Advancing Decisions About Virtual Service Encounters

Recruiting now · Not applicable

Conditions studied: Health Care Costs, Delivery of Health Care

In brief

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).

Key facts

Study ID: NCT06539988
Run by: VA Office of Research and Development
People needed: 600
Starts: 2026-04-01
Expected to finish: 2028-06-30
Last updated by the study team: 2026-04-08

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Veteran inclusion criteria are having an upcoming face-to-face (F2F), telephone, or VA Video Connect (VVC) appointment in the next 8 to 12 weeks
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

You may not qualify if…

Veteran exclusion criteria are a CDW diagnosis of mild cognitive impairment, dementia, or a psychotic disorder

Where it is running

VA Ann Arbor Healthcare System, Ann Arbor, MI — Ann Arbor, Michigan, United States (enrolling)

Full record on ClinicalTrials.gov

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