Conversational IT for Better, Safer Pediatric Primary Care (PHP)
|Preventive Care Medication Management||Behavioral: Safety Training Behavioral: Personal Health Partner and Counseling (PHP+C)||Phase 2|
|Study Design:||Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Supportive Care
|Official Title:||The Personal Health Care Partner Project, Conversational IT for Better, Safer Pediatric Primary Care|
- Personal Health Partner (PHP) assessment with electronic health record (EHR) data exchange before pediatric primary care visits [ Time Frame: 2 week -1day before doctor's appointment and 1 week after appointment ]PHP assessment with EHR data exchange before pediatric primary care visits will be associated with more comprehensive preventive and medication management assessments when compared to usual care
- Personal Health Partner (PHP) pre-visit counseling with post-visit reinforcement [ Time Frame: 2 week-1day before doctor's appointment and 1 week after appointment ]PHP pre-visit counseling with post-visit reinforcement will be associated with increased preventive and medication management counseling; healthier parental behaviors; and increased parental activation when compared to parents receiving usual care.
|Study Start Date:||July 2007|
|Study Completion Date:||August 2011|
|Primary Completion Date:||February 2011 (Final data collection date for primary outcome measure)|
|Placebo Comparator: Safety Training||
Behavioral: Safety Training
IT intervention focuses on safety in the home.
|Experimental: Personal Health Partner and Counseling (PHP+C)||
Behavioral: Personal Health Partner and Counseling (PHP+C)
The PHP intervention will have three primary functional areas: 1) pre-visit assessment and counseling; 2) EHR data exchange with clinician review; and 3) post-visit follow-up, re-assessment, and counseling.
A large gap exists between what is recommended for effective primary care of children and what actually takes place in pediatric primary care settings, especially in the areas of preventive care. Furthermore, although medication management (safety and effectiveness) issues have emerged as an important factor for children, little is known about how medication is actually used by families at home.
With growing use of the electronic health record (EHR) come new opportunities to link patient-centered information with clinical health information systems. Linkage of these systems has the potential to inform and activate parents, provide much richer data to drive decision support at the point-of-care, and to provide ongoing support for long-term behavior change following primary care visits. The use of conversational technologies as the foundation for the project offers a number of unique advantages especially the support of lower-literacy populations and near-universal access. Systems like the Personal Health Partner (PHP) represent a model for the future of ambulatory care and the sustainable, affordable delivery of higher quality and safer care by primary care clinicians in the future.
Please refer to this study by its ClinicalTrials.gov identifier: NCT01188629
|United States, Massachusetts|
|Boston Medical Center|
|Boston, Massachusetts, United States, 02118|
|Principal Investigator:||William Adams, MD||Boston Medical Center|