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Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

This study has been completed.
Sponsor:
Collaborator:
National Library of Medicine (NLM)
Information provided by (Responsible Party):
University of Missouri-Columbia
ClinicalTrials.gov Identifier:
NCT00634608
First received: February 22, 2008
Last updated: September 29, 2016
Last verified: September 2016
  Purpose

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.


Condition Intervention
Allergic Rhinitis
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

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Official Title: Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

Further study details as provided by University of Missouri-Columbia:

Primary Outcome Measures:
  • health information experiences of the patient [ Time Frame: approximately one week following clinic appointment ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • clinician feedback on the health information prescription process [ Time Frame: midpoint and conclusion of the study ] [ Designated as safety issue: No ]

Enrollment: 224
Study Start Date: February 2008
Study Completion Date: September 2009
Primary Completion Date: March 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
No Intervention: Survey
Control group participants are sent a survey within one week of clinic visit
Experimental: Health Information Prescription
Health Information Prescription is emailed to participants within 24 hours of clinic visit.
Other: Health Information Prescription
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.

Detailed Description:
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.
  Eligibility

Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

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
  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: NCT00634608

Locations
United States, Missouri
University of Missouri, Department of Internal Medicine
Columbia, Missouri, United States, 65211
Sponsors and Collaborators
University of Missouri-Columbia
National Library of Medicine (NLM)
Investigators
Principal Investigator: Robert Hodge, MD University of Missouri-Columbia
  More Information

Publications:
Responsible Party: University of Missouri-Columbia
ClinicalTrials.gov Identifier: NCT00634608     History of Changes
Other Study ID Numbers: HHSN276200700263P 
Study First Received: February 22, 2008
Last Updated: September 29, 2016
Health Authority: United States: Institutional Review Board
Individual Participant Data  
Plan to Share IPD: No

Additional relevant MeSH terms:
Infection
Communicable Diseases
Diabetes Mellitus
HIV Infections
Back Pain
Osteoporosis
Rhinitis
Irritable Bowel Syndrome
Urinary Incontinence
Enuresis
Rhinitis, Allergic
Hyperlipidemias
Urinary Tract Infections
Hypertrophy
Shoulder Pain
Sinusitis
Vaginitis
Gastroesophageal Reflux
Bursitis
Prostatic Hyperplasia
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases
Lentivirus Infections
Retroviridae Infections
RNA Virus Infections
Virus Diseases
Sexually Transmitted Diseases, Viral
Sexually Transmitted Diseases
Immunologic Deficiency Syndromes

ClinicalTrials.gov processed this record on December 05, 2016