Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care
26. januar 2012 oppdatert av: 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.
Studieoversikt
Status
Fullført
Forhold
Intervensjon / Behandling
Detaljert 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.
Studietype
Intervensjonell
Registrering (Faktiske)
540
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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-
Oklahoma
-
Oklahoma City, Oklahoma, Forente stater, 73104
- University of Oklahoma HSC Department of Family and Prevetive Medicne
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-
Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Barn
- Voksen
- Eldre voksen
Tar imot friske frivillige
Ja
Kjønn som er kvalifisert for studier
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
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Forebygging
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Wellness Portal Intervention
Wellness Portal Intervention: patients have access to the portal in the course of the study.
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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 inngripen: Wellness Portal Control
Control patients don't have access to the Wellness Portal in the course of the study.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
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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
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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
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09/01/2007 - 08/31/2010
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Etterforskere
- Hovedetterforsker: James W Mold, MD, MPH, University of Oklahoma HSC Department of Family and Preventive Medicine
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart
1. september 2007
Primær fullføring (Faktiske)
1. juli 2008
Studiet fullført (Faktiske)
1. august 2010
Datoer for studieregistrering
Først innsendt
19. januar 2012
Først innsendt som oppfylte QC-kriteriene
26. januar 2012
Først lagt ut (Anslag)
30. januar 2012
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
30. januar 2012
Siste oppdatering sendt inn som oppfylte QC-kriteriene
26. januar 2012
Sist bekreftet
1. januar 2012
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
- primæromsorg
- pasientsentrert omsorg
- velvære
- 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 studie-ID-numre
- Wellness Portal Study
- 1R18HS017188-01 (U.S.A. AHRQ-stipend/kontrakt)
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .