A Mobile Personal Health Record for Behavioral Health Homes (mPHR)
Poor quality of medical care is a major contributor to excess medical morbidity and premature mortality in persons with serious mental illnesses (SMI). To address this problem, community mental health providers are increasingly partnering with safety net medical providers to develop behavioral health homes, integrated clinics in which persons with SMI receive coordinated medical and mental health care. However, behavioral health homes have faced logistical and privacy challenges in integrating electronic medical records across organizations.
This application proposes to develop and test a mobile Personal Health Record (mPHR) to overcome this problem while more fully engaging patients in their health care. The study will develop, test, and disseminate the mPHR. The investigators will develop the app building on experience and preliminary data from a PC-based PHR project, and link it to the medical and mental health EHR in a behavioral health home. Next, the investigators will conduct a randomized trial of the mPHR in 300 subjects randomized to the mPHR or usual care.
調査の概要
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Georgia
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Conyers、Georgia、アメリカ、30012
- Viewpoint Health & Oakhurst Medical Center
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
- one or more of the following conditions: hyperlipidemia, hypertension, diabetes
- able to give consent
- patient in the behavioral health home
Exclusion Criteria:
- Unable to give consent
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：ヘルスサービス研究
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
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介入なし：コントロール
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実験的：Experimental: Intervention
Participants randomized to the intervention arm will receive the mobile personal health record.
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Composite Quality Score
時間枠：Baseline, 12 month post intervention
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It is a measure of quality of care.
The aggregate score represents the total number of eligible services received for an individual generated by dividing all instances in which recommended care was delivered by the number of times a participant was eligible for the indicator.
The score ranges from 0 to 1 with higher scores indicating receipt of recommended care/services.
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Baseline, 12 month post intervention
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Change in Patient Assessment of Chronic Illness Care
時間枠：Baseline, 6 month post intervention, 12 month post intervention
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20-item patient self-report instrument that assesses the extent to which patients with chronic illness report receiving care that aligns with the Chronic Care Model.
The summary score ranges from 1 to 5 with a higher score indicating patient's perception of greater involvement in self-management and receipt of chronic care counseling.
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Baseline, 6 month post intervention, 12 month post intervention
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Change in Patient Activation Measure
時間枠：Baseline, 6 month post intervention, 12 month post intervention
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Assesses a patients' perceived ability to manage their illnesses and their healthcare visits.
Patient Activation Measure Scores were summed to calculate the overall raw score then transformed to an activation scale ranging from 0 to 100.
Higher scores indicate greater patient activation.
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Baseline, 6 month post intervention, 12 month post intervention
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Change in Health-related Quality of Life
時間枠：Baseline, 6 month post intervention, 12 month post intervention
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Measured using the Physical and Mental Component Summary scales of the SF-12. Assesses a patients' perceived health related quality of life. The composite physical (PCS) and mental component (MCS) summary scores for the SF-12 are each scored on a 0-100 scale. Higher scores indicate better functioning. |
Baseline, 6 month post intervention, 12 month post intervention
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協力者と研究者
スポンサー
捜査官
- 主任研究者：Benjamin Druss, MD, MPH、Emory University
出版物と役立つリンク
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
この情報は、Web サイト clinicaltrials.gov から変更なしで直接取得したものです。研究の詳細を変更、削除、または更新するリクエストがある場合は、register@clinicaltrials.gov。 までご連絡ください。 clinicaltrials.gov に変更が加えられるとすぐに、ウェブサイトでも自動的に更新されます。
Mobile Personal Health Record App.の臨床試験
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Yale UniversityNational Library of Medicine (NLM)まだ募集していません
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Cochlear募集
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University of California, San FranciscoSan Francisco Veterans Affairs Medical Center募集