- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01520662
Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care
Building upon our experience with a very sophisticated preventive services prompt and reminder system, the Preventive Services Reminder System (PSRS), the investigators propose to conduct a systematic three-year study with the following aims:
- To develop, field test, and refine an Internet-based patient Wellness Portal linked to PSRS to facilitate patient-centered, preventive care in primary care practices;
- To determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the behavior and experiences of both patients and providers and the degree to which recommended services are individualized; and
- To develop model Wellness Portal practices and disseminate the Wellness Portal technology and knowledge derived from Aims 1 and 2 findings.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Project Aim 1: Develop, field test, and further refine an Internet-based Wellness Portal for use by patients seen in primary care settings to facilitate patient-centered, preventive care.
Specific Objectives:
- Assemble an Advisory Committee of clinicians, office staff, patients, and national HIT experts and develop a patient Wellness Portal that can be accessed by patients through the Internet and also in the provider's office via computer kiosks;
- Field test the Wellness Portal in two OKPRN practices and collect patient and provider satisfaction data via surveys and personal feedback to improve and refine the Wellness Portal and its integration into the comprehensive care delivery process.
Project Aim 2: Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services.
Specific Objectives:
Assess the impact of the Wellness Portal on patient-centered care:
- Assess the impact of the Wellness Portal on patient activation and the medical home;
- Understand the impact of Wellness Portal use, the role of activated patients, and the concept of medical home on the provision of patient-centered care;
- Measure the impact of the Wellness Portal on the individualization of preventive services that are recommended and delivered based upon individual risk factors and patient preferences;
- Describe utilization and implementation of the Wellness Portal, capture and analyze documented decisions on opting out from evidence-based recommendations, and assess the impact of the portal on missed opportunities for delivering preventive care.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Oklahoma
-
Oklahoma City, Oklahoma, United States, 73104
- University of Oklahoma HSC Department of Family and Prevetive Medicne
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients must have been seen at least twice by the enrolled clinician in the last twelve months;
- Patients must be six years old or younger or 50 years old and older;
- Patients (or their caretakers) must speak either English or Spanish and must have a basic level of computer skills that include being able to navigate a simple, consumer-oriented web site, use the keyboard and the mouse to interact with the browser, and understand / respond to
Exclusion Criteria:
- Not established patient
- Between than 6 years old and 50 years old
- Not fluent in English or Spanish, no basic computer skills or no help available for navigating a web browser
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Wellness Portal Intervention
Wellness Portal Intervention: patients have access to the portal in the course of the study.
|
Patients in intervention practices will review and update their wellness records, risk factor information, allergy and contraindication profile, and personal preferences through the Wellness Portal before they visit their primary care provider.
|
No Intervention: Wellness Portal Control
Control patients don't have access to the Wellness Portal in the course of the study.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services
Time Frame: 9 months run per practice / 12 months total
|
9 months run per practice / 12 months total
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
a) Assess the impact of the Wellness Portal on patient-centered care b) Describe utilization and implementation of the Wellness Portal
Time Frame: 09/01/2007 - 08/31/2010
|
09/01/2007 - 08/31/2010
|
Collaborators and Investigators
Investigators
- Principal Investigator: James W Mold, MD, MPH, University of Oklahoma HSC Department of Family and Preventive Medicine
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
- primary care
- patient-centered care
- wellness
- preventive services
- To accomplish Aim 2, we will conduct a nine-month pre-post
- randomized controlled trial (RCT) in four primary care
- practices. The study will focus on the impact of a patient
- Wellness Portal on the quantity and quality of preventive
- care patients receive in primary care practices.
Other Study ID Numbers
- Wellness Portal Study
- 1R18HS017188-01 (U.S. AHRQ Grant/Contract)
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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