Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care - Full Text View

Purpose

Building upon our experience with a very sophisticated preventive services prompt and reminder system, the Preventive Services Reminder System (PSRS), the investigators propose to conduct a systematic three-year study with the following aims:

To develop, field test, and refine an Internet-based patient Wellness Portal linked to PSRS to facilitate patient-centered, preventive care in primary care practices;
To determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the behavior and experiences of both patients and providers and the degree to which recommended services are individualized; and
To develop model Wellness Portal practices and disseminate the Wellness Portal technology and knowledge derived from Aims 1 and 2 findings.

Condition	Intervention
Patient-centered Care	Other: Implementation of a secure web-based patient Wellness Portal

Study Type:	Interventional
Study Design:	Allocation: Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention
Official Title:	Impact of a Wellness Portal on The Delivery of Patient-Centered Preventive Care

Further study details as provided by Agency for Healthcare Research and Quality (AHRQ):

Primary Outcome Measures:

Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services [ Time Frame: 9 months run per practice / 12 months total ] [ Designated as safety issue: No ]

Secondary Outcome Measures:

a) Assess the impact of the Wellness Portal on patient-centered care b) Describe utilization and implementation of the Wellness Portal [ Time Frame: 09/01/2007 - 08/31/2010 ] [ Designated as safety issue: No ]

Enrollment:	540
Study Start Date:	September 2007
Study Completion Date:	August 2010
Primary Completion Date:	July 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
Experimental: Wellness Portal Intervention Wellness Portal Intervention: patients have access to the portal in the course of the study.	Other: Implementation of a secure web-based patient Wellness Portal Patients in intervention practices will review and update their wellness records, risk factor information, allergy and contraindication profile, and personal preferences through the Wellness Portal before they visit their primary care provider.
No Intervention: Wellness Portal Control Control patients don't have access to the Wellness Portal in the course of the study.

Detailed Description:

Project Aim 1: Develop, field test, and further refine an Internet-based Wellness Portal for use by patients seen in primary care settings to facilitate patient-centered, preventive care.

Specific Objectives:

Assemble an Advisory Committee of clinicians, office staff, patients, and national HIT experts and develop a patient Wellness Portal that can be accessed by patients through the Internet and also in the provider's office via computer kiosks;
Field test the Wellness Portal in two OKPRN practices and collect patient and provider satisfaction data via surveys and personal feedback to improve and refine the Wellness Portal and its integration into the comprehensive care delivery process.

Project Aim 2: Determine the impact of the Wellness Portal on the process of patient-centered preventive care by examining the experience of patients and providers with care and individualization of recommended services.

Specific Objectives:

Assess the impact of the Wellness Portal on patient-centered care:
1. Assess the impact of the Wellness Portal on patient activation and the medical home;
2. Understand the impact of Wellness Portal use, the role of activated patients, and the concept of medical home on the provision of patient-centered care;
3. Measure the impact of the Wellness Portal on the individualization of preventive services that are recommended and delivered based upon individual risk factors and patient preferences;
Describe utilization and implementation of the Wellness Portal, capture and analyze documented decisions on opting out from evidence-based recommendations, and assess the impact of the portal on missed opportunities for delivering preventive care.

Eligibility

Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	Yes

Criteria

Inclusion Criteria:

Patients must have been seen at least twice by the enrolled clinician in the last twelve months;
Patients must be six years old or younger or 50 years old and older;
Patients (or their caretakers) must speak either English or Spanish and must have a basic level of computer skills that include being able to navigate a simple, consumer-oriented web site, use the keyboard and the mouse to interact with the browser, and understand / respond to

Exclusion Criteria:

Not established patient
Between than 6 years old and 50 years old
Not fluent in English or Spanish, no basic computer skills or no help available for navigating a web browser

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT01520662

Locations

United States, Oklahoma
University of Oklahoma HSC Department of Family and Prevetive Medicne
Oklahoma City, Oklahoma, United States, 73104

Sponsors and Collaborators

Agency for Healthcare Research and Quality (AHRQ)

Investigators

Principal Investigator:

James W Mold, MD, MPH

University of Oklahoma HSC Department of Family and Preventive Medicine

More Information

Additional Information:

Home Page of the Oklahoma Physicians Resource/Research Network, a primary care practice-based PBRN This link exits the ClinicalTrials.gov site

No publications provided

Responsible Party:	James Mold, Professor, Director of Research Division, Agency for Healthcare Research and Quality (AHRQ)
ClinicalTrials.gov Identifier:	NCT01520662 History of Changes
Other Study ID Numbers:	Wellness Portal Study, 1R18HS017188-01
Study First Received:	January 19, 2012
Last Updated:	January 26, 2012
Health Authority:	United States: Federal Government

Keywords provided by Agency for Healthcare Research and Quality (AHRQ):

patient-centered care
wellness
preventive services
primary care
To accomplish Aim 2, we will conduct a nine-month pre-post

randomized controlled trial (RCT) in four primary care
practices. The study will focus on the impact of a patient
Wellness Portal on the quantity and quality of preventive
care patients receive in primary care practices.

ClinicalTrials.gov processed this record on May 23, 2013