Using an Electronic Personal Health Record to Empower Patients With Hypertension

Not Applicable

Completed

• Conditions: Hypertension
• Interventions: Other: Electronic personal health record

• Registration Number: NCT01317537
• Lead Sponsor: Augusta University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study Start: 2007-09
• Primary Completion: 2010-07
• Study Completion: 2010-07
• Status Verified: 2011-03
• Study First Submitted: 2011-03-02
• Study First Submitted QC: 2011-03-16
• Last Update Submitted: 2011-03-16
• Study First Posted: 2011-03-17
• Last Update Posted: 2011-03-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 445

Inclusion Criteria

• age 21
• hypertension
• referral by physician

Exclusion Criteria

• age over 80
• no hypertension
• too ill to participate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: FACTORIAL

Arm && Interventions

Group	Intervention	Description
Received personal health record	Electronic personal health record	received personal health record access

Primary Outcome Measures

Name	Time	Method
Systolic blood pressure	9 months	2 seated measures taken using manual sphygmometer by trained research associate
Diastolic blood pressure	9 months	2 seated measures taken using manual sphygmometer by trained research associate

Secondary Outcome Measures

Name	Time	Method
patient activation	9 months	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	9 months	Consumer Assessment of Health care--group and clinician survey Patient assessment of chronic care Post study interviews
adherence to guidelines	9 months	chart audit of patient care

Trial Locations

Locations (1)

Georgia Health Sciences University; 🇺🇸 Augusta, Georgia, United States