Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00634608
Recruitment Status : Completed
First Posted : March 13, 2008
Last Update Posted : September 30, 2016
National Library of Medicine (NLM)
Information provided by (Responsible Party):
University of Missouri-Columbia

Brief Summary:

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 or disease Intervention/treatment Phase
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 Not Applicable

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.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 224 participants
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Official Title: Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow
Study Start Date : February 2008
Actual Primary Completion Date : March 2009
Actual Study Completion Date : September 2009

Arm Intervention/treatment
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.

Primary Outcome Measures :
  1. health information experiences of the patient [ Time Frame: approximately one week following clinic appointment ]

Secondary Outcome Measures :
  1. clinician feedback on the health information prescription process [ Time Frame: midpoint and conclusion of the study ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes

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

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00634608

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)
Principal Investigator: Robert Hodge, MD University of Missouri-Columbia

Publications of Results:
Responsible Party: University of Missouri-Columbia Identifier: NCT00634608     History of Changes
Other Study ID Numbers: HHSN276200700263P
First Posted: March 13, 2008    Key Record Dates
Last Update Posted: September 30, 2016
Last Verified: September 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Additional relevant MeSH terms:
Communicable Diseases
Diabetes Mellitus
HIV Infections
Back Pain
Rhinitis, Allergic
Urinary Incontinence
Irritable Bowel Syndrome
Urinary Tract Infections
Shoulder Pain
Gastroesophageal Reflux
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