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Consumer Health IT Tools: Impact on Experience, Access, and Outcomes for Patients With Complex Chronic Conditions

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ClinicalTrials.gov Identifier: NCT02292940
Recruitment Status : Completed
First Posted : November 18, 2014
Results First Posted : March 10, 2021
Last Update Posted : March 10, 2021
Sponsor:
Collaborator:
Patient-Centered Outcomes Research Institute
Information provided by (Responsible Party):
Kaiser Permanente

Study Type Observational
Study Design Observational Model: Cohort;   Time Perspective: Retrospective
Conditions Chronic Disease
Patient Outcome Assessment
Electronic Health Records
Enrollment 168477
Recruitment Details Adult patients with at least 10-month membership in 2005
Pre-assignment Details Note: the participants in the Medical Record only arm of the study and the participants in the Survey arm of the study are two different groups of participants. The Medical Record arm of the study includes data from January 2006 to December 2007. The Survey was completed between March 2015 and April 2016.
Arm/Group Title Adult Patients With Chronic Conditions: Medical Record Data Adult Patients With Chronic Conditions: Survey Data
Hide Arm/Group Description Medical record data of adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Survey data completed by adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Participants were given the option to complete the survey by mail, by phone with a research assistant, or online.
Period Title: Overall Study
Started 165477 3000
Completed 165477 1824
Not Completed 0 1176
Arm/Group Title Adult Patients With Chronic Conditions: Medical Record Data Adult Patients With Chronic Conditions Survey Data Total
Hide Arm/Group Description Medical record data of adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Survey data competed by adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Participants were given the option to complete the survey by mail, by phone with a research assistant, or online Total of all reporting groups
Overall Number of Baseline Participants 165,477 1824 167301
Hide Baseline Analysis Population Description
[Not Specified]
Age, Categorical  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 165,477 participants 1824 participants 167301 participants
<=18 years 0 0 0
Between 18 and 65 years 92,005 941 92946
>=65 years 73,472 883 74355
Sex: Female, Male  
Measure Type: Count of Participants
Unit of measure:  Participants
Number Analyzed 165,477 participants 1824 participants 167301 participants
Female
79,594
  48.1%
948
  52.0%
80542
  48.1%
Male
85,883
  51.9%
876
  48.0%
86759
  51.9%
Region of Enrollment  
Measure Type: Count of Participants
Unit of measure:  Participants
United States Number Analyzed 165,477 participants 1824 participants 167301 participants
165,477
 100.0%
1824
 100.0%
167301
 100.0%
1.Primary Outcome
Title Number of Ambulatory Care Sensitive Conditions (ACSC) Hospitalizations. Portal Users vs Those Who Are Not Portal Users
Hide Description Number of ambulatory care sensitive conditions (ACSC) hospitalizations per 1000 patients per month among those who accessed the portal and those who did not access the portal.
Time Frame Data from 2006-2007
Hide Outcome Measure Data
Hide Analysis Population Description
Only those participants who had an event (ACSC Hospitalization) were included in this analysis.
Arm/Group Title ACSC Hospitalizations for Those Accessing the Portal ACSC Hospitalizations - Non Portal Users.
Hide Arm/Group Description:
ACSC Hospitalizations for those accessing the portal.
ACSC Hospitalizations for those who did not access the portal.
Overall Number of Participants Analyzed 36,983 128,494
Measure Type: Number
Unit of Measure: hospitalizations/1000 participants/month
6.2 7.0
2.Primary Outcome
Title Patient Self-report Survey Data
Hide Description Patient-reported reasons for using the patient portal
Time Frame March 2015-April 2016
Hide Outcome Measure Data
Hide Analysis Population Description
Only those participants completing a survey and indicating that they used the portal were included in this analysis.
Arm/Group Title Survey Data: Portal Users
Hide Arm/Group Description:
Adult patients with complex chronic conditions who registered to use the portal completed a survey describing reasons for using the portal.
Overall Number of Participants Analyzed 1392
Measure Type: Number
Unit of Measure: participants
Use portal because it is convenient 1252
Use portal to access data/information 1284
Say the portal integrates with other health care 1285
Time Frame Adverse Events were not collected/assessed are therefore all are recorded as 0
Adverse Event Reporting Description Adverse Events were not collected/assessed and therefore all are recorded as 0
 
Arm/Group Title Adult Patients With Complex Chronic Conditions Adult Patients With Complex Chronic Conditions: Survey Data
Hide Arm/Group Description Adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Survey data completed by adult patients with diabetes and/or complex chronic conditions in a large integrated delivery system. Participants were given the option to complete the survey by mail, by phone with a research assistant or online.
All-Cause Mortality
Adult Patients With Complex Chronic Conditions Adult Patients With Complex Chronic Conditions: Survey Data
Affected / at Risk (%) Affected / at Risk (%)
Total   --/--   --/-- 
Hide Serious Adverse Events
Adult Patients With Complex Chronic Conditions Adult Patients With Complex Chronic Conditions: Survey Data
Affected / at Risk (%) Affected / at Risk (%)
Total   0/0   0/0 
Hide Other (Not Including Serious) Adverse Events
Frequency Threshold for Reporting Other Adverse Events 0%
Adult Patients With Complex Chronic Conditions Adult Patients With Complex Chronic Conditions: Survey Data
Affected / at Risk (%) Affected / at Risk (%)
Total   0/0   0/0 
Certain Agreements
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.
Results Point of Contact
Layout table for Results Point of Contact information
Name/Title: Mary Reed, DrPH
Organization: Northern California Kaiser Permanente, Division of Research
Phone: 510-891-3808
EMail: Mary.E.Reed@kp.org
Layout table for additonal information
Responsible Party: Kaiser Permanente
ClinicalTrials.gov Identifier: NCT02292940    
Other Study ID Numbers: CN-13-1567-H
First Submitted: October 30, 2014
First Posted: November 18, 2014
Results First Submitted: November 16, 2016
Results First Posted: March 10, 2021
Last Update Posted: March 10, 2021