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OpenTrials
Completed

NCT Number: NCT01890226

A Mobile Personal Health Record for Behavioral Health Homes

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.

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Key information

Conditions

Hypertension Cardiovascular Diseases Diabetes Diabetes Mellitus Dyslipidemias Endocrine System Diseases Glucose Metabolism Disorders Hyperlipidemia Hyperlipidemias Lipid Metabolism Disorders Metabolic Diseases Nutritional and Metabolic Diseases Vascular Diseases

Age range

18 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Viewpoint Health & Oakhurst Medical Center

Conyers, Georgia, 30012, United States

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • one or more of the following conditions: hyperlipidemia, hypertension, diabetes
  • able to give consent
  • patient in the behavioral health home

Exclusion criteria

  • Unable to give consent

Treatment and study plan

Mobile Personal Health Record App.

Behavioral

Primary outcomes

  1. Change in Composite Quality Score

    Time frame: 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.

Secondary outcomes

  1. Change in Patient Assessment of Chronic Illness Care

    Time frame: Baseline, 6 month post intervention, 12 month post intervention

    20-item patient self-report instrument that assesses the extent to which patients with chronic illness report receiving care that aligns with the Chronic Care Model. The summary score ranges from 1 to 5 with a higher score indicating patient's perception of greater involvement in self-management and receipt of chronic care counseling.

  2. Change in Patient Activation Measure

    Time frame: Baseline, 6 month post intervention, 12 month post intervention

    Assesses a patients' perceived ability to manage their illnesses and their healthcare visits. Patient Activation Measure Scores were summed to calculate the overall raw score then transformed to an activation scale ranging from 0 to 100. Higher scores indicate greater patient activation.

  3. Change in Health-related Quality of Life

    Time frame: Baseline, 6 month post intervention, 12 month post intervention

    Measured using the Physical and Mental Component Summary scales of the SF-12. Assesses a patients' perceived health related quality of life.

    The composite physical (PCS) and mental component (MCS) summary scores for the SF-12 are each scored on a 0-100 scale. Higher scores indicate better functioning.

Sponsors and collaborators

Lead sponsor

Emory University

Other

Collaborators

  • National Institute of Mental Health (NIMH)

Registry information

Acronym: mPHR

Important dates

Study start
2014
Primary completion
2018
Study completion
2019
First posted
Jul 1, 2013
Registry last updated
Feb 17, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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