Veterans' Experiences Using Secure Messaging on MyHealtheVet
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 852
- 试验地点
- 2
- 主要终点
- Usability of Secure Messaging
研究概览
简要总结
Deployment of Secure Messaging (SM) in primary care and women's clinics throughout the Veteran Health System by 2011 was an implementation priority for the Secretary and Under Secretary for Health for FY11 under the VHA T21 initiative. Secure Messaging is in early phases of implementation, this eHealth tool requires thoughtful evaluation to promote the successful implementation and dissemination of this tool. The primary aim of this project is to describe Veterans' experiences when using the SM feature on MyHealtheVet (MHV). This project has local, VISN, and national impact on the implementation and sustainability of the SM feature on MHV through its qualitative and quantitative examination of users' experiences. Findings from this research explores why Veterans choose to, or not to, use the SM feature on MHV, identify facilitators and barriers, and examine if experiences differ by health literacy or computer literacy. In addition to the interview data, findings from the usability testing and the quantitative survey findings build knowledge about Veterans' experiences using the SM feature on MyHealtheVet. These data will inform systems improvements, educational approaches, and marketing strategies to increase adoption and long-term utilization among Veterans.
详细描述
Project Background:
Secure Messaging is a VHA implementation priority to improve Veteran access to care. Successful deployment of Secure Messaging will support improved access to care, and improved healthcare outcomes in the Veteran population. To support these initiatives, and the successful implementation of this health informatics tools in the VHA, this project is exploring Veterans' perspectives' about adopting Secure Messaging and their experiences using Secure Messaging to inform systems improvements, educational approaches, and marketing strategies.
Objectives:
The primary aim of this project is to describe Veterans' experiences when using the Secure Messaging feature on My HealtheVet (MHV). This research is designed to explore why Veterans choose to, or not to, use the Secure Messaging feature on MHV, identify facilitators and barriers, and examine if experiences differ by health literacy or computer literacy. In addition to the interview data, findings from the usability testing provide user data about Veterans' skills and patterns when using Secure Messaging. This study was extended to conduct a mail-in quantitative survey evaluation of Veterans experiences, preferences, purposes and perceived facilitators and barriers for using, or not using Secure Messaging.
Methods:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Individuals who have been Personally Authenticated for the SM feature on MHV and
- •who use SM independent of other caregivers, and
- •cognitive impairment that prevents use of a personal computer.
排除标准
- •Unable or unwilling to provide informed consent.
结局指标
主要结局
Usability of Secure Messaging
时间窗: baseline
To determine ease of use and usefulness of secure messaging. Purposive sample of 33 participants were assessed for their ability to complete the following tasks: navigate to Secure Messaging, log-in to My HealtheVet and Secure Messaging, Set user preferences, check Secure Message inbox, open and send Secure Message, Open and read Secure Message attachment. Measured as: (1) able to complete task; (2) able to complete task with some difficulty; (3) not able to complete task.
Frequency of Electronic Resource Use
时间窗: baseline
Mail surveys examine Veterans frequency of electronic resource use.
Veterans That Believed Improvements to the Secure Messaging System Would Make the Tool More Useful in the Future Are Presented in the Table.
时间窗: baseline
Veterans were asked to report if improvements to the secure messaging system would make the tool more useful for use in the future.
Reasons for Using Secure Messaging Tool on My HealtheVet
时间窗: baseline
Participants reported reasons for Using Secure Messaging tool on My HealtheVet
Secure Messaging Use and Content Patterns
时间窗: 3 months
Extraction of secure messages over a three-month time frame to examine message content type, including: general, tests, medication, and appointments.
Veteran Need for Education Support for My HealtheVet and Secure Messaging Use.
时间窗: baseline
Veterans were asked to report if they would like to have education and support using My HealtheVet and the Secure Messaging tool.
Benefits of Using Secure Messaging
时间窗: baseline
Veterans report benefits of using Secure Messaging
Intention to Use Secure Messaging in the Future
时间窗: baseline
Veteran respondent intention to use Secure Messaging in the future
次要结局
未报告次要终点