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Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

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ClinicalTrials.gov Identifier: NCT00634608
Recruitment Status : Completed
First Posted : March 13, 2008
Last Update Posted : September 30, 2016
Sponsor:
Collaborator:
National Library of Medicine (NLM)
Information provided by (Responsible Party):
University of Missouri-Columbia

Tracking Information
First Submitted Date  ICMJE February 22, 2008
First Posted Date  ICMJE March 13, 2008
Last Update Posted Date September 30, 2016
Study Start Date  ICMJE February 2008
Actual Primary Completion Date March 2009   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: March 5, 2008)
health information experiences of the patient [ Time Frame: approximately one week following clinic appointment ]
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: March 5, 2008)
clinician feedback on the health information prescription process [ Time Frame: midpoint and conclusion of the study ]
Original Secondary Outcome Measures  ICMJE Same as current
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow
Official Title  ICMJE Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow
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.

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  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Condition  ICMJE
  • 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
Intervention  ICMJE 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.
Study Arms  ICMJE
  • 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.
    Intervention: Other: Health Information Prescription
Publications * Coberly E, Boren SA, Davis JW, McConnell AL, Chitima-Matsiga R, Ge B, Logan RA, Steinmann WC, Hodge RH. Linking clinic patients to Internet-based, condition-specific information prescriptions. J Med Libr Assoc. 2010 Apr;98(2):160-4. doi: 10.3163/1536-5050.98.2.009.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: September 29, 2016)
224
Original Estimated Enrollment  ICMJE
 (submitted: March 5, 2008)
400
Actual Study Completion Date  ICMJE September 2009
Actual Primary Completion Date March 2009   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

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
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE 18 Years and older   (Adult, Older Adult)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE United States
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT00634608
Other Study ID Numbers  ICMJE HHSN276200700263P
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE
Plan to Share IPD: No
Responsible Party University of Missouri-Columbia
Study Sponsor  ICMJE University of Missouri-Columbia
Collaborators  ICMJE National Library of Medicine (NLM)
Investigators  ICMJE
Principal Investigator: Robert Hodge, MD University of Missouri-Columbia
PRS Account University of Missouri-Columbia
Verification Date September 2016

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