The Personal Health Care Partner Project, Conversational IT for Better, Safer Pediatric Primary Care
试验速览
- 阶段
- 2 期
- 状态
- 已完成
- 入组人数
- 475
- 试验地点
- 2
- 主要终点
- Personal Health Partner (PHP) assessment with electronic health record (EHR) data exchange before pediatric primary care visits
研究概览
简要总结
Interactive telephony technologies offer a potentially highly effective, patient-centered communication modality by guiding parents at home through interactive discussions that can gather information and actively reinforce recommendations and treatments. Interactive telephony systems are particularly well suited for use in vulnerable populations since access to the telephone is nearly universal, and the system does not rely on reading printed text. The investigators propose to develop and evaluate an integrated patient-centered health information system, the Personal Health Partner (PHP). The PHP will use fully automated, interactive, conversations to gather personal health data and counsel parents before scheduled visits, exchange that data with the child's primary care clinician via the electronic health record (EHR), and offer personalized follow-up assessment and counseling after visits. The information technology-based approach to be evaluated in this project will link parents and children outside the clinical setting with their primary care center and will offer comprehensive assessments AND counseling to reinforce and support parental behavior change.
详细描述
A large gap exists between what is recommended for effective primary care of children and what actually takes place in pediatric primary care settings, especially in the areas of preventive care. Furthermore, although medication management (safety and effectiveness) issues have emerged as an important factor for children, little is known about how medication is actually used by families at home.
With growing use of the electronic health record (EHR) come new opportunities to link patient-centered information with clinical health information systems. Linkage of these systems has the potential to inform and activate parents, provide much richer data to drive decision support at the point-of-care, and to provide ongoing support for long-term behavior change following primary care visits. The use of conversational technologies as the foundation for the project offers a number of unique advantages especially the support of lower-literacy populations and near-universal access. Systems like the Personal Health Partner (PHP) represent a model for the future of ambulatory care and the sustainable, affordable delivery of higher quality and safer care by primary care clinicians in the future.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Double (Participant, Investigator)
入排标准
- 年龄范围
- — 至 11 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Parents of children will be enrolled in the study if they meet a set of eligibility criteria which includes:
- •Age 0 - 11 years old
- •A primary care patient at Boston Medical Center
- •An English speaking child and parent.
排除标准
- •Children will be considered ineligible for the study if they plan to move away from the Boston area in less than 3 months, or are participating in another primary care research project with content that overlaps the content within this study. Currently, there are no studies being conducted that would lead to exclusion.
结局指标
主要结局
Personal Health Partner (PHP) assessment with electronic health record (EHR) data exchange before pediatric primary care visits
时间窗: 2 week -1day before doctor's appointment and 1 week after appointment
PHP assessment with EHR data exchange before pediatric primary care visits will be associated with more comprehensive preventive and medication management assessments when compared to usual care
次要结局
- Personal Health Partner (PHP) pre-visit counseling with post-visit reinforcement(2 week-1day before doctor's appointment and 1 week after appointment)
研究者
Bill Adams
Professor of Pediatrics, Principle Investigator
Boston Medical Center