ACTIVE PATIENT RETENTION
Recruitment fills the funnel. Retention keeps it full.
Long studies lose patients in the quiet gaps between visits. 1nHealth’s active retention platform reads the leading indicators of drift and intervenes the same day, automatically first, human only when it counts.
THE PROBLEM
A long study isn't a diary sprint. It's a marathon.
Dropout doesn’t announce itself. It builds silently between dosing visits, and by the time a missed visit shows up in the EDC, the patient is already gone.
Between Doses
Fewer natural touchpoints
Long dosing intervals mean weeks with no scheduled contact. App inactivity, a missed check-in, or a nudge with no response is the first signal, and it fires long before a missed visit.
Post-Randomization
Early momentum fades
Engagement drops relative to each patient’s own baseline. Measuring drift per-patient, not per-cohort, catches the fade early enough to reverse it.
Through Maintenance
Risk climbs as visits thin
The longer the maintenance phase, the thinner the visit schedule, and the higher the attrition risk. Approaching windows and at-risk patterns trigger proactive scheduling.
Reactive retention tells you something happened after the fact. Active retention ingests leading-indicator signals and acts before the attrition event — while the patient is still recoverable.
How IT WORKS
The fastest, highest-leverage intervention, in the right proportion.
When a signal fires, the platform resolves it at the lowest-cost tier that works. Automation absorbs the volume; humans are spent only where they change the outcome.
App Nudge
An in-app reminder or gamified prompt for a missed check-in, upcoming visit, or fading streak. Handles the majority — most signals never need a human.
→Agentic SMS
When the nudge is ignored, a conversational agent texts the patient — answers questions, confirms windows, reschedules — and resolves the simple blocker without a call.
→AI Voice Agent
When it needs a voice, an AI agent calls, diagnoses the issue, and books the visit directly — closing the handoff gap that costs first-visit conversions.
→Human Coordinator
When only a person will do: first-name-basis outreach for the complex, emotional, or high-value save. Reserved capacity — never the first response.
The Platform
One engine. Three windows into it.
Patients, site coordinators, and sponsors each get a purpose-built view, all reading from the same real-time retention layer.
A thin, complementary touchpoint
Visit countdowns, "what's next," gamified engagement, and one tap to a coordinator. Built to sit on top of the study's eCOA — never a second diary.
Only what needs you
A live roster with retention status, upcoming visits, and just the flags requiring site action. The engine handles the rest — less work, not another queue.
Real-time retention oversight
Retention curve vs. target, at-risk counts, auto-resolution rate, median time-to-resolution, and the agent-vs-human tier mix — operational metrics, live, site by site.
Orchestration
1nData reads the signals. The engine acts on them.
1nData sits at the center, correlating clinical-system feeds, payment status, and app telemetry, firing rules the moment a leading indicator crosses a threshold, and driving the escalation ladder end to end.
- Read-only where required — 1nData orchestrates the response; it never replaces your systems of record.
- Integrates with the study's eCOA and clinical stack — we act on their events, we don't rebuild them.
- Every touchpoint across every tier is logged — a complete system of record for retention.
- Same unified engine whether the patient was 1nHealth-recruited or site-sourced — no handoff gap.
See the engine work a drifting patient live.
In 30 minutes we’ll walk one patient from a missed signal through the full escalation ladder to a resolved, retained participant, and show you the sponsor view of all of it.