Avoiding Health Disparities When Collecting Patient Contextual Data for Clinical Care and Pragmatic Research
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Medical College of Wisconsin
- Enrollment
- 301
- Locations
- 1
- Primary Endpoint
- Composite Communication Score As Assessed by Communication Assessment Tool, a validated 14-item patient-reported outcome.
Study Overview
Brief Summary
To assess whether the routine collection of patient-contextual data improves patient activation and communication, and can mitigate racial disparities in communication and engagement, we are inviting patients who have upcoming appointments at the participating health system to participate in a communication study. Patients will be randomized to having guided (facilitated) enrollment in a tool that collects patient contextual data, or to usual care. All patients are invited directly by the health system to use the tool. Statistical methods will be used to determine the impact of the tool's use on outcomes of interest, as well as the impact on completion by the use of the facilitated enrollment. The study will particularly focus on assessing the impact of patient-contextual data and communication on heath disparities.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- Double (Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •aged 18 or older
- •able to speak and understand English,
- •a patient at a selected Froedtert & Medical College of Wisconson primary care or internal medicine clinic (i.e., General Internal Medicine On Campus of Milwaukee Regional Medical Center, Sargeant Health Center, or Tosa Health Center (Plank Road Clinic) with an upcoming (> 4 weeks away) appointment and at least 1 previous appointment with the same provider in the previous 12 months.
- •Patients with cognitive impairment (e.g. dementia) are eligible to participate through the use of proxies who would ordinarily accompany them to appointments and complete forms or post-visit surveys on their behalf.
Exclusion Criteria
- •Minors and non-English speaking patients are not eligible to participate
Arms & Interventions
Facilitated Enrollment
Patients will be aided in the account creation and usage of a consumer informatics tool to collect and report patient-contextual data within the electronic health record
Intervention: Facilitated Enrollment (Behavioral)
Usual Care
Patients will be invited to use the patient contextual data tool as per usual care, but will not receive additional assistance in account creation and usage.
Outcomes
Primary Outcomes
Composite Communication Score As Assessed by Communication Assessment Tool, a validated 14-item patient-reported outcome.
Time Frame: Post Visit ( 1 week)
Use of Communication Assessment Tool (CAT), a 14-item instrument that reports patient-views of clinician communication Makoul G, Krupat E, Chang CH. Measuring patient views of physician communication skills: development and testing of the Communication Assessment Tool. Patient Educ Couns. 2007;67: 333-342.
Secondary Outcomes
- Change in the composite score of the patient activation measure, a validated instrument to assess a patient's engagement and activation in their health issues.(Pre/Post Visit (1 week))
Investigators
Bradley Crotty
Assistant Professor
Medical College of Wisconsin