- ICH GCP
- US-Register für klinische Studien
- Klinische Studie NCT01955005
Use of the My HealtheVet for Health Information Sharing
8. Januar 2016 aktualisiert von: VA Office of Research and Development
Pilot of My HealtheVet Training to Improve Co-Managed Care for Veterans
This study aims to conduct a pilot of an intervention to improve care coordination between VA and non-VA providers using the Department of Veteran's Affairs' (VA) personal health record, My HealtheVet (MHV).
Participants will be randomized to receive either training on 1) how to use My HealtheVet to share VA health information or 2) training on how to how to search the Internet for health information and decide which Internet sites have good quality information.
The investigators predict that Veterans who receive the My HealtheVet training will have fewer medication errors and duplication of services between the VA and outside providers.
Studienübersicht
Status
Abgeschlossen
Bedingungen
Intervention / Behandlung
Detaillierte Beschreibung
This study aims to conduct a pilot of an intervention to improve care coordination between VA and non-VA providers using the Department of Veteran's Affairs' (VA) personal health record, My HealtheVet (MHV).
Background: The Blue Button feature of My HealtheVet allows Veterans to print out a comprehensive summary of their health that can be shared with non-VA providers.
Dual use is common and has been associated with negative health outcomes including higher mortality.
Preliminary data collected by the principal investigator in collaboration with the My HealtheVet Performance Evaluation workgroup shows that few Veterans enrolled in My HealtheVet use it to inform either VA or non-VA providers of their care.
To remedy this, the principal investigator has developed an online video and companion paper-based training.
This training will teach Veterans how to use the Blue Button feature and why it is important to share the print out with their non-VA provider.
Methods: To participate, Veterans must have an upcoming non-VA provider appointment, be prescribed 5 or more medications, and be registered on My HealtheVet with a premium account.
Participants will be randomized to receive either training on how to use the Blue Button or training on how to search for health information on the Internet and if that information is good quality.
Veterans in both arms will receive training materials and phone support.
After the non-VA provider visit, both the Veteran and the provider will be asked to indicate what occurred during the visit, including whether or not the Veteran gave the provider the Blue Button print out.
Both Veterans and providers will also be asked to complete a 15-minute qualitative interview about their experience during the visit.
Medical records of the non-VA provider visit will be obtained.
Outcomes: The main outcome for the study is whether the patient provided the non-VA provider a copy of his or her health information printed from My HealtheVet.
In addition, comparison between the VA and non-VA provider records will be conducted to test whether Veterans who completed the training had 1) better medication reconciliation between the VA and the non-VA provider and 2) fewer instances of therapeutic or laboratory duplication.
The results of this pilot will be used to inform a larger randomized controlled trial of the training intervention.
Studientyp
Interventionell
Einschreibung (Tatsächlich)
60
Phase
- Unzutreffend
Kontakte und Standorte
Dieser Abschnitt enthält die Kontaktdaten derjenigen, die die Studie durchführen, und Informationen darüber, wo diese Studie durchgeführt wird.
Studienorte
-
-
Iowa
-
Iowa City, Iowa, Vereinigte Staaten, 52246-2208
- Iowa City VA Health Care System, Iowa City, IA
-
-
Teilnahmekriterien
Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.
Zulassungskriterien
Studienberechtigtes Alter
18 Jahre und älter (Erwachsene, Älterer Erwachsener)
Akzeptiert gesunde Freiwillige
Nein
Studienberechtigte Geschlechter
Alle
Beschreibung
Inclusion Criteria:
- Upcoming Non-VA provider appointment
- Take 5 or more prescribed medications
- Have or obtain a My HealtheVet premium account
- Access to computer, printer, & Internet to complete study protocol
Exclusion Criteria:
- No non-VA provider or upcoming appointment
- Less than 5 medications
- No premium MHV account
Studienplan
Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Versorgungsforschung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Keine (Offenes Etikett)
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
---|---|
Experimental: My HealtheVet Training
Participants will be asked to watch an on-line training video, review written materials, and print a document containing health information from their My HealtheVet account.
|
Participants will be asked to watch an on-line training video, review written materials, and print a document containing health information from their My HealtheVet account.
|
Aktiver Komparator: Internet Skills Training
Participants will review written training materials to learn how to search the Internet for health information and how to decide which Internet sites have good quality information.
|
Participants will review written training materials to learn how to search the Internet for health information and how to decide which Internet sites have good quality information.
|
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Percentage of Participants Who Brought Their VA Information From My HealtheVet to Their Visit With Their Non-VA Provider
Zeitfenster: Within 1-2 week of non-VA provider visit
|
The primary outcome is whether or not the veteran brings their VA information from My HealtheVet to their visit with their non-VA provider.
Providers will be asked to complete a form during the appointment where assessment of sharing this information is embedded in a checklist of possible visit activities.
Participants will also if they provided this information to the provider in the event the provider opts to not return the form.
|
Within 1-2 week of non-VA provider visit
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
---|---|---|
Proportion of Total Number of Unique Medications Discrepant Between VA and Non-VA Medication Lists
Zeitfenster: Typically within 1 month of non-VA provider visit
|
A medication discrepancy metric was be calculated by comparing the current VA medication list with the non-VA provider medication list to determine the total number of distinct medications.
The number of discrepant medications between these lists is the numerator and is divided by the total number of distinct medications on both lists combined.
This will yield a range of scores between score between 0 and 1, with 1 indicating perfect agreement between the two lists.
|
Typically within 1 month of non-VA provider visit
|
Proportion of Participants Who Received One or More Duplicate Laboratory Tests in the Non-VA Provider Visit.
Zeitfenster: Typically within 1 month of non-VA provider visit
|
Therapeutic duplication will be defined as concurrent use of more than one medication from the same therapeutic class.
For laboratory duplication, we will review non-VA and VA medical records 6 months prior to the non-VA provider visit.
Each patient will be assigned a dichotomous indicator for whether they received therapeutic duplication and/or laboratory duplication during their non-VA provider visit
|
Typically within 1 month of non-VA provider visit
|
Mitarbeiter und Ermittler
Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.
Ermittler
- Hauptermittler: Carolyn L Turvey, PhD MS, Iowa City VA Health Care System, Iowa City, IA
Studienaufzeichnungsdaten
Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.
Haupttermine studieren
Studienbeginn
1. Oktober 2013
Primärer Abschluss (Tatsächlich)
1. September 2014
Studienabschluss (Tatsächlich)
1. September 2014
Studienanmeldedaten
Zuerst eingereicht
20. August 2013
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
26. September 2013
Zuerst gepostet (Schätzen)
7. Oktober 2013
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Schätzen)
5. Februar 2016
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
8. Januar 2016
Zuletzt verifiziert
1. Januar 2016
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- PPO 13-178
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .
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