A Mobile Personal Health Record for Behavioral Health Homes (mPHR)

Emory University

Status: Completed

Conditions: Hypertension; Diabetes; Hyperlipidemia

Treatments: Behavioral: Mobile Personal Health Record App.

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT01890226

IRB00067447

1R01MH100467-01 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

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.

Enrollment: 311 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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311 participants in 2 patient groups

Control

No Intervention group

Experimental: Intervention

Experimental group

Description:

Participants randomized to the intervention arm will receive the mobile personal health record.

Treatment:

Behavioral: Mobile Personal Health Record App.