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Veterans Service Organizations and My HealtheVet (MHV)

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.
ClinicalTrials.gov Identifier: NCT01597843
Recruitment Status : Completed
First Posted : May 14, 2012
Results First Posted : September 12, 2014
Last Update Posted : April 28, 2015
The American Legion Department of Wisconsin
Information provided by (Responsible Party):
VA Office of Research and Development

May 10, 2012
May 14, 2012
September 8, 2014
September 12, 2014
April 28, 2015
June 2012
June 2013   (Final data collection date for primary outcome measure)
Registration for MHV [ Time Frame: Baseline; After Group 1 Intervention; After Group 2 Intervention ]
Measured by response to question: Have you ever used My HealtheVet online?
Registration for MHV [ Time Frame: Measures at baseline, 4 months and 8 months ]
Measured by survey response
Complete list of historical versions of study NCT01597843 on ClinicalTrials.gov Archive Site
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Veterans Service Organizations and My HealtheVet (MHV)
Working With Veterans Organizations to Encourage Use of My HealtheVet
This project will design, deliver, and evaluate a peer support intervention that will help veterans become familiar with and register for Veterans Health Administration (VHA) My HealtheVet (MHV). It will lay the groundwork for 2 types of future projects. First, the investigators will develop materials that can be used in other settings to increase registration, authentication, and meaningful use of MHV. Second, it will allow us to develop and study interventions that use informed, peer-supported Internet use to improve health behaviors and outcomes among veterans.

BACKGROUND/RATIONALE: Despite the promise of electronic health resources, there is evidence that they have not led to the improved self management that many envisioned. There is evidence for this from a variety of sources, including the Veterans Health Administration (VHA). Although there is appropriate attention to improving the functionality and ease of use of the system, a key barrier is patient acceptance and familiarity. Peer support, particularly in group settings, can improve health-related behaviors. Such approaches may increase and improve MHV use.

OBJECTIVES: Our goal in the present project is to develop and test a peer-based mechanism to increase MHV use by member of veterans service organizations (VSO) such as the American Legion. The investigators will address 3 specific aims:

  1. To demonstrate that trained members of VSO can provide basic MHV education and support within their VSO unit using mobile computers.
  2. To demonstrate that this intervention increases MHV registration, in person authentication (IPA), and reported use of MHV among veteran post members.
  3. To create clear, concise, and portable resources that will make it possible to replicate this process in other VSO units or other community settings.

METHODS: This implementation study is a quasi-randomized intervention with delayed controls. Working with the leadership of selected veterans groups, the investigators will identify 12 posts that have the appropriate resources and interests to serve as pilot posts for the present project. The investigators will train 2 peer mentors (super-users or SU) from 4 of these posts using adaptations of the peer training approach the investigators used for a previous project. The investigators will work with the SU to install computers with wireless broadband Internet access at their posts. The investigators will load the computers with software that documents unique sessions, sites visited, and amount of time at each site. The investigators will help the SU provide lessons regarding MHV use to his/her fellow post members at 4 monthly post meetings. After 4 months, the investigators will move the computers to the next 4 posts and repeat the intervention. Finally, the investigators will move the computers to the last 4 posts, providing remote support and our training materials to the SU at those posts. The investigators will use computer tracking data, surveys, focus groups, and interviews to assess the impact of the program. The investigators will test changes in registration, IPA, and use with before and after surveys. Our analysis will adjust for clustering within posts. The investigators will transcribe our focus groups and interviews verbatim and analyze them using a case study approach.

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Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
  • Hypertension
  • Hyperlipidemia
  • Coronary Artery Disease
  • Diabetes Mellitus
Other: Education
Series of training sessions, in person and on line, to educate post superusers who will in turn educate post members on the utility and mechanics of use of MHV.
Other Name: Post education
  • Experimental: First educational intervention group
    Group that receives intervention first. The intervention is a series of training sessions, in person and on line, to educate post superusers who will in turn educate post members on the utility and mechanics of use of MHV.
    Intervention: Other: Education
  • Experimental: Second intervention group
    This arm receives a series of training sessions over study months 6-9. The training sessions are in person and on line and are directed at post superusers who will in turn educate post members on the utility and mechanics of use of MHV. They complete survey rounds 1 and 2 before the training and survey round 3 after the training.
    Intervention: Other: Education
  • No Intervention: Education after data collection complete
    This group received a similar intervention, but after all quantitative data collection complete.
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*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
January 2014
June 2013   (Final data collection date for primary outcome measure)

Inclusion Criteria:

Two steps, first a post is enrolled, then a member participates.

Post eligible if:

  • The post leadership agrees that the post will support participation.
  • Two or more members of the post agree to serve as MHV super-users.
  • There is an identifiable location within the post for the computer.

Member eligible if:

  • Member of post
  • Attends the meeting at which the survey is administered

Exclusion Criteria:

  • Does not consent to survey
  • Does not attend meeting where survey administered
Sexes Eligible for Study: All
18 Years and older   (Adult, Senior)
Contact information is only displayed when the study is recruiting subjects
United States
RRP 11-408
Not Provided
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VA Office of Research and Development
VA Office of Research and Development
The American Legion Department of Wisconsin
Principal Investigator: Jeffrey C Whittle, MD MPH Clement J. Zablocki VA Medical Center, Milwaukee, WI
VA Office of Research and Development
February 2014

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