An Electronic Personal Health Record for Mental Health Consumers
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Purpose
Electronic Personal Health Records (PHRs) hold promise in helping reshape healthcare by shifting the ownership and locus of health records from being scattered across multiple providers to an approach that is longitudinal and patient-centered. Given the complex health needs and the fragmentation of care for persons with serious mental illnesses, these individuals could derive particular benefit from a PHR. However, there are currently no established PHRs developed for use in this population.
In order to fill this gap, the investigators propose to develop, test, and disseminate a Personal Health Record for persons with serious mental illnesses and one or more comorbid medical condition. The Mental Health PHR (MH-PHR) builds on an established personal health record which was developed in partnership with medical consumers and is in wide use in a number of communities in the United States and abroad.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Comorbid Conditions |
Other: personal electronic medical record |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Outcomes Assessor) Primary Purpose: Health Services Research |
| Official Title: | An Electronic Personal Health Record for Mental Health Consumers |
- Quality of Care [ Time Frame: 1 year ] [ Designated as safety issue: No ]
| Enrollment: | 140 |
| Study Start Date: | March 2009 |
| Study Completion Date: | December 2011 |
| Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Case: Assigned a Personal Electronic Health Record
Assigned to intervention case arm, worked with nurse case manager to create a personal health record.
|
Other: personal electronic medical record
During the first six months of the intervention phase, a clinical care specialist will help the subject complete and maintain a web-based MH-PHR; during the second six months, the subject will continue to have access to the MH-PHR without other clinical support.
|
|
Active Comparator: Control: Usual Care
Assigned to control arm, continued to receive care as usual in community. Was issued information on community health resources, but did not use research study personal health record.
|
Other: personal electronic medical record
An attention-control group will receive educational materials about health and self management. Evaluations will be conducted at baseline and every six months throughout the 12-month study. Analyses will test the following hypotheses
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Currently in treatment at the CMHC.
- Serious Mental Illness: based on the Mini-International Neuropsychiatric Interview (MINI) or chart review;
- One or more Chronic Medical Condition as ascertained via administrative records.
Exclusion Criteria:
- Cognitive impairment based on a score of > 3 on a 6-item, validated screener
- Medically or psychiatrically unstable, as reflected by two or more acute medical or psychiatric hospitalizations in the past year.
Contacts and Locations More Information
No publications provided
| Responsible Party: | Benjamin Druss, Professor, Emory University |
| ClinicalTrials.gov Identifier: | NCT01724125 History of Changes |
| Other Study ID Numbers: | 1R18HS017829 |
| Study First Received: | April 25, 2012 |
| Last Updated: | March 7, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by National Institute of Mental Health (NIMH):
|
serious mental illness |
ClinicalTrials.gov processed this record on May 23, 2013