A Mobile Personal Health Record for Behavioral Health Homes
- Conditions
- DiabetesHyperlipidemiaHypertension
- Interventions
- Behavioral: Mobile Personal Health Record App.
- Registration Number
- NCT01890226
- Lead Sponsor
- Emory University
- Brief Summary
Poor quality of medical care is a major contributor to excess medical morbidity and premature mortality in persons with serious mental illnesses (SMI). To address this problem, community mental health providers are increasingly partnering with safety net medical providers to develop behavioral health homes, integrated clinics in which persons with SMI receive coordinated medical and mental health care. However, behavioral health homes have faced logistical and privacy challenges in integrating electronic medical records across organizations.
This application proposes to develop and test a mobile Personal Health Record (mPHR) to overcome this problem while more fully engaging patients in their health care. The study will develop, test, and disseminate the mPHR. The investigators will develop the app building on experience and preliminary data from a PC-based PHR project, and link it to the medical and mental health EHR in a behavioral health home. Next, the investigators will conduct a randomized trial of the mPHR in 300 subjects randomized to the mPHR or usual care.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 311
- one or more of the following conditions: hyperlipidemia, hypertension, diabetes
- able to give consent
- patient in the behavioral health home
- Unable to give consent
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental: Intervention Mobile Personal Health Record App. Participants randomized to the intervention arm will receive the mobile personal health record.
- Primary Outcome Measures
Name Time Method Change in Composite Quality Score Baseline, 12 month post intervention It is a measure of quality of care. The aggregate score represents the total number of eligible services received for an individual generated by dividing all instances in which recommended care was delivered by the number of times a participant was eligible for the indicator. The score ranges from 0 to 1 with higher scores indicating receipt of recommended care/services.
- Secondary Outcome Measures
Name Time Method Change in Health-related Quality of Life Baseline, 6 month post intervention, 12 month post intervention Measured using the Physical and Mental Component Summary scales of the SF-12. Assesses a patients' perceived health related quality of life.
The composite physical (PCS) and mental component (MCS) summary scores for the SF-12 are each scored on a 0-100 scale. Higher scores indicate better functioning.Change in Patient Activation Measure Baseline, 6 month post intervention, 12 month post intervention Assesses a patients' perceived ability to manage their illnesses and their healthcare visits. Patient Activation Measure Scores were summed to calculate the overall raw score then transformed to an activation scale ranging from 0 to 100. Higher scores indicate greater patient activation.
Change in Patient Assessment of Chronic Illness Care Baseline, 6 month post intervention, 12 month post intervention 20-item patient self-report instrument that assesses the extent to which patients with chronic illness report receiving care that aligns with the Chronic Care Model. The summary score ranges from 1 to 5 with a higher score indicating patient's perception of greater involvement in self-management and receipt of chronic care counseling.
Trial Locations
- Locations (1)
Viewpoint Health & Oakhurst Medical Center
🇺🇸Conyers, Georgia, United States