Using an Electronic Personal Health Record to Empower Patients With Hypertension

Augusta University

Status: Completed

Conditions: Hypertension

Treatments: Other: Electronic personal health record

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01317537

HS017234

Details and patient eligibility

About

Project Summary:

An electronic personal health record (ePHR) could maximize patient/clinician collaboration and consequently improve patient self-management and related health outcomes. The purpose of the proposed project is to examine the feasibility, acceptability, and impact of an ePHR that has been modified using a patient- and family-centered approach and incorporates the experiences, perspectives, and insights of patients and family members actually using the system. Comparison of patients with the ePHR intervention to a group of "care as usual" patients will be performed. The investigators Specific Aims are: (1) To improve the application of patient- and family-centered care elements in an existing ePHR, based on feedback from a pilot study of patients and their families. The modified ePHR will be tested in a pilot group of patients with hypertension and their families. (2) To implement and test the effectiveness of the modified ePHR with patients being treated for hypertension by a team of physicians, mid-level practitioners, nurse clinicians, and support staff in two ambulatory settings. Outcome measures will include patient activation and perception of care, quantifiable biological markers, patient-physician communication, and congruence of treatment with guidelines, particularly medication management; (3) To monitor the shift in provider and support staff awareness and incorporation of patient- and family-centered care as a result of implementation of the ePHR using questionnaires and focus groups. If successful, this ePHR could be implemented in additional locations in the Southeast.

Enrollment: 445 patients

Sex: All

Ages: 21 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• age 21
• hypertension
• referral by physician

Exclusion criteria

• age over 80
• no hypertension
• too ill to participate

Trial design

445 participants in 2 patient groups

Received personal health record

Experimental group

Description:

received personal health record access

Treatment:

Other: Electronic personal health record

No personal health record

No Intervention group

Description:

did not receive personal health record