Ignite Creation Date:
2024-05-05 @ 11:50 AM
Last Modification Date:
2024-10-26 @ 9:14 AM
Study NCT ID:
NCT00147706
Status:
COMPLETED
Last Update Posted:
2011-07-26
First Post:
2005-09-02
Brief Title:
Does Access to an EHR Patient Portal Influence Chronic Disease Outcomes
Sponsor:
Robert Wood Johnson Foundation
Organization:
Robert Wood Johnson Foundation
Study Overview
Official Title:
Does Access to an EHR Patient Portal Influence Chronic Disease Outcomes A Randomised Trial Assessing Clinical and Behavioural Change Outcomes in Patients With CHF Diabetes or Secondary CVD
Status:
COMPLETED
Status Verified Date:
2011-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The purpose of this study is to determine if patients with congestive heart failure diabetes or secondary cardiovascular diseases who access HealthMedias online tailored behavior change programs on the electronic health record patient portal have better clinical and behavioral change outcomes
Detailed Description:
The specific aims of the study are to determine if e-portal interventions influence
Measures of patient activation patient self-management treatment adherence patient satisfaction with care and disease specific knowledge
Process measures relevant to appropriate care for CVD CHF and DM
Clinical markers of cardiovascular or diabetes morbidity and risk
These aims will be evaluated in one-year prospective study Patients who use the portal will be randomized to control ie access to routine portal-related information and intervention groups ie targeted and periodic messages designed to capture data relevant to self-management to improve knowledge of their specific disease tests and risks to devise time-dependent goals and to motivate self-efficacy Outcomes including activation satisfaction and adherence will be measured by telephone interview prior to and one year after intervention and by lab and clinical measures and data available from the EHR We will also evaluate potential selection issues among those who sign on to the e-portal by administering the same baseline interview to a matched by disease and by age random sample of patients who do not sign on to the e-portal
Patients with chronic diseases are likely to experience particular benefit from online e-health resources as they have greater information needs and participate in self-managementCamer 2000 Unlike traditional office visits online interactions eliminate the need to travel are always available and give the patient access to a broad range of information helping them actively participate in their own careBrown 1999 There is growing evidence that patient education and engagement using e-health applications results in improved patient outcomes in the care of chronic illnesses improved patient-physician communication and reduction of anxiety for caregiversBrennan et al 2001 Bronson et al 1986 Bronson OMeara 1986 Ross et al 2003a 2003b We anticipate demonstrating clinically meaningful improvements in chronic disease health status using evidence-based science delivered in behaviorally-validated ways
Measures of patient activation patient self-management treatment adherence patient satisfaction with care and disease specific knowledge
Process measures relevant to appropriate care for CVD CHF and DM
Clinical markers of cardiovascular or diabetes morbidity and risk
These aims will be evaluated in one-year prospective study Patients who use the portal will be randomized to control ie access to routine portal-related information and intervention groups ie targeted and periodic messages designed to capture data relevant to self-management to improve knowledge of their specific disease tests and risks to devise time-dependent goals and to motivate self-efficacy Outcomes including activation satisfaction and adherence will be measured by telephone interview prior to and one year after intervention and by lab and clinical measures and data available from the EHR We will also evaluate potential selection issues among those who sign on to the e-portal by administering the same baseline interview to a matched by disease and by age random sample of patients who do not sign on to the e-portal
Patients with chronic diseases are likely to experience particular benefit from online e-health resources as they have greater information needs and participate in self-managementCamer 2000 Unlike traditional office visits online interactions eliminate the need to travel are always available and give the patient access to a broad range of information helping them actively participate in their own careBrown 1999 There is growing evidence that patient education and engagement using e-health applications results in improved patient outcomes in the care of chronic illnesses improved patient-physician communication and reduction of anxiety for caregiversBrennan et al 2001 Bronson et al 1986 Bronson OMeara 1986 Ross et al 2003a 2003b We anticipate demonstrating clinically meaningful improvements in chronic disease health status using evidence-based science delivered in behaviorally-validated ways
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None