Addressing Hospital Patient Information Needs Using Information Technology
NCT ID: NCT01970852
Last Updated: 2018-07-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
NA
426 participants
INTERVENTIONAL
2014-03-31
2018-06-30
Brief Summary
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Detailed Description
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The specific aims of the proposal are to:
Aim 1: Evaluate the impact of an inpatient PHR portal intervention using a randomized controlled trial. The primary outcomes will be patient activation, engagement and satisfaction. We will also determine whether access to the inpatient PHR portal is correlated with greater use of the PHR after hospital discharge.
Aim 2: Characterize information needs of hospital patients and assess clinicians' attitudes toward patient engagement in the hospital setting. We will analyze the questions and comments that patients record within the PHR portal application and assess the salience of patient-entered information to issues of care quality and safety. This aim will expand our previous work in taxonomy development and hazard and near-miss recognition. A survey will be administered to collect clinicians' perceptions of the barriers to and facilitators of system use. EHR documentation will be reviewed to assess whether patient-entered information was acknowledged by clinicians, and whether changes were made to the patient's plan of care as a result.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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Standard tablet computer
Patient will receive tablet computer within 18 hours of admission and will continue to have access to it for the rest of his/her stay. Tablet has typical applications including access to the internet and entertainment.
Standard tablet computer
No special enhancements or links to personal health information.
Usual Care
Patients will receive usual care and will answer surveys during the usual time-frame specified.
No interventions assigned to this group
Enhanced tablet computer
Patients will receive a tablet computer within 18 hours of admission. Tablet will give access to a personalized inpatient personal health record portal. Will also provide access to standard tablet applications (e.g. video calling, streaming movies, etc.)
Enhanced tablet computer
Tablet computer with personalized access to data from the patient's electronic health record.
Interventions
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Standard tablet computer
No special enhancements or links to personal health information.
Enhanced tablet computer
Tablet computer with personalized access to data from the patient's electronic health record.
Eligibility Criteria
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Inclusion Criteria
* Admitted to unit where study is ongoing
Exclusion Criteria
18 Years
ALL
No
Sponsors
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Agency for Healthcare Research and Quality (AHRQ)
FED
National Library of Medicine (NLM)
NIH
Columbia University
OTHER
Responsible Party
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David Vawdrey
Assistant Professor of Clinical Biomedical Informatics
Principal Investigators
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David Vawdrey, PhD
Role: PRINCIPAL_INVESTIGATOR
Columbia University
Locations
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Columbia University Medical Center
New York, New York, United States
Countries
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References
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Vawdrey DK, Wilcox LG, Collins SA, Bakken S, Feiner S, Boyer A, Restaino SW. A tablet computer application for patients to participate in their hospital care. AMIA Annu Symp Proc. 2011;2011:1428-35. Epub 2011 Oct 22.
Greysen SR, Magan Y, Rosenthal J, Jacolbia R, Auerbach AD, Harrison JD. Patient Recommendations to Improve the Implementation of and Engagement With Portals in Acute Care: Hospital-Based Qualitative Study. J Med Internet Res. 2020 Jan 14;22(1):e13337. doi: 10.2196/13337.
Masterson Creber RM, Grossman LV, Ryan B, Qian M, Polubriaginof FCG, Restaino S, Bakken S, Hripcsak G, Vawdrey DK. Engaging hospitalized patients with personalized health information: a randomized trial of an inpatient portal. J Am Med Inform Assoc. 2019 Feb 1;26(2):115-123. doi: 10.1093/jamia/ocy146.
Other Identifiers
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T15LM00707
Identifier Type: OTHER_GRANT
Identifier Source: secondary_id
AAAF0264
Identifier Type: -
Identifier Source: org_study_id
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