Personal Health Records and Elder Medication Use Quality
- Conditions
- Physician-Patient RelationsAdverse Reaction to DrugMedication AdherenceHealth Behavior
- Interventions
- Behavioral: Personal Health Record (PHR)
- Registration Number
- NCT02012712
- Lead Sponsor
- University of Iowa
- Brief Summary
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.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 1163
- Computer use within the past month.
- Age 65+
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Personal Health Record (PHR) Personal Health Record (PHR) Subjects were sent an invitation to use an online Personal Health Record (PHR)
- Primary Outcome Measures
Name Time Method Usually shows medication list to doctor Baseline and 6 months Put over-the-counter drugs on list Baseline and 6 months Updated list in past 3 months Baseline and 6 months At last doctor visit, had medication list Baseline and 6 months Knows how to recognize side effects 6 months Started prescription drug Baseline and 6 months Changed strength/dose of prescription drug Baseline and 6 months At last doctor visit, differences found between doctor and patient medication records Baseline and 6 months Use of potentially inappropriate medications (ACOVE) 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 Baseline and 6 months Reason for medications on list Baseline and 6 months At last doctor visit, asked whether keep a medication list Baseline and 6 months At last doctor visit showed medication list Baseline and 6 months Someone asked about medication strength at last doctor visit (for some medications) Baseline and 6 months Mean (SD) number of over-the-counter drugs Baseline and 6 months Any change in medication use in past 3 months Baseline and 6 months Stopped prescription drug Baseline and 6 months Keep list of current medications Baseline and 6 months Someone asked about medication strength at last doctor visit (for all medications) Baseline and 6 months At last doctor visit, doctor compared records with what patient said they were taking Baseline and 6 months Taking 2 or more NSAIDS (including aspirin) Baseline and 6 months Mean (SD) number of medication management problems Baseline and 6 months Medication side effects in past 3 months Baseline and 6 months Mean (SD) modified Morisky adherence score Baseline and 6 months
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
University of Iowa
🇺🇸Iowa City, Iowa, United States