Veterans Experiences Using Secure Messaging
Deployment of Secure Messaging (SM) in primary care and women's clinics throughout the Veteran Health System by 2011 was an implementation priority for the Secretary and Under Secretary for Health for FY11 under the VHA T21 initiative. Secure Messaging is in early phases of implementation, this eHealth tool requires thoughtful evaluation to promote the successful implementation and dissemination of this tool. The primary aim of this project is to describe Veterans' experiences when using the SM feature on MyHealtheVet (MHV). This project has local, VISN, and national impact on the implementation and sustainability of the SM feature on MHV through its qualitative and quantitative examination of users' experiences. Findings from this research explores why Veterans choose to, or not to, use the SM feature on MHV, identify facilitators and barriers, and examine if experiences differ by health literacy or computer literacy. In addition to the interview data, findings from the usability testing and the quantitative survey findings build knowledge about Veterans' experiences using the SM feature on MyHealtheVet. These data will inform systems improvements, educational approaches, and marketing strategies to increase adoption and long-term utilization among Veterans.
Focus of Study- Veteran Computer Interface User
|Study Design:||Observational Model: Cohort
Time Perspective: Prospective
|Official Title:||Veterans' Experiences Using Secure Messaging on MyHealtheVet|
- Usability of Secure Messaging [ Time Frame: April 2012 - March 2013 ] [ Designated as safety issue: No ]To determine user ability of secure messaging at baseline (ex. Navigate to Secure Messaging Log-in site; Secure Messaging Log-in; Set user preferences; Check Inbox; Open Secure Message; Open and read attachment; Send Secure Message)
- Secure Messaging use and content patterns [ Time Frame: April 2012 - March 2013 ] [ Designated as safety issue: No ]To longitudinally examine the quantity and quality of content, exchange patterns, and timing of inbound and outbound SM between participants and their healthcare teams. These interviews will assess usability, barriers, facilitators and satisfaction of Secure Messaging at 3 months post-testing.
- User experiences with Secure Messaging [ Time Frame: April 2013 - September 2013 ] [ Designated as safety issue: No ]Mail surveys will quantitatively examine secure messaging user experiences, preferences, barriers and facilitators.
|Study Start Date:||April 2012|
|Study Completion Date:||September 2013|
|Primary Completion Date:||September 2013 (Final data collection date for primary outcome measure)|
Purposive sampling was used to identify a sample of 33 Veterans who have been Personally Authenticated for the SM feature on MHV. Participants were recruited from each site (Tampa, Boston). Women were purposively recruited to ensure females were represented in data findings.
Random sampling was used to conduct a quantitative survey with 819 veterans to explore their experiences using secure messaging.
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Please refer to this study by its ClinicalTrials.gov identifier: NCT01382186
|United States, Florida|
|James A. Haley Veterans' Hospital, Tampa, FL|
|Tampa, Florida, United States, 33612|
|United States, Massachusetts|
|VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA|
|Boston, Massachusetts, United States, 02130|
|Principal Investigator:||Jolie N. Haun, PhD MS BS||James A. Haley Veterans' Hospital|