Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care
26. januar 2012 opdateret af: James Mold, Agency for Healthcare Research and Quality (AHRQ)
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.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
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.
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
540
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Forenede Stater, 73104
- University of Oklahoma HSC Department of Family and Prevetive Medicne
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ja
Køn, der er berettiget til at studere
Alle
Beskrivelse
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
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: 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.
|
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Ingen indgriben: Wellness Portal Control
Control patients don't have access to the Wellness Portal in the course of the study.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
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
Tidsramme: 9 months run per practice / 12 months total
|
9 months run per practice / 12 months total
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Sekundære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
a) Assess the impact of the Wellness Portal on patient-centered care b) Describe utilization and implementation of the Wellness Portal
Tidsramme: 09/01/2007 - 08/31/2010
|
09/01/2007 - 08/31/2010
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Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: James W Mold, MD, MPH, University of Oklahoma HSC Department of Family and Preventive Medicine
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart
1. september 2007
Primær færdiggørelse (Faktiske)
1. juli 2008
Studieafslutning (Faktiske)
1. august 2010
Datoer for studieregistrering
Først indsendt
19. januar 2012
Først indsendt, der opfyldte QC-kriterier
26. januar 2012
Først opslået (Skøn)
30. januar 2012
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
30. januar 2012
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
26. januar 2012
Sidst verificeret
1. januar 2012
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
- primære sundhedssektor
- patientcentreret pleje
- wellness
- forebyggende tjenester
- 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.
Andre undersøgelses-id-numre
- Wellness Portal Study
- 1R18HS017188-01 (U.S.A. AHRQ bevilling/kontrakt)
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .