Personal Health Records and Elder Medication Use Quality

University of Iowa

Status: Completed

Conditions: Physician-Patient Relations; Medication Adherence; Adverse Reaction to Drug; Health Behavior

Treatments: Behavioral: Personal Health Record (PHR)

Study type: Interventional

Funder types: Other

Identifiers

NCT02012712

200708714

R18HS017034 (U.S. AHRQ Grant/Contract)

Details and patient eligibility

About

Purpose: To examine the impact of a personal health record (PHR) on medication use safety among older adults.

Background: Online PHRs have potential as tools to manage health information. We know little about how to make PHRs accessible for older adults and what effects this will have.

Methods: A PHR was designed and pretested with older adults and tested in a six-month randomized controlled trial. After completing mailed baseline questionnaires, eligible computer users aged 65 and over were randomized 3:1 to be given access to a PHR (n=802) or serve as a standard care control group (n=273). Follow-up questionnaires measured change from baseline medication use, medication reconciliation behaviors, and medication management problems.

Enrollment: 1,163 patients

Sex: All

Ages: 65 to 95 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Computer use within the past month.
• Age 65+

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,163 participants in 2 patient groups

Personal Health Record (PHR)

Experimental group

Description:

Subjects were sent an invitation to use an online Personal Health Record (PHR)

Treatment:

Behavioral: Personal Health Record (PHR)

Usual care

No Intervention group

Description:

Subjects received usual care (no invitation or access to the study PHR)