Telemetry-Triggered Educational Content Delivery Using MyChart in Mood Disorders

• ClinicalTrials.gov Identifier: NCT03575728
• Recruitment Status: Completed
• First Posted: July 2, 2018
• Last Update Posted: December 20, 2019
• Sponsor: Sunnybrook Health Sciences Centre
• Information provided by (Responsible Party): Dr. David Kreindler, Sunnybrook Health Sciences Centre

Study Description

Brief Summary:

Mood disorders - principally major depressive disorder and bipolar disorder - are a significant public health issue affecting one in four people during their lives in total, over 8 million Canadians are affected by mood disorders, costing the economy over $6 billion annually. At Sunnybrook, 75% of inpatient mental health admissions are due to mood disorders. Mood disorders are generally recurrent: approximately half of depression is recurrent; chronic bipolar disorder is typical. Use of ratings scales by patients and clinicians to track symptoms has also been shown to enhance outcomes such as remission, medication adherence, and patient engagement. Education is considered a key component of treating mood disorders. However, which educational information is useful can vary: in depression, changes in illness severity have been shown to affect what information is absorbed, and timing is also important.To address this, this project will deliver, for the first time ever, a system for using data from patients with mood disorders' electronic mood journals, integrated into Sunnybrook's "MyChart" personal health record system, to drive just-in-time delivery of educational interventions, using feedback from users to maximize its usefulness.

Condition or disease	Intervention/treatment	Phase
Bipolar Disorder; Mood Disorders	Other: MyChart-MHT	Not Applicable

Detailed Description:

This project will integrate mood-journaling software ("MHT") developed here at Sunnybrook (SHSC) into SHSC's "MyChart" patient portal system. Next, using alternating expert input and input from focus groups of patients, we will develop a library of educational content and rules to select and drive delivery of content that will, for the first time, allow patients with mood disorders to receive customized, just-in-time educational content using their own self-report data to drive selection and timing of the delivery of the content. While we expect that this innovation should be beneficial to its users, we cannot assess this without adequate numbers of users. So, in this project, we will make this system available to MyChart users for six months and collect ongoing feedback on user satisfaction, continuously refining the system over the six months with the goal of steadily increasing the number of users frequently using this system.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 42 participants
• Allocation: Non-Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: Based on self-report answers to screening questions, participants will be divided into two groups: (i) those who screen positive for a history of mood disorders and (ii) all other participants. All outcome measures apply only to the mood disorder group.
• Masking: None (Open Label)
• Primary Purpose: Other
• Official Title: Telemetry-Triggered Educational Content Delivery Using MyChart in Mood Disorders
• Actual Study Start Date: May 15, 2019
• Actual Primary Completion Date: December 15, 2019
• Actual Study Completion Date: December 15, 2019

Arms and Interventions

Arm	Intervention/treatment
Mood disorder; Participants who screen positive for a history of mood disorders	Other: MyChart-MHT; All participants in this study will receive targeted psycho-educational interventions from time to time based on symptom severity reports as determined by the software algorithm
Other; Participants who do not screen positive for a history of mood disorders	Other: MyChart-MHT; All participants in this study will receive targeted psycho-educational interventions from time to time based on symptom severity reports as determined by the software algorithm

Outcome Measures

Primary Outcome Measures :

1. Utilization rate [ Time Frame: Six month period of study ]
   Trend in utilization rate over time in users in 'mood disorder' arm

Eligibility Criteria

• Ages Eligible for Study: 14 Years and older (Child, Adult, Older Adult)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

i) Registered user of Sunnybrook Health Sciences Centre "MyChart" electronic patient portal

Exclusion Criteria:

-

Contacts and Locations

Locations

Canada, Ontario

Sunnybrook Health Sciences Centre

Toronto, Ontario, Canada, M4N 3M5

Sponsors and Collaborators

Sunnybrook Health Sciences Centre

More Information

• Responsible Party: Dr. David Kreindler, MD, Sunnybrook Health Sciences Centre
• ClinicalTrials.gov Identifier: NCT03575728
• Other Study ID Numbers: 0382017
• First Posted: July 2, 2018
• Last Update Posted: December 20, 2019
• Last Verified: December 2019

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Dr. David Kreindler, Sunnybrook Health Sciences Centre:

Mental Health; Information Technology; Chronic Disease Prevention and Management; Support Patient Self-Care

Additional relevant MeSH terms:

Disease; Bipolar Disorder; Mood Disorders; Pathologic Processes; Bipolar and Related Disorders; Mental Disorders