A Mobile Personal Health Record for Behavioral Health Homes
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 311
- 试验地点
- 2
- 主要终点
- Change in Composite Quality Score
研究概览
简要总结
Poor quality of medical care is a major contributor to excess medical morbidity and premature mortality in persons with serious mental illnesses (SMI). To address this problem, community mental health providers are increasingly partnering with safety net medical providers to develop behavioral health homes, integrated clinics in which persons with SMI receive coordinated medical and mental health care. However, behavioral health homes have faced logistical and privacy challenges in integrating electronic medical records across organizations.
This application proposes to develop and test a mobile Personal Health Record (mPHR) to overcome this problem while more fully engaging patients in their health care. The study will develop, test, and disseminate the mPHR. The investigators will develop the app building on experience and preliminary data from a PC-based PHR project, and link it to the medical and mental health EHR in a behavioral health home. Next, the investigators will conduct a randomized trial of the mPHR in 300 subjects randomized to the mPHR or usual care.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 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
- •one or more of the following conditions: hyperlipidemia, hypertension, diabetes
- •able to give consent
- •patient in the behavioral health home
排除标准
- •Unable to give consent
结局指标
主要结局
Change in Composite Quality Score
时间窗: Baseline, 12 month post intervention
It is a measure of quality of care. The aggregate score represents the total number of eligible services received for an individual generated by dividing all instances in which recommended care was delivered by the number of times a participant was eligible for the indicator. The score ranges from 0 to 1 with higher scores indicating receipt of recommended care/services.
次要结局
- Change in Health-related Quality of Life(Baseline, 6 month post intervention, 12 month post intervention)
- Change in Patient Activation Measure(Baseline, 6 month post intervention, 12 month post intervention)
- Change in Patient Assessment of Chronic Illness Care(Baseline, 6 month post intervention, 12 month post intervention)
