Texting patients after ER visits may cut down on repeat trips
NCT ID NCT07185828
First seen Jun 25, 2026 · Last updated Jul 24, 2026 · Updated 3 times
Summary
This study tests whether sending text messages and updating discharge paperwork can steer low-acuity ER patients toward primary care or an online triage tool instead of returning to the ER. About 8,286 adults who visited a Geisinger ER for non-urgent issues will be randomly assigned to receive these nudges or standard care. Researchers will track whether ER use drops in the 120 days after discharge.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- text messages and discharge paperwork modifications
- What this could lead to
- If it works, this could show a simple, low-cost way to reduce unnecessary emergency room visits by guiding patients to more appropriate care.
- What could go wrong
- This is a behavioral study, not a drug trial. Results may vary by patient engagement and health system, and the effect may be small or not last long.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 8,286 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Apr 2025
- Expected to finish
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Jul 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * \>= 18 years of age * Geisinger ED visit rated as low acuity (L4 or L5) * Discharged from Geisinger ED in past 24 hours Exclusion Criteria: * Cannot be contacted via the communication modality being used in the study (i.e., SMS), due to insufficient/missing contact information in the EHR or because the patient opted out * Admitted to hospital * Already included in intervention in past 365 days
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Geisinger
RECRUITINGDanville, Pennsylvania, 17822, United States
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