- ICH GCP
- Registre américain des essais cliniques
- Essai clinique NCT01955005
Use of the My HealtheVet for Health Information Sharing
8 janvier 2016 mis à jour par: 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.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
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.
Type d'étude
Interventionnel
Inscription (Réel)
60
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
-
-
Iowa
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Iowa City, Iowa, États-Unis, 52246-2208
- Iowa City VA Health Care System, Iowa City, IA
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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
18 ans et plus (Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La description
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
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Recherche sur les services de santé
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
---|---|
Expérimental: 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.
|
Comparateur actif: 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.
|
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Percentage of Participants Who Brought Their VA Information From My HealtheVet to Their Visit With Their Non-VA Provider
Délai: 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
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
---|---|---|
Proportion of Total Number of Unique Medications Discrepant Between VA and Non-VA Medication Lists
Délai: 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.
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Typically within 1 month of non-VA provider visit
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Proportion of Participants Who Received One or More Duplicate Laboratory Tests in the Non-VA Provider Visit.
Délai: 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
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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Les enquêteurs
- Chercheur principal: Carolyn L Turvey, PhD MS, Iowa City VA Health Care System, Iowa City, IA
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude
1 octobre 2013
Achèvement primaire (Réel)
1 septembre 2014
Achèvement de l'étude (Réel)
1 septembre 2014
Dates d'inscription aux études
Première soumission
20 août 2013
Première soumission répondant aux critères de contrôle qualité
26 septembre 2013
Première publication (Estimation)
7 octobre 2013
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Estimation)
5 février 2016
Dernière mise à jour soumise répondant aux critères de contrôle qualité
8 janvier 2016
Dernière vérification
1 janvier 2016
Plus d'information
Termes liés à cette étude
Mots clés
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- PPO 13-178
Ces informations ont été extraites directement du site Web clinicaltrials.gov sans aucune modification. Si vous avez des demandes de modification, de suppression ou de mise à jour des détails de votre étude, veuillez contacter register@clinicaltrials.gov. Dès qu'un changement est mis en œuvre sur clinicaltrials.gov, il sera également mis à jour automatiquement sur notre site Web .
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