Advancing Decisions About Virtual Service Encounters
NCT Number: NCT06539988
Acronym: ADViSE
Status: NOT_YET_RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Health Care Costs|Delivery of Health Care
Interventions: BEHAVIORAL: Clinician Coaching Sessions|OTHER: Personalized text messages to patients
Sponsor: VA Office of Research and Development
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 600
Study Design: Allocation: RANDOMIZED|Intervention Model: CROSSOVER|Masking: NONE|Primary Purpose: HEALTH_SERVICES_RESEARCH
Start Date: 2026-04-01
Completion Date: 2028-06-30
Locations: VA Ann Arbor Healthcare System, Ann Arbor, MI, Ann Arbor, Michigan, 48105-2303, United States

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).

Primary Outcome Measures: Veterans' perceptions of the value of their healthcare, Measured by survey at baseline and intervention end, 6 months prior to intervention and 6-months post intervention
Secondary Outcome Measures: VA Video Connect (VVC) encounters with assigned Patient Aligned Care Team (PACT), Measured using Corporate Data Warehouse (CDW) data, 6 months prior to intervention and 6-months post intervention|Face-to-Face (F2F) encounters with assigned Patient Aligned Care Team (PACT), Measured using CDW data, 6 months prior to intervention and 6-months post intervention|Telephone encounters with assigned Patient Aligned Care Team (PACT), Measured using CDW data, 6 months prior to intervention and 6-months post intervention|Veterans' satisfaction with healthcare, Measured by survey at baseline and intervention end, 6 months prior to intervention and 6-months post intervention|Veterans' preferences for virtual care, Measured by survey at baseline and intervention end, 6 months prior to intervention and 6-months post intervention|Total healthcare-associated costs for Veterans, Sum of copay costs, travel costs, and time costs measured using CDW data, 6 months prior to intervention and 6 months post intervention|Hemoglobin A1c level <8% among Veterans with diabetes, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Blood pressure (BP) < 140/90 among Veterans with diabetes, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Statin use among Veterans with diabetes, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Statin use among Veterans with ischemic heart disease, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Breast cancer screening among female Veterans, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Cervical cancer screening among female Veterans, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Colon cancer screening among Veterans aged 45-75, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Flu vaccine receipt among Veterans, Electronic quality measure (eQM) measured using CDW data, 6 months prior to intervention and 6 months post intervention|Time costs for Veterans, Measured using CDW data, 6 months prior to intervention and 6 months post intervention|Travel costs for Veterans, Measured using CDW data, 6 months prior to intervention and 6 months post intervention|Copay costs for Veterans, Measured using CDW data, 6 months prior to intervention and 6 months post intervention