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Right-Size Clinic Visits Using Memora Platform for PROMIS

Patient Reported Outcomes Measures Pilot Grant for Orthopedic Patients

Who can join

Ages 18 and older · All sexes

Inclusion Criteria:

* Subjects that are classified by the Current Procedural Terminology/International Classification of Diseases (CPT/ICD)-10 Diagnosis Codes, having sustained the injury within 3 weeks of enrollment for non-operative treatment or will undergo surgery during the enrollment period:
* Ankle Fracture
* Distal Radius Fracture
* Tibial Plateau Open reduction internal fixation (ORIF)
* Spine Operative

  * Anterior cervical discectomy with fusion (ACDF)
  * Cervical Laminectomy
  * Lumbar Fusion
  * Lumbar Decompression
* Spine Non-operative

  * Lumbar Stenosis
  * Lumbar Degenerative Disc Disease
* Rotator Cuff Repair
* Anterior cruciate ligament (ACL) Reconstruction
* Have personal use of cellular phone with access to the internet
* Speak either English or English as a primary language:

Exclusion Criteria:

* Limited and non-readers
* Vulnerable populations - incarcerated patients
* Patients with no cell phone to use for scoring

About the study

Developing novel methods of patient communication is crucial in providing value-based care to orthopedic patients. Healthcare technology platforms have been developed to improve patient communication methods particularly for the administration of patient-reported outcome measures (PROMs). However, the majority of these interventions rely on web-based platforms that require patients to have computer access. Among American households earning less than $30,000 per year, only 59% have access to a desktop or laptop and just 47% have broadband internet at home compared to mobile phone penetration which is estimated at 95% of which 93% regularly use text messages. The use of phone messaging may be the most effective means to have patients complete PROMs.

The Patient-Reported Outcomes Measurement Information System (PROMIS) is an NIH-funded, clinically validated method of tracking patient-reported outcomes to efficiently assess patient health status. PROMIS utilizes Item Response Theory (IRT) and computerized adaptive testing (CAT) to improve measurement precision and decrease survey time as compared to traditional PROMs.

The purpose of this two-phase study is to utilize Memora Health's text-messaging platform to collect web-based PROMIS CAT surveys from patients (Phase 1) and use this information to right-size clinic visits (Phase 2).

What is being tested

• Right-size clinic visits (other)

Sponsor: Boston Medical Center · Participants: 3,000 · Started: May 10, 2021

Contact the study team

• Paul Tornetta III, MD · Phone: 617 414 5757
• Katarzyna Wegrzyn, MD · Phone: 617-414-5757

Official record on ClinicalTrials.gov — NCT04441567

Locations in the U.S.

From ClinicalTrials.gov, data retrieved Oct 1, 2026. Each study sets its own eligibility; the study team decides who can join.