Hypertension
Conditions
Keywords
personal health records
Brief summary
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.
Interventions
OTHERElectronic personal health record
Sponsors
Agency for Healthcare Research and Quality (AHRQ)
Cerner Corporation
The Institute for Patient- and Family-Centered Care
Augusta University
Study design
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
21 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* age 21 * hypertension * referral by physician
Exclusion criteria
* age over 80 * no hypertension * too ill to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Systolic blood pressure | 9 months | 2 seated measures taken using manual sphygmometer by trained research associate |
| Diastolic blood pressure | 9 months | 2 seated measures taken using manual sphygmometer by trained research associate |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| patient activation | 9 months | Patients complete the validated paper-and-pencil Patient Activation Measure (PAM) developed by Judy Hibbard. The instrument assesses the degree to which a patient is activated, that is the degree to which they are an active agent in their own health care, e.g. ask questions of their health care provider. |
| Patient satisfaction with care | 9 months | Consumer Assessment of Health care--group and clinician survey Patient assessment of chronic care Post study interviews |
| adherence to guidelines | 9 months | chart audit of patient care |
Countries
United States
Outcome results
None listed