Patient Portal to Support Treatment Adherence
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 304
- 试验地点
- 4
- 主要终点
- Lapses in medication adherence over the last 7 and 30 days (self report) and over previous 12 months (pharmacy records).
研究概览
简要总结
The purpose of this study is to conduct a randomized control trial of a behavioral intervention delivered by nurses via an electronic medical record (EMR) patient web portal to determine if this is an efficacious method for supporting medication adherence.
详细描述
300 adult HIV+ patients will be randomized to one of two arms. 150 will be assigned to receive secure messages focused on antiretroviral adherence from a nurse through the health plan EMR patient website. 150 will be assigned to an attention control comparison arm, and will receive electronic messages from a study staff member that provide information about the various features of the health plan patient website. Patients will be invited by mail to be telephone screened for enrollment in the study. Patients will be provided the opportunity to opt out of being contacted by the study. Eligible and interested patients will be mailed an access code and separately emailed a link to a secure study website where they will complete a web consent form and a baseline web survey before being randomized to an intervention arm. This trial will allow us to evaluate the effectiveness of using health information technology as an intervention delivery vehicle to improve patient disease management behaviors such as treatment adherence.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •enrollment in GHC or KP health plans for at least 6 months
- •expect to stay enrolled for 1 year in health plan
- •currently prescribed antiretroviral medication
- •regular access to a computer with internet capabilities and working email address and meet one of the following:
- •gap in antiretroviral prescription refills based on 6 month refill records
- •referral to study by provider team for adherence problems
排除标准
- •dementia or psychosis diagnosis documented in medical record
研究组 & 干预措施
study nurse messages
A series of 6 proactive secure messages and 3 proactive booster messages (for a total of 9 secure and personalized messages) sent by the study nurse via the EMR patient web portal.
干预措施: adherence intervention (Behavioral)
staff emails
Attention control that includes staff sending emails with information about using health information technology system.
干预措施: attention control (Other)
结局指标
主要结局
Lapses in medication adherence over the last 7 and 30 days (self report) and over previous 12 months (pharmacy records).
时间窗: 12 months
次要结局
- Web service utilization.(12 months)