Use of the Internet for Health Information

This study is currently recruiting participants. (see Contacts and Locations)
Verified August 2014 by Department of Veterans Affairs
Sponsor:
Information provided by (Responsible Party):
Department of Veterans Affairs
ClinicalTrials.gov Identifier:
NCT01955005
First received: August 20, 2013
Last updated: August 7, 2014
Last verified: August 2014
  Purpose

This study aims to conduct a pilot of an intervention to improve care coordination between VA and non-VA providers using the Department of Veteran's Affairs' (VA) personal health record, My HealtheVet (MHV). Participants will be randomized to receive either training on 1) how to use My HealtheVet to share VA health information or 2) training on how to how to search the Internet for health information and decide which Internet sites have good quality information. We predict that veterans who receive the My HealtheVet training will have fewer medication errors and duplication of services between the VA and outside providers


Condition Intervention
Chronic Illness
Behavioral: My HealtheVet Training
Other: Internet Skills Training

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Official Title: Pilot of My HealtheVet Training to Improve Co-Managed Care for Veterans

Resource links provided by NLM:


Further study details as provided by Department of Veterans Affairs:

Primary Outcome Measures:
  • Non-VA Provider Visit Questionnaire [ Time Frame: Within 1-2 week of non-VA provider visit ] [ Designated as safety issue: No ]
    The primary outcome is whether or not the veteran brings their VA information from My HealtheVet to their visit with their non-VA provider. Providers will be asked to complete a form during the appointment where assessment of sharing this information is embedded in a checklist of possible visit activities. Participants will also if they provided this information to the provider in the event the provider opts to not return the form.


Secondary Outcome Measures:
  • Medication Reconciliation [ Time Frame: Typically within 1 month of non-VA provider visit ] [ Designated as safety issue: No ]
    Medication reconciliation will be calculated by comparing the current VA medication list with the non-VA provider medication list to determine the total number of distinct medications. The number of distinct medications included on both lists divided by the total number of distinct medications will yield a range of scores between score between 0 and 100, with 100 indicating perfect medication reconciliation.

  • Therapeutic Duplication [ Time Frame: Typically within 1 month of non-VA provider visit ] [ Designated as safety issue: No ]
    Therapeutic duplication will be defined as concurrent use of more than one medication from the same therapeutic class. For laboratory duplication, we will review non-VA and VA medical records 6 months prior to the non-VA provider visit. Each patient will be assigned a dichotomous indicator for whether they received therapeutic duplication and/or laboratory duplication during their non-VA provider visit


Estimated Enrollment: 65
Study Start Date: October 2013
Estimated Study Completion Date: September 2014
Estimated Primary Completion Date: September 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: My HealtheVet Training
Participants will be asked to watch an on-line training video, review written materials, and print a document containing health information from their My HealtheVet account.
Behavioral: My HealtheVet Training
Participants will be asked to watch an on-line training video, review written materials, and print a document containing health information from their My HealtheVet account.
Active Comparator: Group 2
Participants will review written training materials to learn how to search the Internet for health information and how to decide which Internet sites have good quality information.
Other: Internet Skills Training
Participants will review written training materials to learn how to search the Internet for health information and how to decide which Internet sites have good quality information.

Detailed Description:

This study aims to conduct a pilot of an intervention to improve care coordination between VA and non-VA providers using the Department of Veteran's Affairs' (VA) personal health record, My HealtheVet (MHV). Background: The Blue Button feature of My HealtheVet allows veterans to print out a comprehensive summary of their health that can be shared with non-VA providers. Dual use is common and has been associated with negative health outcomes including higher mortality. Preliminary data collected by the principal investigator in collaboration with the My HealtheVet Performance Evaluation workgroup shows that few veterans enrolled in My HealtheVet use it to inform either VA or non-VA providers of their care. To remedy this, the principal investigator has developed an online video and companion paper-based training. This training will teach veterans how to use the Blue Button feature and why it is important to share the print out with their non-VA provider. Methods: To participate, veterans must have an upcoming non-VA provider appointment, be prescribed 5 or more medications, and be registered on My HealtheVet with a premium account. Participants will be randomized to receive either training on how to use the Blue Button or training on how to search for health information on the Internet and if that information is good quality. Veterans in both arms will receive training materials and phone support. After the non-VA provider visit, both the veteran and the provider will be asked to indicate what occurred during the visit, including whether or not the veteran gave the provider the Blue Button print out. Both veterans and providers will also be asked to complete a 15-minute qualitative interview about their experience during the visit. Medical records of the non-VA provider visit will be obtained. Outcomes: The main outcome for the study is whether the patient provided the non-VA provider a copy of his or her health information printed from My HealtheVet. In addition, comparison between the VA and non-VA provider records will be conducted to test whether veterans who completed the training had 1) better medication reconciliation between the VA and the non-VA provider and 2) fewer instances of therapeutic or laboratory duplication. The results of this pilot will be used to inform a larger randomized controlled trial of the training intervention.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Upcoming Non-VA provider appointment
  • Take 5 or more prescribed medications
  • Have or obtain a My HealtheVet premium account
  • Access to computer, printer, & Internet to complete study protocol

Exclusion Criteria:

  • No non-VA provider or upcoming appointment
  • Less than 5 medications
  • No premium MHV account
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01955005

Contacts
Contact: Carolyn L Turvey, PhD MS (319) 338-0581 ext 7714 carolyn.turvey@va.gov
Contact: Dawn M Klein, MSW (319) 353-5690 dawn.klein@va.gov

Locations
United States, Iowa
VA Medical Center, Iowa City Recruiting
Iowa City, Iowa, United States, 52246-2208
Contact: Bonnie J BootsMiller, PhD    319-887-4938    bonnie.bootsmiller@va.gov   
Contact: Thomas H Flynn, BA    (319) 338-0581 ext 7646    Thomas.Flynn3@va.gov   
Principal Investigator: Carolyn L Turvey, PhD MS         
Sponsors and Collaborators
Investigators
Principal Investigator: Carolyn L Turvey, PhD MS VA Medical Center, Iowa City
  More Information

No publications provided

Responsible Party: Department of Veterans Affairs
ClinicalTrials.gov Identifier: NCT01955005     History of Changes
Other Study ID Numbers: PPO 13-178
Study First Received: August 20, 2013
Last Updated: August 7, 2014
Health Authority: United States: Federal Government

Keywords provided by Department of Veterans Affairs:
Health Records, Personal
Delivery of healthcare
Consumer Participation
Internet

Additional relevant MeSH terms:
Chronic Disease
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on September 18, 2014