An RCT of an Online Training for Vulnerable Patients to Use an Online Patient Portal Website
2019年4月17日 更新者：Courtney Lyles、University of California, San Francisco
Engaging Diverse Patients in Using an Online Patient Portal
Online patient portals are becoming ubiquitous in the US.
Previous research has documented substantial usability barriers, especially among patients with limited health literacy.
This pilot randomized pilot trial had the goal of determining the effectiveness of an in-person training with a scalable online video-based training program to increase portal use among patients in a safety net healthcare setting.
研究概览
详细说明
The intervention in this study was a patient portal training curriculum with simple instructions and 11 how-to videos for accessing features of an online patient portal.
Using a deeply participatory approach, this curriculum was created in consultation with a patient advisory board from the San Francisco Health Network, a local Medicaid health plan.
From June until October 2016, 93 patients with 1 or more chronic diseases were randomized to receive either: 1) an in-person tutorial with a trained research assistant versus 2) a link to view the videos on their own.
The primary outcome was portal log-in (yes/no) between 3 and 6 months post-training, assessed through a portal administrative dashboard within the EHR.
Secondary outcome included baseline and follow-up survey measures on participants' perceptions of the portal use and their care, as well as views of the web-based lessons.
研究类型
介入性
注册 (实际的)
93
阶段
- 不适用
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 100年 (成人、年长者)
接受健康志愿者
是的
有资格学习的性别
全部
描述
Inclusion Criteria:
- English-speaking as portal is only available in English
- diagnosed with at least one chronic condition
Exclusion Criteria:
- cognitive impairment
- visual impairment
- severe mental health conditions
- any circumstances that would make participation in the study difficult
- no previous email use
- self-reported usage of MYSFHEALTH
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：双倍的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
安慰剂比较：Take-home online training
Participants received a link to access the online tutorial videos on their own.
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We randomized patients to receive a link to access the online tutorial on their own.
Participants in the take-home arm were given a paper handout with a link to the training materials and an outline of the steps for accessing the training curriculum.
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有源比较器：In-person online training
Participants received an in-person tutorial of how to use the patient portal website with a trained research assistant.
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For participants randomized to the in-person training arm, a trained research assistant prompted participants to log into the learning platform and guided them in accessing the training materials for portal features that were of interest to them.
The staff member provided further explanation or clarification if participants had questions about the training material.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Portal log-ins
大体时间：3-6 months post-training
|
Logging into the portal website in the 3-6 months post-training (yes/no)
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3-6 months post-training
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
eHealth Literacy
大体时间：3-6 months post-training
|
The eHEALS is a measure of eHealth literacy developed to measure consumers' combined knowledge, comfort, and perceived skills at finding, evaluating, and applying electronic health information to health problems.
eHEALS was measured at baseline and follow-up via surveys
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3-6 months post-training
|
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Portal sign-up
大体时间：3-6 months post-training
|
Initiating sign-up process for the portal website (yes/no), as pulled from EHR chart review
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3-6 months post-training
|
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Digital literacy skills
大体时间：3-6 months post-training
|
Confidence in having skills to be able to use online portal website (scored from 1 to 0), as self-reported via baseline and follow-up surveys
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3-6 months post-training
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Courtney Lyles, PhD、University of California, San Francisco
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2015年8月1日
初级完成 (实际的)
2017年7月31日
研究完成 (实际的)
2018年7月31日
研究注册日期
首次提交
2017年11月9日
首先提交符合 QC 标准的
2017年11月21日
首次发布 (实际的)
2017年11月27日
研究记录更新
最后更新发布 (实际的)
2019年4月19日
上次提交的符合 QC 标准的更新
2019年4月17日
最后验证
2019年4月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.