A Mobile Personal Health Record for Behavioral Health Homes
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Emory University
- Enrollment
- 311
- Locations
- 2
- Primary Endpoint
- Change in Composite Quality Score
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Health Services Research
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •one or more of the following conditions: hyperlipidemia, hypertension, diabetes
- •able to give consent
- •patient in the behavioral health home
Exclusion Criteria
- •Unable to give consent
Outcomes
Primary Outcomes
Change in Composite Quality Score
Time Frame: 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 Outcomes
- Change in Health-related Quality of Life(Baseline, 6 month post intervention, 12 month post intervention)
- Change in Patient Activation Measure(Baseline, 6 month post intervention, 12 month post intervention)
- Change in Patient Assessment of Chronic Illness Care(Baseline, 6 month post intervention, 12 month post intervention)
Investigators
Benjamin Druss
Professor
Emory University