Trial Outcomes & Findings for eHealth Partnered Evaluation Initiative (NCT NCT02665468)

Results Overview

Measure the change in rate of use of secure messaging in intervention versus control Veterans, reported as participants in each arm that sent a secure message during study period.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1196 participants

Primary outcome timeframe

Baseline and Six months

Results posted on

2019-02-18

Participant Flow

Participant milestones

Participant milestones
Measure	Arm 1: Supported Adoption Intervention Supported adoption intervention Supported adoption intervention: An intervention where a healthcare system implements quality improvement by sending patients proactive reminders, motivational messages, and educational support to encourage use of a new service (i.e., secure messaging)	Arm 2: Usual Care Usual care control: As a usual control, Veterans did not receive additional information outside of usual care.
Overall Study STARTED	595	601
Overall Study COMPLETED	595	601
Overall Study NOT COMPLETED	0	0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

eHealth Partnered Evaluation Initiative

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Arm 1: Supported Adoption Intervention n=595 Participants Supported adoption intervention Supported adoption intervention: An intervention where a healthcare system implements quality improvement by sending patients proactive reminders, motivational messages, and educational support to encourage use of a new service (i.e., secure messaging)	Arm 2: General Wellness Information n=601 Participants General wellness information Active comparator control: The investigators will use an attention control (a control intended to balance the attention Veterans receive from the facility mailings and to enhance masking of intervention versus control). As an attention control must not have information about the intended intervention, the investigators will mail out general wellness information available on the VHA National Center for Prevention	Total n=1196 Participants Total of all reporting groups
Age, Continuous	54.7 years STANDARD_DEVIATION 13.5 • n=5 Participants	53.8 years STANDARD_DEVIATION 13.4 • n=7 Participants	54.3 years STANDARD_DEVIATION 13.4 • n=5 Participants
Sex: Female, Male Female	60 Participants n=5 Participants	62 Participants n=7 Participants	122 Participants n=5 Participants
Sex: Female, Male Male	535 Participants n=5 Participants	539 Participants n=7 Participants	1074 Participants n=5 Participants
Race/Ethnicity, Customized White	420 Participants n=5 Participants	415 Participants n=7 Participants	835 Participants n=5 Participants
Race/Ethnicity, Customized African-American	33 Participants n=5 Participants	37 Participants n=7 Participants	70 Participants n=5 Participants
Race/Ethnicity, Customized Other Race	6 Participants n=5 Participants	5 Participants n=7 Participants	11 Participants n=5 Participants
Race/Ethnicity, Customized MIssing	136 Participants n=5 Participants	144 Participants n=7 Participants	280 Participants n=5 Participants

PRIMARY outcome

Timeframe: Baseline and Six months

Population: The number of participants who received the Supported Adoption Intervention as analyzed was 2 less (these materials were returned/wrong address) than initially randomized and baseline characteristics are presented for.

Measure the change in rate of use of secure messaging in intervention versus control Veterans, reported as participants in each arm that sent a secure message during study period.

Outcome measures

Outcome measures
Measure	Arm 1: Supported Adoption Intervention n=593 Participants Supported adoption intervention Supported adoption intervention: An intervention where a healthcare system implements quality improvement by sending patients proactive reminders, motivational messages, and educational support to encourage use of a new service (i.e., secure messaging)	Arm 2: Usual Care n=601 Participants Usual care control: As a usual control, Veterans did not receive additional information outside of usual care.
Change in Rate of Use	85 Participants	28 Participants

SECONDARY outcome

Timeframe: Six month follow-up

Population: Participants who completed the 6-month follow-up survey

To explore the impact of secure messaging use on healthcare encounters, the investigators will compare the responses of each arm at 6-month follow-up assessment for Patient Self-reported Access to communication using 2 Questions adapted from the Survey of Healthcare Experience of Patients Scale which inquires, "How easy is it for you to communicate with your doctor when you need to?" and, "How easy is it for you to get to see your nurse when you need to?" Responses to scale were 1= "Never", 2= "Sometimes", 3= "Usually", 4= "Always"; where "Always" was the best score.

Outcome measures

Outcome measures
Measure	Arm 1: Supported Adoption Intervention n=269 Participants Supported adoption intervention Supported adoption intervention: An intervention where a healthcare system implements quality improvement by sending patients proactive reminders, motivational messages, and educational support to encourage use of a new service (i.e., secure messaging)	Arm 2: Usual Care n=316 Participants Usual care control: As a usual control, Veterans did not receive additional information outside of usual care.
Patient Self-reported Access to Communication	3.70 units on a scale Standard Deviation 1.11	3.52 units on a scale Standard Deviation 1.21

SECONDARY outcome

Timeframe: Six month follow-up

Population: Participants who completed 6-month follow-up assessment

To explore the impact of secure messaging use on healthcare encounters, the investigators will use the Patient Assessment of Chronic Illness Care (PACIC) designed to assess patients' perceptions of the degree to which their care experiences are consistent with the chronic care model and includes subscale scores for patient activation, goal setting/tailoring, and follow-up/coordination. Investigators compared arms at 6-month follow-up using scale 0 (not a problem) - 4 (very big problem), where 0 indicates the desired response.

Outcome measures

Outcome measures
Measure	Arm 1: Supported Adoption Intervention n=267 Participants Supported adoption intervention Supported adoption intervention: An intervention where a healthcare system implements quality improvement by sending patients proactive reminders, motivational messages, and educational support to encourage use of a new service (i.e., secure messaging)	Arm 2: Usual Care n=314 Participants Usual care control: As a usual control, Veterans did not receive additional information outside of usual care.
Care Coordination: Patient Assessment of Chronic Illness Care	2.12 units on a scale Standard Deviation 2.98	2.06 units on a scale Standard Deviation 2.92

SECONDARY outcome

Timeframe: Six months

Population: Participants who completed 6-month follow-up survey

To explore the impact of secure messaging use on healthcare encounters, the investigators will compare each arm at 6-month follow-up assessment with responses from Health Care Climate Questionnaire (HCCQ), a 15-item scale adapted to assess the degree to which patient healthcare provider is accessible and supportive (taking the participant's perspective, encouraging and answering questions, supporting their plans) This is a Likert scale ranging from 1 = "Strongly Disagree" to 7 = "Strongly Agree"; where in all but one question - 1 = "Strongly Agree" is the desired response. Responses were totaled, inverting the one question and mean was determined.

Outcome measures

Outcome measures
Measure	Arm 1: Supported Adoption Intervention n=270 Participants Supported adoption intervention Supported adoption intervention: An intervention where a healthcare system implements quality improvement by sending patients proactive reminders, motivational messages, and educational support to encourage use of a new service (i.e., secure messaging)	Arm 2: Usual Care n=316 Participants Usual care control: As a usual control, Veterans did not receive additional information outside of usual care.
Physician Accessibility and Engagement	6.24 units on a scale Standard Deviation 1.12	5.97 units on a scale Standard Deviation 1.33

Adverse Events

Arm 1: Supported Adoption Intervention

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Arm 2: Usual Care

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Timothy P. Hogan

VA-CHOIR

Phone: 781-687-3181

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place