Right-Size Clinic Visits Using Memora Platform for PROMIS

This study is testing a new way to manage clinic visits for people with orthopedic conditions like ankle fractures or tibial plateau fractures. It uses the Memora Platform to collect information about your health status through text messages on your mobile phone. The goal is to create "recovery curves" based on your reported progress (called patient-reported outcome measures or PROMs) over time. This information will then help determine the right number of clinic visits you need, rather than a standard schedule. The study is enrolling 3000 participants aged 18 and older who have certain orthopedic injuries. The main goals are to figure out how to right-size clinic visits for specific orthopedic conditions within two years and to develop patient-based recovery curves within one year.

Study design
This is an interventional study with a planned enrollment of 3000 participants. It involves two phases, where the first phase helps create recovery curves that will be used in the second phase to guide clinic visits.
What's involved
You will complete PROMIS CAT questionnaires on your mobile phone, either through a secure weblink or by texting back your answers. You will also attend standard follow-up clinic visits and complete the same questionnaires there. The frequency of questionnaires will depend on your specific condition.
Compensation
Not stated in the trial record.
Follow-up
Participants will be followed for up to two years to measure right-sized clinic visits and for one year to develop patient-based recovery curves.

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NCT04441567

Right-Size Clinic Visits Using Memora Platform for PROMIS

Recruiting
NAAges 18+InterventionalHealth services
Boston Medical Center
~3,000 participants
Updated 2025-10-14 on ClinicalTrials.gov
What's tested:Right-size clinic visits

At a glance

Recruiting sites
1 of 1 listed site is recruiting right now
RecruitingSuspended, closed, or not yet open
What they're measuring
Right-size clinic visits for specific orthopedic conditions
Measured over 2 years
+1 more outcome measured
Orthopedic Disorders
1 sites across 1 states
Massachusetts1
  • Paul Tornetta III, MD · PRINCIPAL_INVESTIGATOR · Boston Medical Center

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Eligibility criteria

Inclusion

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

Limited and non-readers
Vulnerable populations - incarcerated patients
Patients with no cell phone to use for scoring
  • Right-size clinic visits for specific orthopedic conditions2 years

    Right-size clinic visits for patients recovering at/better than expected while maintaining or improving overall patient-reported outcomes (PROMS) will be assessed by comparing to the mean condition-specific recovery curve from phase 1. Earlier clinic visits will be scheduled for those who are more than 1 standard deviation from the mean recovery at any time point and less frequent visits for all others to establish the right size clinic visits.

  • Patient-based recovery curves for specific orthopedic conditions1 year

    Each participant's recovery (based on the patient-reported outcome measures- PROMs) for their orthopedic condition will be assessed against the established recovery curve that was generated in phase one of the research for their condition.