Message Testing for CKD

Study Overview
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Brief Summary
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Members of CVS/Aetna will receive one of two text messages or receive no text message at all. In the available for members condition, participants will receive a text message that says, Two common kidney tests have been made available for members. By taking them, you could stay ahead of any problems and keep enjoying life. Schedule a doctor visit today to ask about them. In the Checked Health condition, the message will say, Have you checked your kidney health recently? By taking two common kidney tests, members can stay ahead of any problems and keep enjoying life. Schedule a doctor visit today to ask about them. There will also be a group of members that do not receive a text message at all.

Detailed Description
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The investigators will examine the proportion of participants that book an appointment, proportion of new diagnoses for CKD, creatinine tests and/or albuminuria tests, proportion of participants that looked for more information after receiving the text message. The investigators will examine these metrics 6 months after all of the text messages have gone out  8,637. The investigators will examine difference in conditions between the metrics listed above in the DV section. The investigators will compare the two conditions to each other, as well as to the group who does not receive a text message. The investigators will conduct a series of chi square tests/logistic regressions to examine the differences.

Official Title
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The Impact on Nudges of CKD Testing

Conditions
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Available for Members Text Message, Checked Health Text Message, No Text Message

Intervention / Treatment
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* Behavioral: Impact of Nudges on CKD Testing


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Participant must be a health insurance customer with the company we are working with. All other eligibility criteria are determined by the company and not disclosed to us. They will pick a sample of customers for the study, with participants then being randomly assigned to treatments they qualify for. Exclusion Criteria: NA
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Available for Members-Text<br>Participants will receive a text message that says, Two common kidney tests have been made available for members. By taking them, you could stay ahead of any problems and keep enjoying life. Schedule a doctor visit today to ask about them. | Behavioral: Impact of Nudges on CKD Testing<br>* The investigators will examine the impact of different messages on different dimensions of testing for CKD<br>|
| Experimental: Checked Health-Text<br>Participants will receive a text message that will say, Have you checked your kidney health recently? By taking two common kidney tests, members can stay ahead of any problems and keep enjoying life. Schedule a doctor visit today to ask about them. | Behavioral: Impact of Nudges on CKD Testing<br>* The investigators will examine the impact of different messages on different dimensions of testing for CKD<br>|
| Experimental: No Text Message<br>Participants in this group will not receive a text message at all | Behavioral: Impact of Nudges on CKD Testing<br>* The investigators will examine the impact of different messages on different dimensions of testing for CKD<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Proportion of appointments | The investigators will examine the proportion of appointments participants make between conditions | The investigators will examine this 6 months after all of the text messages are sent out 8637 of them | 
| Proportion of new diagnoses for CKD, creatinine tests and/or albuminuria tests |  | The investigators will examine this 6 months after all of the text messages are sent out 8637 of them | 
| Proportion of participants that looked for more information | Participants can request for more information upon receiving the text message | The investigators will examine this 6 months after all of the text messages are sent out 8637 of them |