Using an Electronic Personal Health Record to Empower Patients With Hypertension

This study has been completed.
Sponsor:
Collaborators:
Cerner Corporation
The Institute for Patient- and Family-Centered Care
Information provided by:
Georgia Regents University
ClinicalTrials.gov Identifier:
NCT01317537
First received: March 2, 2011
Last updated: March 16, 2011
Last verified: March 2011
  Purpose

Project Summary:

An electronic personal health record (ePHR) could maximize patient/clinician collaboration and consequently improve patient self-management and related health outcomes. The purpose of the proposed project is to examine the feasibility, acceptability, and impact of an ePHR that has been modified using a patient- and family-centered approach and incorporates the experiences, perspectives, and insights of patients and family members actually using the system. Comparison of patients with the ePHR intervention to a group of "care as usual" patients will be performed. The investigators Specific Aims are: (1) To improve the application of patient- and family-centered care elements in an existing ePHR, based on feedback from a pilot study of patients and their families. The modified ePHR will be tested in a pilot group of patients with hypertension and their families. (2) To implement and test the effectiveness of the modified ePHR with patients being treated for hypertension by a team of physicians, mid-level practitioners, nurse clinicians, and support staff in two ambulatory settings. Outcome measures will include patient activation and perception of care, quantifiable biological markers, patient-physician communication, and congruence of treatment with guidelines, particularly medication management; (3) To monitor the shift in provider and support staff awareness and incorporation of patient- and family-centered care as a result of implementation of the ePHR using questionnaires and focus groups. If successful, this ePHR could be implemented in additional locations in the Southeast.


Condition Intervention
Hypertension
Other: Electronic personal health record

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single Blind (Investigator)
Official Title: Using an Electronic Personal Health Record to Empower Patients With Hypertension

Resource links provided by NLM:


Further study details as provided by Georgia Regents University:

Primary Outcome Measures:
  • Systolic blood pressure [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    2 seated measures taken using manual sphygmometer by trained research associate

  • Diastolic blood pressure [ Time Frame: 9 months ]
    2 seated measures taken using manual sphygmometer by trained research associate


Secondary Outcome Measures:
  • patient activation [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Patients complete the validated paper-and-pencil Patient Activation Measure (PAM) developed by Judy Hibbard. The instrument assesses the degree to which a patient is "activated," that is the degree to which they are an active agent in their own health care, e.g. ask questions of their health care provider.

  • Patient satisfaction with care [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Consumer Assessment of Health care--group and clinician survey Patient assessment of chronic care Post study interviews

  • adherence to guidelines [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    chart audit of patient care


Enrollment: 445
Study Start Date: September 2007
Study Completion Date: July 2010
Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Received personal health record
received personal health record access
Other: Electronic personal health record
No Intervention: No personal health record
did not receive personal health record

  Eligibility

Ages Eligible for Study:   21 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age 21
  • hypertension
  • referral by physician

Exclusion Criteria:

  • age over 80
  • no hypertension
  • too ill to participate
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01317537

Locations
United States, Georgia
Georgia Health Sciences University
Augusta, Georgia, United States, 30912
Sponsors and Collaborators
Georgia Regents University
Cerner Corporation
The Institute for Patient- and Family-Centered Care
Investigators
Principal Investigator: Peggy J Wagner, PhD Georgia Regents University
  More Information

No publications provided by Georgia Regents University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Peggy J Wagner, Georgia Health Sciences University
ClinicalTrials.gov Identifier: NCT01317537     History of Changes
Other Study ID Numbers: HS017234
Study First Received: March 2, 2011
Last Updated: March 16, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Georgia Regents University:
personal health records

Additional relevant MeSH terms:
Hypertension
Vascular Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on April 21, 2014