Using an Electronic Personal Health Record to Empower Patients With Hypertension

This study has been completed.
Sponsor:
Collaborators:
Cerner Corporation
The Institute for Patient- and Family-Centered Care
Information provided by:
Georgia Regents University
ClinicalTrials.gov Identifier:
NCT01317537
First received: March 2, 2011
Last updated: March 16, 2011
Last verified: March 2011
  Purpose

Project Summary:

An electronic personal health record (ePHR) could maximize patient/clinician collaboration and consequently improve patient self-management and related health outcomes. The purpose of the proposed project is to examine the feasibility, acceptability, and impact of an ePHR that has been modified using a patient- and family-centered approach and incorporates the experiences, perspectives, and insights of patients and family members actually using the system. Comparison of patients with the ePHR intervention to a group of "care as usual" patients will be performed. The investigators Specific Aims are: (1) To improve the application of patient- and family-centered care elements in an existing ePHR, based on feedback from a pilot study of patients and their families. The modified ePHR will be tested in a pilot group of patients with hypertension and their families. (2) To implement and test the effectiveness of the modified ePHR with patients being treated for hypertension by a team of physicians, mid-level practitioners, nurse clinicians, and support staff in two ambulatory settings. Outcome measures will include patient activation and perception of care, quantifiable biological markers, patient-physician communication, and congruence of treatment with guidelines, particularly medication management; (3) To monitor the shift in provider and support staff awareness and incorporation of patient- and family-centered care as a result of implementation of the ePHR using questionnaires and focus groups. If successful, this ePHR could be implemented in additional locations in the Southeast.


Condition Intervention
Hypertension
Other: Electronic personal health record

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Factorial Assignment
Masking: Single Blind (Investigator)
Official Title: Using an Electronic Personal Health Record to Empower Patients With Hypertension

Resource links provided by NLM:


Further study details as provided by Georgia Regents University:

Primary Outcome Measures:
  • Systolic blood pressure [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    2 seated measures taken using manual sphygmometer by trained research associate

  • Diastolic blood pressure [ Time Frame: 9 months ]
    2 seated measures taken using manual sphygmometer by trained research associate


Secondary Outcome Measures:
  • patient activation [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Patients complete the validated paper-and-pencil Patient Activation Measure (PAM) developed by Judy Hibbard. The instrument assesses the degree to which a patient is "activated," that is the degree to which they are an active agent in their own health care, e.g. ask questions of their health care provider.

  • Patient satisfaction with care [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    Consumer Assessment of Health care--group and clinician survey Patient assessment of chronic care Post study interviews

  • adherence to guidelines [ Time Frame: 9 months ] [ Designated as safety issue: No ]
    chart audit of patient care


Enrollment: 445
Study Start Date: September 2007
Study Completion Date: July 2010
Primary Completion Date: July 2010 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Received personal health record
received personal health record access
Other: Electronic personal health record
No Intervention: No personal health record
did not receive personal health record

  Eligibility

Ages Eligible for Study:   21 Years to 80 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • age 21
  • hypertension
  • referral by physician

Exclusion Criteria:

  • age over 80
  • no hypertension
  • too ill to participate
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01317537

Locations
United States, Georgia
Georgia Health Sciences University
Augusta, Georgia, United States, 30912
Sponsors and Collaborators
Georgia Regents University
Cerner Corporation
The Institute for Patient- and Family-Centered Care
Investigators
Principal Investigator: Peggy J Wagner, PhD Georgia Regents University
  More Information

No publications provided by Georgia Regents University

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Peggy J Wagner, Georgia Health Sciences University
ClinicalTrials.gov Identifier: NCT01317537     History of Changes
Other Study ID Numbers: HS017234
Study First Received: March 2, 2011
Last Updated: March 16, 2011
Health Authority: United States: Institutional Review Board

Keywords provided by Georgia Regents University:
personal health records

Additional relevant MeSH terms:
Hypertension
Vascular Diseases
Cardiovascular Diseases

ClinicalTrials.gov processed this record on October 01, 2014