- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT01955005
Use of the My HealtheVet for Health Information Sharing
8 gennaio 2016 aggiornato da: 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.
Panoramica dello studio
Stato
Completato
Condizioni
Intervento / Trattamento
Descrizione dettagliata
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.
Tipo di studio
Interventistico
Iscrizione (Effettivo)
60
Fase
- Non applicabile
Contatti e Sedi
Questa sezione fornisce i recapiti di coloro che conducono lo studio e informazioni su dove viene condotto lo studio.
Luoghi di studio
-
-
Iowa
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Iowa City, Iowa, Stati Uniti, 52246-2208
- Iowa City VA Health Care System, Iowa City, IA
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Criteri di partecipazione
I ricercatori cercano persone che corrispondano a una certa descrizione, chiamata criteri di ammissibilità. Alcuni esempi di questi criteri sono le condizioni generali di salute di una persona o trattamenti precedenti.
Criteri di ammissibilità
Età idonea allo studio
18 anni e precedenti (Adulto, Adulto più anziano)
Accetta volontari sani
No
Sessi ammissibili allo studio
Tutto
Descrizione
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
Piano di studio
Questa sezione fornisce i dettagli del piano di studio, compreso il modo in cui lo studio è progettato e ciò che lo studio sta misurando.
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Ricerca sui servizi sanitari
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
---|---|
Sperimentale: 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.
|
Comparatore attivo: 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.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
---|---|---|
Percentage of Participants Who Brought Their VA Information From My HealtheVet to Their Visit With Their Non-VA Provider
Lasso di tempo: 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
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
---|---|---|
Proportion of Total Number of Unique Medications Discrepant Between VA and Non-VA Medication Lists
Lasso di tempo: 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
|
Proportion of Participants Who Received One or More Duplicate Laboratory Tests in the Non-VA Provider Visit.
Lasso di tempo: 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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Collaboratori e investigatori
Qui è dove troverai le persone e le organizzazioni coinvolte in questo studio.
Investigatori
- Investigatore principale: Carolyn L Turvey, PhD MS, Iowa City VA Health Care System, Iowa City, IA
Studiare le date dei record
Queste date tengono traccia dell'avanzamento della registrazione dello studio e dell'invio dei risultati di sintesi a ClinicalTrials.gov. I record degli studi e i risultati riportati vengono esaminati dalla National Library of Medicine (NLM) per assicurarsi che soddisfino specifici standard di controllo della qualità prima di essere pubblicati sul sito Web pubblico.
Studia le date principali
Inizio studio
1 ottobre 2013
Completamento primario (Effettivo)
1 settembre 2014
Completamento dello studio (Effettivo)
1 settembre 2014
Date di iscrizione allo studio
Primo inviato
20 agosto 2013
Primo inviato che soddisfa i criteri di controllo qualità
26 settembre 2013
Primo Inserito (Stima)
7 ottobre 2013
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
5 febbraio 2016
Ultimo aggiornamento inviato che soddisfa i criteri QC
8 gennaio 2016
Ultimo verificato
1 gennaio 2016
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- PPO 13-178
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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