eHealth Partnered Evaluation Initiative - Evaluation of the Initial Deployment of VA's Annie Texting System
| Status: | Completed |
|---|---|
| Conditions: | Hepatitis, Hepatitis |
| Therapuetic Areas: | Immunology / Infectious Diseases |
| Healthy: | No |
| Age Range: | Any |
| Updated: | 4/4/2019 |
| Start Date: | October 1, 2015 |
| End Date: | September 30, 2017 |
Evaluation of the Initial Deployment of VA's Annie Texting System (PEC 15-470)
Conduct a rigorous formative evaluation of the initial deployment of the Annie texting system
across several pilot test sites and from these findings, develop and test an augmented
implementation strategy to facilitate more rapid adoption of Annie across VA.
across several pilot test sites and from these findings, develop and test an augmented
implementation strategy to facilitate more rapid adoption of Annie across VA.
The investigators examined patient and provider experiences with VA's automated text
messaging system, named "Annie". The investigators aimed to describe early experiences using
Annie and subsequently pilot and evaluate an augmented implementation strategy to improve
implementation of the system. Then, seven new facilities implemented Annie. The investigators
focused on specialty clinics serving patients with hepatitis-C virus (HCV). Working in
collaboration with clinical team members and other Office of Connected Care stakeholders, the
investigators developed a texting protocol for Veterans with HCV that included motivational
messages, medication and lab appointment reminders. This protocol was made available to the
seven new facilities. Four facilities were randomized to serve as intervention sites to
receive augmented implementation strategy. These facilities had regular facilitation calls, a
site visit to assist with implementation, and were given the toolkit, in addition to
receiving usual implementation assistance, described below. An additional three comparison
sites received usual implementation of Annie only, which involves an orientation/training
meeting and the option of attending twice-monthly Annie clinical adoption calls run by the
Office of Connected Care. Two control sites did not receive Annie. The investigators
conducted a mixed-methods evaluation including pre and post patient and provider surveys and
semi-structured interviews, medical chart abstraction, and process measure analysis. The
investigators collected data on patient and clinician experiences with the Annie system,
including usability, clinical workflow fit, and clinical benefits such as improved HCV
medication adherence and rates of appropriately timed lab tests.
messaging system, named "Annie". The investigators aimed to describe early experiences using
Annie and subsequently pilot and evaluate an augmented implementation strategy to improve
implementation of the system. Then, seven new facilities implemented Annie. The investigators
focused on specialty clinics serving patients with hepatitis-C virus (HCV). Working in
collaboration with clinical team members and other Office of Connected Care stakeholders, the
investigators developed a texting protocol for Veterans with HCV that included motivational
messages, medication and lab appointment reminders. This protocol was made available to the
seven new facilities. Four facilities were randomized to serve as intervention sites to
receive augmented implementation strategy. These facilities had regular facilitation calls, a
site visit to assist with implementation, and were given the toolkit, in addition to
receiving usual implementation assistance, described below. An additional three comparison
sites received usual implementation of Annie only, which involves an orientation/training
meeting and the option of attending twice-monthly Annie clinical adoption calls run by the
Office of Connected Care. Two control sites did not receive Annie. The investigators
conducted a mixed-methods evaluation including pre and post patient and provider surveys and
semi-structured interviews, medical chart abstraction, and process measure analysis. The
investigators collected data on patient and clinician experiences with the Annie system,
including usability, clinical workflow fit, and clinical benefits such as improved HCV
medication adherence and rates of appropriately timed lab tests.
Inclusion Criteria:
- Starting HCV treatment at a VA clinic
- Have access/ability to text messaging
Exclusion Criteria:
- Not being treating for HCV
- No access/ability to use a cell phone
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