MedPath

An Evaluation of Innerview™, a Web-based Tool to Support the Integration of Mental Health in the Primary Care Setting

Completed
Conditions
Mental Health
Registration Number
NCT02025647
Lead Sponsor
Pearson/Clinical Assessment
Brief Summary

Innerview can address some of the challenges of integrating mental health and primary care by accurately and reliably collecting mental health evidence and activities directly from patients, and then organizing and automating that evidence and activity into reports for providers and care teams that support diagnosis, treatment planning and monitoring of the mental health issues within a practice population.

Detailed Description

To deliver integrated quality care, innovative strategies are needed to efficiently collect, understand, monitor and manage mental health evidence and its contribution to the primary care office visit. Computer applications can provide solutions to providers by helping their processes to be feasible, manageable, and sustainable. We hypothesize that by both providing patients the opportunity to reflect on their physical, emotional and behavioral symptoms and functioning, and giving providers accurate, reliable, current, symptom-based mental health evidence in an accessible organized format prior to the face-to-face visit, Innerview will enhance diagnostic and treatment processes from both a patient- and population-based perspective, as well as enhance communication between patient and provider.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
139
Inclusion Criteria
  • In order to be eligible to participate in this study, a subject must meet all of the following criteria:

    • Provide signed and dated informed consent form
    • Be aged 18 or older
    • Be willing to comply with all study procedures and be available for the duration of the study
    • Be able to read English at an 8th grade level (as determined by physician)
    • Have internet access to email with a computer and/or tablet
Exclusion Criteria
  • Patients are excluded from study participation if they meet any of the following criteria:

    • Inability to provide consent due to guardianship issues
    • Currently experiencing psychotic symptoms (as determined by physician)
    • Anything that, in the opinion of the Investigator, would preclude the subject's full compliance with or completion of the study.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Standard Error of Measure for the Individualized Rating Scale (Rating Module)approximate 5 minutes between ratings

What is the standard error of measurement (SEM) for test/retest symptom ratings on a 0 - 10 point scale

Accuracy of the Narrative ModuleImmediate

Out of 139 subjects using Innerview for the first time, how many subjects approved their initial version of their narrative versus chose to start over?

Reliability of the Narrative Module24-48 hours

What is the consistency of the diagnostic criteria generated by two administrations, 1 to 2 days apart?

Secondary Outcome Measures
NameTimeMethod
Provider Survey (Question 8)Administered Innerview session on at least 15 subjects

My patients reacted positively to Innerview. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 4)Immediate

This tool will contribute positively to my health care. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 1)Administered Innerview session on at least 15 subjects

The information provided by Innerview is valuable in understanding and treating my patients.

Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 5)Immediate

The program included all of the symptoms I wanted to share with my doctor. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 6)Immediate

I was able to select words and phrases that I normally use to talk about my symptoms.

Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 7)Immediate

Q7. I would encourage other doctors to use this system. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 2)Administered Innerview session on at least 15 subjects

The information provided by Innerview was consistent with my previous observations of my patients.

Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 4)Administered Innerview session on at least 15 subjects

The information provided by Innerview was well communicated in the reports. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 10)Administered Innerview session on at least 15 subjects

The benefits of Innerview will outweigh the effort to implement and operate it. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 3)Immediate

The program was easy to use. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 3)Administered Innerview session on at least 15 subjects

The information provided by Innerview was well organized in the reports. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 6)Administered Innerview session on at least 15 subjects

Innerview will help me better identify patients who suffer from a mental health concern.

Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 7)Administered Innerview session on at least 15 subjects

Innerview will function well within my current work flow Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 8)Immediate

Telling my story helped me prepare for treatment. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 9)Immediate

The demonstration showed me how to use the system. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 10)Immediate

It took an acceptable amount of time to tell my story. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 11)Administered Innerview session on at least 15 subjects

On average, how much extra time do you estimate that you spent with your patients evaluating and discussing the information collected through Innerview?

Provider Survey (Question 9)Administered Innerview session on at least 15 subjects

In my opinion, incorporating Innerview into my practice would require an acceptable amount of time and effort from myself and staff Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Provider Survey (Question 5)Administered Innerview session on at least 15 subjects

In my opinion, the Innerview narrative process will help prepare patients for treatment.

Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 1)Immediate

I am satisfied with how I was able to tell my story. Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Subject Survey (Question 2)Immediate

Compared to other health care questionnaires I have taken, I would rate this system highly.

Where 1 is strongly disagree 2 is disagree 3 is neutral 4 is agree 5 is strongly agree

Trial Locations

Locations (5)

Peter J. Knoblich MD

🇺🇸

Roseville, California, United States

University of Colorado

🇺🇸

Denver, Colorado, United States

University of Illinois

🇺🇸

Rockford, Illinois, United States

Intermed, PA

🇺🇸

Portland, Maine, United States

Novant Healthcare

🇺🇸

Winston-Salem, North Carolina, United States

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