Evidence map›Paper›PMID 40779597›Full record

ArticlePloS one2025

Increasing the feasibility, impact, and equity of the Medicare Annual Wellness Visit (AWV) with a practice tailored AWV intervention: A stepped wedge clinical trial protocol.

Derjung M Tarn, Wilson D Pace, Kurt C Stange, Chi-Hong Tseng, Neil S Wenger

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05910736 (Increasing the Feasibility, Impact, and Equity of the Medicare Annual Wellness Visit), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05910736 naactive not recruitingnot on this map

Increasing the Feasibility, Impact, and Equity of the Medicare Annual Wellness Visit (AWV)

TypeinterventionalSponsorUniversity of California, Los AngelesRan2024 to 2028Enrolled22,485ConditionsPreventive Health ServicesArmsMedicare AWV Practice Redesign Toolkit
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Derjung M TarnDARTNet Institute, Aurora, Colorado, United States of America.ORCID https://orcid.org/0000-0001-7426-6387
Wilson D PaceDivision of General Internal Medicine/ Health Services Research, Department of Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, Los Angeles, California, United States of America.
Kurt C StangeDepartment of Family Medicine, David Geffen School of Medicine at UCLA, University of California, Los Angeles, California, United States of America.
Chi-Hong TsengCenter for Community Health Integration and Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, United States of America.
Neil S WengerCenter for Community Health Integration and Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio, United States of America.

Funding

Increasing the Feasibility, Impact, and Equity of the Medicare Annual Wellness Visit (AWV)R01AG081996 · NIA · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI DERJUNG M TARN · 2023 to 2026
$2.3M
NIA NIH HHS R01 AG081996
6 · The paper itself

Abstract

backgroundOlder adults vastly underutilize evidence-based preventive health services and screenings that reduce illness, morbidity and mortality. The free-to-patient Medicare Annual Wellness Visit (AWV) is an opportunity to enhance preventive healthcare use, but also is underused.

objectivesTo evaluate the effect of a practice-tailored intervention on the sustained use of Medicare AWVs and on guideline-recommended preventive services and racial/ethnic disparities in 3 types of practice settings.

methodsThis is a stepped wedge cluster randomized controlled trial. The intervention will be implemented at the practice level in 24 primary care practices across the country (8 community-based, 8 academic, and 8 serving medically underserved populations). Electronic health record data will be used to assess changes in AWV and preventive service delivery rates and racial, ethnic, and gender disparities. Semi-structured interviews will be conducted with clinicians/staff and patients, and clinicians will be surveyed to assess the process and acceptability of the intervention. The protocol is registered on clinicaltrials.gov (NCT05910736).

resultsAnalyses will determine the effect of the intervention on AWV visit and preventive health services use at 12- and 24-months post-intervention implementation. Additional analyses will evaluate the effect of the intervention on reducing racial/ethnic disparities.

conclusionsA practice-tailored intervention has the potential to increase use of AWVs and preventive health services, and reduce racial/ethnic disparities, in diverse practice settings.

Indexed as

MedicarePreventive Health ServicesAgedFeasibility StudiesFemaleHumansMaleMulticenter Studies as TopicPrimary Health CareRandomized Controlled Trials as TopicUnited States

Identifiers

PMID40779597
PMCPMC12333998

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.