[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100595126":3},{"organization":4,"armGroups":7,"interventions":19,"overallOfficials":18,"centralContacts":24,"locations":30,"responsibleParty":47,"collaborators":18,"id":51,"slug":52,"hasResults":53,"nctId":54,"briefTitle":55,"officialTitle":56,"acronym":18,"eligibilityCriteria":57,"healthyVolunteers":53,"sex":58,"minAge":59,"maxAge":18,"enrollmentInfo":60,"targetDuration":18,"studyType":63,"phases":64,"briefSummary":66,"conditions":67,"keywords":71,"overallStatus":33,"whyStopped":18,"lastUpdateSubmitDate":73,"lastUpdatePostDateStruct":74,"startDateStruct":77,"completionDateStruct":79,"leadSponsor":81,"locationsCount":82},{"fullName":5,"class":6},"Geisinger Clinic","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Nurse Nudge","EXPERIMENTAL","Nurses in CMSL clinics will receive a notification to provide follow-up outreach (calls and\u002For patient portal messages) to patients after the patient receives an ambulatory sensitive diagnosis.",[13],"Behavioral: Nurse Nudge",{"label":15,"type":16,"description":17,"interventionNames":18},"Control","NO_INTERVENTION","Nurses in CMSL clinics will receive standard follow- up notifications, which may mean no notifications, after a patient has received an ambulatory sensitive diagnosis.",null,[20],{"type":21,"name":9,"description":22,"armGroupLabels":23,"otherNames":18},"BEHAVIORAL","Nurses will be nudged to contact patients, which may increase the likelihood that the patient receives a post- appointment follow-up call and\u002For portal message.",[9],[25],{"name":26,"role":27,"phone":28,"phoneExt":18,"email":29},"Amir Goren, PhD","CONTACT","570-214-3495","agoren@geisinger.edu",[31],{"facility":32,"status":33,"city":34,"state":35,"zip":36,"country":37,"countryCode":38,"cosmosGeoPoint":39,"geoPoint":44,"contacts":45},"Geisinger","RECRUITING","Danville","Pennsylvania","17821","United States","US",{"type":40,"coordinates":41},"Point",[42,43],-76.61273,40.96342,{"lat":43,"lon":42},[46],{"name":26,"role":27,"phone":18,"phoneExt":18,"email":18},{"type":48,"investigatorFullName":49,"investigatorTitle":50,"investigatorAffiliation":5,"oldNameTitle":18,"oldOrganization":18},"PRINCIPAL_INVESTIGATOR","Amir Goren","Program Director","100595126","cmsl-ambulatory-sensitive-condition-nudge-study-2-100595126",false,"NCT07028398","CMSL Ambulatory Sensitive Condition Nudge Study 2","Nurse Follow-up to Reduce Inappropriate Emergency Department Utilization in Adult Patients Seen for Ambulatory Sensitive Conditions in CMSL Study 2","Inclusion Criteria:\n\n* Age 30 years +\n* Has a qualifying visit in CMSL with an ambulatory sensitive condition (ASC) encounter diagnosis","ALL","30 Years",{"count":61,"type":62},12990,"ESTIMATED","INTERVENTIONAL",[65],"NA","The project aims to evaluate a nurse-led intervention to reduce inappropriate emergency department (ED) use among adult patients seen at Geisinger's Community Medicine Service Line (CMSL) clinics. The intervention occurs immediately following an appointment where a patient receives a diagnosis of an ambulatory sensitive condition (ASC; i.e., a condition considered to be a risk factor for near-term ED use). The evaluation will compare eligible patients with an ASC who were randomly assigned to receive follow-up outreach (patient portal message and\u002For call) from a nurse (who was automatically prompted via the Epic electronic health record system to initiate outreach) with those who were randomly assigned to receive standard care. Analyses will be intent-to-treat. The primary outcome is ED use in the week (i.e., 7 days) following the appointment.\n\nWe ran an earlier version of this intervention (NCT06798389). The current study is modified based on results and clinical guidance. Specifically, more conditions will be included as qualifying ASCs for enrollment. Patients under 30 will be excluded. And rather than calling all patients as in the original study, patient portal users may be contacted via the portal instead of or in addition to a phone call. Finally, in the first study, the intervention was differentially effective by age group (\\\u003C45, 45-64, 65+). Our primary analysis will be conducted separately by age group, though we will also conduct an analysis combining across age groups.\n\nWe will run the study until we reach at least 4,330 patients in each of the following age groups: patients aged 30-45, patients aged 45-64, patients aged 65+. Therefore, our estimated sample size is at least 4,330x3 = 12,990.\n\nWe may be required to do an interim data pull and\u002For stop the study early at the direction of clinical or operational leaders.",[68,69,70],"Behavioral Intervention","Emergency Department Visits","Nurse Care Coordination",[72],"Nudge","2026-02-10",{"date":75,"type":76},"2026-02-11","ACTUAL",{"date":78,"type":76},"2025-05-29",{"date":80,"type":62},"2026-07-31",{"name":5,"class":6},1]