Caremap: A Digital Personal Health Record for Complex Care Coordination

Duke University

Status: Completed

Conditions: Children/Youth With Special Healthcare Needs; Adults With Multiple Chronic Conditions

Treatments: Other: Caremap app

Study type: Interventional

Funder types: Other

Identifiers

NCT05056493

Pro00108191

Details and patient eligibility

About

This study will implement a new mobile application ('app') called Caremap to improve care coordination for patients with complex health needs. The goal is to pilot test the mobile app with patients/families and clinic doctors to gather input on how well the app works and how to make it better. Investigators plan to enroll up to 40 participants from Duke University for this study. The study is sponsored by Duke's Institute for Health Innovation.

Enrollment: 17 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria for parents/caregivers of children/youth with special health care needs (CYSHCN):

• Adult parent/legal guardian (age 18 or older) of a CYSHCN
• Established care for their child/youth at Duke Pediatrics Primary Care or Duke Children's Cystic Fibrosis clinic (established = one or more completed visits in the past 12 months at the clinic)
• High level of complex medical needs that could benefit from additional care coordination support (determined by clinical provider at the pilot site)
• Primary provider enrolled in the study as a provider participant/clinical provider site champion
• Active Duke MyChart (online EHR patient portal) account
• Full proxy access activated/enabled for parent to the child/youth's medical record in Epic
• Apple iOS device compatible with Caremap app requirements at time of consent

Inclusion criteria for adult patients with multiple chronic conditions (MCC):

• Adult patient (age 18 or older) with MCC
• Established care for the patient at Duke Geriatrics clinic or Duke Pulmonary Transplant clinic (established = one or more completed visits in the past 12 months at the clinic)
• High level of complex medical needs that could benefit from additional care coordination support (determined by clinical provider at the participating clinic site)
• Primary provider enrolled in the study as a provider participant/clinical provider site champion
• Active Duke MyChart (online EHR patient portal) account
• Apple iOS device compatible with Caremap app requirements at time of consent

Inclusion criteria for clinical provider site champions (to participate in interviews and quantitative provider-reported surveys):

• Currently practicing at Duke Health
• Primary site of work is participating clinic site

Exclusion criteria:

• Non-English speaking
• Living in long-term, congregate settings - e.g., living in institutionalized settings such as long-term care facility, nursing/long-term rehab facilities
• Lacks requisite technology to access and use mobile app (e.g., device/tablet/smartphone, home internet, active Epic MyChart account)
• Lack of decision-making capacity (clinician-determined; e.g., patients with advanced dementia)

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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17 participants in 2 patient groups

Clinical Providers

Experimental group

Description:

Clinical provider site champions will be invited to participate in web-based quantitative surveys and a semi-structured interview

Treatment:

Other: Caremap app

Parent/Caregivers

Experimental group

Description:

Patient and parent/caregiver subjects from the participating clinic sites will be enrolled. These participants are all adults - parents or caregivers of children and youth with special health care needs (CYSHCN) and adult patients with multiple chronic conditions (MCC) who are already receiving care at Duke Health.

Treatment:

Other: Caremap app