Personal Health Records and Elder Medication Use Quality
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1,163
- 试验地点
- 2
- 主要终点
- Usually shows medication list to doctor
研究概览
简要总结
Purpose: To examine the impact of a personal health record (PHR) on medication use safety among older adults.
Background: Online PHRs have potential as tools to manage health information. We know little about how to make PHRs accessible for older adults and what effects this will have.
Methods: A PHR was designed and pretested with older adults and tested in a six-month randomized controlled trial. After completing mailed baseline questionnaires, eligible computer users aged 65 and over were randomized 3:1 to be given access to a PHR (n=802) or serve as a standard care control group (n=273). Follow-up questionnaires measured change from baseline medication use, medication reconciliation behaviors, and medication management problems.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 65 Years 至 95 Years（Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Computer use within the past month.
排除标准
- 未提供
研究组 & 干预措施
Personal Health Record (PHR)
Subjects were sent an invitation to use an online Personal Health Record (PHR)
干预措施: Personal Health Record (PHR) (Behavioral)
Usual care
Subjects received usual care (no invitation or access to the study PHR)
结局指标
主要结局
Usually shows medication list to doctor
时间窗: Baseline and 6 months
Put over-the-counter drugs on list
时间窗: Baseline and 6 months
Updated list in past 3 months
时间窗: Baseline and 6 months
At last doctor visit, had medication list
时间窗: Baseline and 6 months
Changed strength/dose of prescription drug
时间窗: Baseline and 6 months
Started prescription drug
时间窗: Baseline and 6 months
At last doctor visit, differences found between doctor and patient medication records
时间窗: Baseline and 6 months
Use of potentially inappropriate medications (ACOVE)
时间窗: Baseline and 6 months
List of potentially inappropriate medications derived from the Assessing Care of Vulnerable Elders project (ACOVE-3) Shrank WH, Polinski JM, Avorn J. Quality Indicators for Medication Use in Vulnerable Elders. J Am Geriatr Soc 2007;55:S373-S382.
Mean (SD) number of prescription drugs
时间窗: Baseline and 6 months
Reason for medications on list
时间窗: Baseline and 6 months
At last doctor visit, asked whether keep a medication list
时间窗: Baseline and 6 months
At last doctor visit showed medication list
时间窗: Baseline and 6 months
Someone asked about medication strength at last doctor visit (for some medications)
时间窗: Baseline and 6 months
Knows how to recognize side effects
时间窗: 6 months
Mean (SD) number of over-the-counter drugs
时间窗: Baseline and 6 months
Any change in medication use in past 3 months
时间窗: Baseline and 6 months
Stopped prescription drug
时间窗: Baseline and 6 months
Keep list of current medications
时间窗: Baseline and 6 months
Someone asked about medication strength at last doctor visit (for all medications)
时间窗: Baseline and 6 months
At last doctor visit, doctor compared records with what patient said they were taking
时间窗: Baseline and 6 months
Taking 2 or more NSAIDS (including aspirin)
时间窗: Baseline and 6 months
Mean (SD) number of medication management problems
时间窗: Baseline and 6 months
Medication side effects in past 3 months
时间窗: Baseline and 6 months
Mean (SD) modified Morisky adherence score
时间窗: Baseline and 6 months
次要结局
未报告次要终点
研究者
Elizabeth A Chrischilles
Professor
University of Iowa