Assessing People's Hospital Outpatient Appointment Preferences in the United Kingdom

Study Overview
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Brief Summary
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The sustainability of the United Kingdom's National Health Service's (NHS) is threatened immediately by Covid-19 and continually by an increasing prevalence of long-conditions that cannot be cured but can be maintained. Shifting traditional face-to-face outpatient appointments to remote video consultations may help the NHS continue to serve patients efficiently. While much research has examined healthcare providers' attitudes and beliefs about remote video consultations, less has attempted to understand how NHS service providers should invite patients to attend them. The present study examines how the framing of an invitation to attend a hospital outpatient appointment by video influences the proportion of people who agree to attend by video. It also explores some of the barriers and facilitators people may experience to attending appointments by video across diagnostic complexities and age groups. The results of this study should help hospitals better present patients with the option to attend video consultations where appropriate, and provide support to mitigate common barriers to people's willingness to give video consultations a go.

Official Title
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Assessing People's Hospital Outpatient Appointment Preferences in the United Kingdom

Conditions
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Hospital Outpatient Clinics, Chronic Disease

Intervention / Treatment
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* Behavioral: Video Default
* Behavioral: In-Person Default
* Behavioral: Active Choice


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: All participants will: be 18 years old or older; be resident in the United Kingdom; and indicate having been diagnosed with a chronic diseases such as diabetes, heart disease, stroke etc. Exclusion Criteria: be less than 18 years old; not be resident in the United Kingdom; and not indicate having been diagnosed with a chronic diseases such as diabetes, heart disease, stroke etc.

Ages Eligible for Study
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Minimum Age: 18 Years

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: Health Services Research
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Consenting participants be randomly assigned to one of three groups in a 1:1:1 fashion. Each group will be asked to imagine receiving an invitation to attend a hospital outpatient appointment by video or in-person. In the first group, the proposed attendance mode will be by video. In the second group, the proposed attendance mode will be in-person. In the third group, participants will simply be asked to select which mode of attendance they prefer: video or in-person.
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Video Default<br>The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend your next consultation by video. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) Yes, I would be happy to attend a video consultation. B) If possible, I would rather attend the appointment in person. | Behavioral: Video Default<br>* The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend your next consultation by video. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) Yes, I would be happy to attend a video consultation. B) If possible, I would rather attend the appointment in person.<br>|
| Experimental: In-Person Default<br>The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend your next consultation in person. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) Yes, I would be happy to attend an in-person consultation. B) If possible, I would rather attend the appointment by video. | Behavioral: In-Person Default<br>* The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend your next consultation in person. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) Yes, I would be happy to attend an in-person consultation. B) If possible, I would rather attend the appointment by video.<br>|
| Experimental: Active Choice<br>The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend a consultation by video or in person. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) I would prefer a video consultation. B) I would prefer an in-person consultation. | Behavioral: Active Choice<br>* The case and response options participants in this group will be asked to consider is provided below. Imagine that a hospital clinician you have been seeing for over a year tells you that that upon reviewing your patient notes they would like you to attend a consultation by video or in person. Consider each of the response options below, and select the one that best describes how you would respond to your clinician. A) I would prefer a video consultation. B) I would prefer an in-person consultation.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Response to the outpatient invitation | Participants responses will indicate whether they would prefer a video or in-person appointment. | One day |