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

March 2, 2011
March 16, 2011
September 2007
July 2010   (final data collection date for primary outcome measure)
  • 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
Same as current
Complete list of historical versions of study NCT01317537 on ClinicalTrials.gov Archive Site
  • 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
Same as current
Not Provided
Not Provided
 
Using an Electronic Personal Health Record to Empower Patients With Hypertension
Using an Electronic Personal Health Record to Empower Patients With Hypertension

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.

Not Provided
Interventional
Not Provided
Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single Blind (Investigator)
Hypertension
Other: Electronic personal health record
  • Experimental: Received personal health record
    received personal health record access
    Intervention: Other: Electronic personal health record
  • No Intervention: No personal health record
    did not receive personal health record
Wagner PJ, Dias J, Howard S, Kintziger KW, Hudson MF, Seol YH, Sodomka P. Personal health records and hypertension control: a randomized trial. J Am Med Inform Assoc. 2012 Jul-Aug;19(4):626-34. doi: 10.1136/amiajnl-2011-000349. Epub 2012 Jan 10.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
445
July 2010
July 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • age 21
  • hypertension
  • referral by physician

Exclusion Criteria:

  • age over 80
  • no hypertension
  • too ill to participate
Both
21 Years to 80 Years
No
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT01317537
HS017234
Yes
Peggy J Wagner, Georgia Health Sciences University
Georgia Regents University
  • Agency for Healthcare Research and Quality (AHRQ)
  • Cerner Corporation
  • The Institute for Patient- and Family-Centered Care
Principal Investigator: Peggy J Wagner, PhD Georgia Regents University
Georgia Regents University
March 2011

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