MyHealtheVet to Enable Shared Decision Making Regarding Menopausal in Postmenopausal Women Veterans (MEANS)

Not Applicable

Completed

• Conditions: Menopause
• Interventions: Other: Menopause educational secure messaging

• Registration Number: NCT03109145
• Lead Sponsor: Miami VA Healthcare System

Brief Summary

The purpose of this research study is to examine the impact of educational secure messages on menopause. In particular, the investigators will examine whether the secure messages increase menopause knowledge and communication between patients and their providers.

Detailed Description

The overall goal of this project is to determine the effectiveness of the MEANS (MyHealtheVet to Enable And Negotiate for Shared decision making) intervention in improving women's self-reported knowledge and rates of diagnosis and appropriate management of menopause symptoms. The proposed intervention is an educational and shared decision making platform for menopause symptoms to improve communication between patients and their providers regarding menopause symptoms. MEANS combines educational secure messages through the Veterans Affairs online Personal Health Record called MyHealtheVet, along with face-to-face and print interventions.

MEANS will be applied in target population consisting of postmenopausal women Veterans ages 45 to 60 who receive primary care at the Miami Veterans Affairs Healthcare System. This project will enroll women in MyHealtheVet, develop a library of menopause symptoms material for distribution, and evaluate how useful of MyHealtheVet use for educating and tracking women regarding menopause symptoms.

Study Timeline

• Study Start: 2014-10
• Study First Submitted: 2016-12-12
• Study First Submitted QC: 2017-04-05
• Study First Posted: 2017-04-12
• Primary Completion: 2020-01-31
• Study Completion: 2020-01-31
• Status Verified: 2021-04
• Last Update Submitted: 2021-04-12
• Last Update Posted: 2021-04-13

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 859

Inclusion Criteria

• Women Veterans, age 45-60
• Receive primary care at the Miami Veterans Affairs Healthcare System
• Able to communicate in English
• Already or willing to register and become authenticated in the patient health portal, MyHealtheVet.
• Able to use read, understand, and respond to secure messages using patient health portal.

Exclusion Criteria

• Not willing to register and become authenticated for patient health portal.
• Not willing to receive educational secure messages from patient health portal.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Menopause educational secure messaging	Menopause educational secure messaging	Secure messages that provide information about menopause and treatment option for menopause symptoms.

Primary Outcome Measures

Name	Time	Method
Feasibility of patient portal use for educating and tracking women regarding menopause and menopause related symptoms.	6-months	The study will send weekly secure messages regarding menopause, and ask participants to report their menopause related symptoms by secure messaging. The research study will track the number of times participants read the weekly information sent via MyHealtheVet and the proportion of times they respond.
Menopause Knowledge	6-months	Total menopause knowledge score (a) before and after the intervention, an average of 6-months and (b) compared to a control group of eligible women patients between 45-60 years who do not receive the intervention at the West Palm Beach and Orlando Veterans Healthcare System. Score is the percent of knowledge questions answered correctly (0 - 100%)

Secondary Outcome Measures

Name	Time	Method
Shared decision making	Through study completion, an average of 3-years	Self-reported rate of shared decision making among women veteran and their providers.
Menopause related diagnosis	Through study completion, an average of 3-years	Rates of diagnosis and appropriate management of menopause related symptoms and use of hormone therapy.
Focus Group	6-months	Qualitative assessment of the interventions through participant semi-structure focus group interviews.
Patient portal registration and authentication	Through study completion, an average of 3-years	Measure the number of eligible women patients in the Miami Veterans Healthcare System who are enrolled and authenticated in the patient portal before and after the intervention.

Trial Locations

Locations (1)

Miami Veterans Affairs Healthcare System; 🇺🇸 Miami, Florida, United States