Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3

• ClinicalTrials.gov Identifier: NCT01966068
• Recruitment Status: Completed
• First Posted: October 21, 2013
• Results First Posted: August 30, 2016
• Last Update Posted: October 17, 2016
• Sponsor: Children's Hospital of Philadelphia
• Collaborators: Agency for Healthcare Research and Quality (AHRQ); American Academy of Pediatrics; DARTNet Institute
• Information provided by (Responsible Party): Children's Hospital of Philadelphia

Study Description

Brief Summary:

This study will enroll parents/guardians of children who receive treatment at one of the pediatric primary care practice settings in the Pediatric Research in Office Settings (PROS) network or at the Children's Hospital of Philadelphia's Pediatric Research Consortium (PeRC) network.

The study will use an evidence-based conceptual model to study determinants of implementation success, implementation outcomes, and health care outcomes resulting from implementing an already functional, electronic health record (EHR)-linked asthma portal, MyAsthma. The study will measure the portal's feasibility and determine the impact on providing asthma education and fostering patient engagement as well as the ability to collect patient-reported outcomes for children, evaluate medication use and side effects and track parents' preferences and goals.

Condition or disease	Intervention/treatment	Phase
Asthma	Other: MyAsthma Web Portal	Not Applicable

Detailed Description:

This study uses a newly published, evidence-based conceptual model to study the determinants of implementation success, implementation outcomes, and health care outcomes resulting from implementing an asthma portal, MyAsthma, in the national, Agency for Health Care Research and Quality(AHRQ)-funded, Center for Pediatric Practice Research and Learning. Technically, the portal will be implemented with 2 innovative approaches that facilitate rapid cycle evaluation in multiple Electronic Health Records (EHRs). Although many patient portals are simple vehicles for transferring information about upcoming appointments, test results or laboratory findings, the asthma portal in this project extends this basic functionality to provide asthma education, collect patient-reported outcomes, evaluate medication use and side effects, and track parents' preferences and goals. Because asthma is an AHRQ priority condition which addresses three AHRQ priority criteria (children, low income, and special health care needs), our study will use this population to focus on stage 3 Meaningful Use (MU3) objectives. It is the hope that by conducting this study, translational knowledge will be gained to make recommendations for practice implementation and actionable policy statements.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 294 participants
• Allocation: N/A
• Intervention Model: Single Group Assignment
• Masking: None (Open Label)
• Primary Purpose: Health Services Research
• Official Title: Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3
• Study Start Date: October 2013
• Actual Primary Completion Date: February 2015
• Actual Study Completion Date: February 2015

Arms and Interventions

Arm

Intervention/treatment

Experimental: MyAsthma Web Portal; The portal, MyAsthma, will provide asthma education, collect patient-reported outcomes, evaluate medication use and side effects, and track parents' concerns and goals. Parents will log into the web portal each month (for a total of 3 portal visits in 6 months), and the information entered by parents will be shared through the electronic health record with the child's primary care provider.

Other: MyAsthma Web Portal; Parents will log on to the MyAsthma Web Portal up to three different times over a 6 month period. During each portal visit, parents will be asked to complete a survey which will include questions regarding their views on treatment preferences, goals, asthma control, and medications for their child with asthma.

Outcome Measures

Primary Outcome Measures :

1. Difference Between Number of Families Who Adopted MyAsthma Portal Use and Number of Families With Sustained Use [ Time Frame: Up to 6 Months ]
   Implementation success was measure by comparing the of the number of enrolled families (parent/guardian) who logged on to the MyAsthma Portal once (adoption) with the number of enrolled families (parent/guardian) who logged on more than once (sustained use). Parents/guardians were asked to log on and complete the same survey on the MyAsthma Portal 3 times during a 6 month period.

Eligibility Criteria

• Ages Eligible for Study: Child, Adult, Older Adult
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria For Parents/Guardians:

1. Parent/guardian of a child who:

   • Is between the ages of 6-12 years old
   • Has a diagnosis of asthma on his/her problem list at the time of recruitment
   • Has had an office visit with asthma as a diagnosis within the past 12 months
2. Must be able to speak and read English

Exclusion Criteria For Parents/Guardians:

1. Child has not had an office visit for asthma with in the last 12 months
2. Parent or guardian does not speak or read English

Contacts and Locations

Locations

United States, Illinois

Pediatrick Research in Office Settings (PROS)

Elk Grove Village, Illinois, United States, 60007

United States, Pennsylvania

Pediatric Research Consortium of the Children's Hospital of Philadelphia (PeRC)

Philadelphia, Pennsylvania, United States, 19104

Sponsors and Collaborators

Children's Hospital of Philadelphia

Agency for Healthcare Research and Quality (AHRQ)

American Academy of Pediatrics

DARTNet Institute

Investigators

• Principal Investigator: Alexander Fiks, MD, MSCE; Children's Hospital of Philadelphia

More Information

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):

Fiks AG, DuRivage N, Mayne SL, Finch S, Ross ME, Giacomini K, Suh A, McCarn B, Brandt E, Karavite D, Staton EW, Shone LP, McGoldrick V, Noonan K, Miller D, Lehmann CU, Pace WD, Grundmeier RW. Adoption of a Portal for the Primary Care Management of Pediatric Asthma: A Mixed-Methods Implementation Study. J Med Internet Res. 2016 Jun 29;18(6):e172. doi: 10.2196/jmir.5610.

• Responsible Party: Children's Hospital of Philadelphia
• ClinicalTrials.gov Identifier: NCT01966068
• Other Study ID Numbers: 13-010285
• First Posted: October 21, 2013
• Results First Posted: August 30, 2016
• Last Update Posted: October 17, 2016
• Last Verified: August 2016

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: Undecided

Keywords provided by Children's Hospital of Philadelphia:

Asthma; Pediatrics; Health Technology; Meaningful Use Stage-3; Web Portal

Additional relevant MeSH terms:

Asthma; Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases