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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

February 22, 2008
September 29, 2016
February 2008
March 2009   (final data collection date for primary outcome measure)
health information experiences of the patient [ Time Frame: approximately one week following clinic appointment ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00634608 on ClinicalTrials.gov Archive Site
clinician feedback on the health information prescription process [ Time Frame: midpoint and conclusion of the study ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow
Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

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.

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.
Interventional
Not Provided
Allocation: Non-Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
  • 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
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.
  • 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
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.
 
Completed
224
September 2009
March 2009   (final data collection date for primary outcome measure)

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
Both
18 Years and older   (Adult, Senior)
Yes
Contact information is only displayed when the study is recruiting subjects
United States
 
NCT00634608
HHSN276200700263P
No
No
Not Provided
University of Missouri-Columbia
University of Missouri-Columbia
National Library of Medicine (NLM)
Principal Investigator: Robert Hodge, MD University of Missouri-Columbia
University of Missouri-Columbia
September 2016

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