Engaging Diverse Patients in Using an Online Patient Portal
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 93
- 主要终点
- Portal log-ins
研究概览
简要总结
Online patient portals are becoming ubiquitous in the US. Previous research has documented substantial usability barriers, especially among patients with limited health literacy. This pilot randomized pilot trial had the goal of determining the effectiveness of an in-person training with a scalable online video-based training program to increase portal use among patients in a safety net healthcare setting.
详细描述
The intervention in this study was a patient portal training curriculum with simple instructions and 11 how-to videos for accessing features of an online patient portal. Using a deeply participatory approach, this curriculum was created in consultation with a patient advisory board from the San Francisco Health Network, a local Medicaid health plan. From June until October 2016, 93 patients with 1 or more chronic diseases were randomized to receive either: 1) an in-person tutorial with a trained research assistant versus 2) a link to view the videos on their own. The primary outcome was portal log-in (yes/no) between 3 and 6 months post-training, assessed through a portal administrative dashboard within the EHR. Secondary outcome included baseline and follow-up survey measures on participants' perceptions of the portal use and their care, as well as views of the web-based lessons.
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
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •English-speaking as portal is only available in English
- •diagnosed with at least one chronic condition
排除标准
- •cognitive impairment
- •visual impairment
- •severe mental health conditions
- •any circumstances that would make participation in the study difficult
- •no previous email use
- •self-reported usage of MYSFHEALTH
研究组 & 干预措施
Take-home online training
Participants received a link to access the online tutorial videos on their own.
干预措施: Take-home online training (Behavioral)
In-person online training
Participants received an in-person tutorial of how to use the patient portal website with a trained research assistant.
干预措施: In-person online training (Behavioral)
结局指标
主要结局
Portal log-ins
时间窗: 3-6 months post-training
Logging into the portal website in the 3-6 months post-training (yes/no)
次要结局
- eHealth Literacy(3-6 months post-training)
- Portal sign-up(3-6 months post-training)
- Digital literacy skills(3-6 months post-training)
研究者
Courtney Lyles
Assistant Professor
University of California, San Francisco