Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

This study has been completed.
Sponsor:
Collaborator:
Information provided by:
University of Missouri-Columbia
ClinicalTrials.gov Identifier:
NCT00634608
First received: February 22, 2008
Last updated: March 1, 2011
Last verified: March 2011

February 22, 2008
March 1, 2011
February 2008
March 2009   (final data collection date for primary outcome measure)
health information experiences of the patient [ Time Frame: approximately one week following clinic appointment ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00634608 on ClinicalTrials.gov Archive Site
clinician feedback on the health information prescription process [ Time Frame: midpoint and conclusion of the study ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow
Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

The specific aim of this proposed project is to implement a standard process for integrating MedlinePlus health information prescriptions into the clinic workflow.

Hypothesis 1: Individuals in the intervention group who receive tailored email health information with provider selected MedlinePlus links and added commentary for patient specific conditions will be more likely to seek information / use MedlinePlus compared with individuals in the control group.

Hypothesis 2: Individuals in the intervention group who receive tailored email health information with provider selected MedlinePlus links and added commentary for patient specific conditions will be more satisfied with the information received compared with individuals in the control group.

Providing patient education in an outpatient practice can be challenging in part due to the variety of patient medical conditions and the quantity of materials needed. Increasingly, electronic resources such as those found on the internet have the potential to provide easily accessible needed information. However, clinicians do not have the time to assemble a list of websites for their patients and even if they did, the quality of information varies greatly and would require close screening. MedlinePlus is a free National Library of Medicine sponsored website that features health information on hundreds of conditions with all information carefully screened for quality standards by expert librarians. We will conduct a pilot study to seamlessly integrate provider-customized MedlinePlus health education prescriptions for specific conditions into the normal clinic workflow to motivate patients to access and expand their use of MedlinePlus to benefit their health. As HIV prevention/education is very important, we will include the HIV clinic as well as a general internal medicine clinic.

Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
  • Allergic Rhinitis (Disorder)
  • Asthma
  • Back Pain
  • Benign Prostatic Hypertrophy
  • Bursitis
  • Depression
  • Anxiety
  • Diabetes Mellitus
  • Esophageal Reflux
  • HIV Infections
  • Hyperlipidemia
  • Hypertension
  • Insomnia
  • Irritable Bowel Syndrome
  • Obesity
  • Osteoporosis (Senile)
  • Shoulder Pain
  • Sinusitis
  • Symptomatic Menopause
  • Urinary Incontinence
  • Urinary Tract Infection
  • Vaginitis
Other: Health Information Prescription - MedlinePlus link
The patient education materials will consist of approximately 21 topics representing some of the most common conditions seen at the Fairview Internal Medicine Clinic. Twenty-one e-mails, one per topic, will be created by Fairview physicians to be distributed to selected clinic patients. There will be a standard e-mail for each condition with a specific link to MedlinePlus. To create the targeted health information topic email, the physician will review the information available at MedlinePlus. The physician will then select several links of appropriate information and, using the template, will write a short annotation on each link.
  • No Intervention: 1. Control
    1. While patient is waiting in exam room for physician, a research assistant will enter the exam room and speak with the patient.
    2. The research assistant will record the patient's name, willingness to share email, and willingness to participate in the study at the time of the patient encounter. She will later collect their address, gender, age, date of visit, clinic name, and billing diagnoses from IDX data after leaving the exam room.
    3. Physician evaluates the patient and documents the diagnoses for the clinic visit on the billing sheet as per their usual practice. At the end of the clinic session/day, the research assistant will review the billing sheets and record all the listed diagnoses for the control patients.
    4. The research assistant mails the control patients a f/u survey within one week of clinic visit. The surveys will be coded to correspond to diagnosis from billing data.
  • Experimental: 2. Health Information Prescription
    1. PSR hands the patient the Health Information Prescription (HIP) order form, and patient writes their name at the top of the form. HIP order form will ask if patient uses email, and if they would be willing to share their email address.
    2. Physician evaluates the patient, tells the patient they are ordering a Health Information Prescription, and checks a diagnosis on the HIP form.
    3. Patient returns to PSR to check-out. If patient has an HIP order, PSR refers patient to the research assistant.
    4. The research assistant will record patient name, email address, willingness to participate in the study, and diagnosis at that time, and have patient sign consent and HIPAA authorization. She will later obtain age, date of visit, clinic name, address and diagnoses from billing data from IDX.
    5. The research assistant sends the HIP email within 24 hours of the visit, and mails the survey within 5 business days of clinic visit.
    Intervention: Other: Health Information Prescription - MedlinePlus link
Coberly E, Boren SA, Davis JW, McConnell AL, Chitima-Matsiga R, Ge B, Logan RA, Steinmann WC, Hodge RH. Linking clinic patients to Internet-based, condition-specific information prescriptions. J Med Libr Assoc. 2010 Apr;98(2):160-4. doi: 10.3163/1536-5050.98.2.009.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
400
March 2009
March 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • To be included in the study population, patients must also be seen by their physician for one of the 21 target health conditions (Allergic Rhinitis, Asthma, Back Pain, Benign Prostatic Hypertrophy, Bursitis, Depression/Anxiety, Diabetes Mellitus, Esophageal Reflux, HIV, Hyperlipidemia, Hypertension, Insomnia, Irritable Bowel Syndrome, Obesity, Osteoporosis (senile), Shoulder Pain, Sinusitis, Symptomatic Menopause, Urinary Incontinence, Urinary Tract Infection, Vaginitis) and be willing to provide an email address.
  • Patients will be included only once.
  • All patients in the intervention and the control group will receive the survey.
  • All physicians and staff at the Fairview Clinic and HIV Clinic will be invited to complete the physician or staff survey.

Exclusion Criteria:

  • No email address
Both
18 Years and older
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00634608
HHSN276200700263P
No
Robert Hodge, University of Missouri
University of Missouri-Columbia
National Library of Medicine (NLM)
Principal Investigator: Robert Hodge, MD University of Missouri-Columbia
University of Missouri-Columbia
March 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP