speaker
  • Unable to schedule appointments the next working day after their secondary screen
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01649934

Contacts
Contact: Joseph F Kulas, Ph.D. 203-932-5711 ext 2470 joseph.kulas@va.gov

Locations
United States, Connecticut
VA Connecticut Healthcare System Not yet recruiting
West Haven, Connecticut, United States, 06516
Principal Investigator: Joseph F Kulas, Ph.D.         
Sponsors and Collaborators
VA Connecticut Healthcare System
Investigators
Principal Investigator: Joseph F Kulas, Ph.D. VA Connecticut Healthcare System
  More Information

Publications:

Responsible Party: VA Connecticut Healthcare System
ClinicalTrials.gov Identifier: NCT01649934     History of Changes
Other Study ID Numbers: 01634
Study First Received: July 22, 2012
Last Updated: February 13, 2013
Health Authority: United States: Federal Government

Keywords provided by VA Connecticut Healthcare System:
Appointments and Schedules

Additional relevant MeSH terms:
Brain Injuries
Wounds and Injuries
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Craniocerebral Trauma
Trauma, Nervous System

ClinicalTrials.gov processed this record on April 16, 2014