Avoiding Health Disparities When Collecting Patient Contextual Data for Clinical Care and Pragmatic Research

Conditions

Communication

Keywords

consumer informatics, communication, patient engagement

Brief summary

To assess whether the routine collection of patient-contextual data improves patient activation and communication, and can mitigate racial disparities in communication and engagement, we are inviting patients who have upcoming appointments at the participating health system to participate in a communication study. Patients will be randomized to having guided (facilitated) enrollment in a tool that collects patient contextual data, or to usual care. All patients are invited directly by the health system to use the tool. Statistical methods will be used to determine the impact of the tool's use on outcomes of interest, as well as the impact on completion by the use of the facilitated enrollment. The study will particularly focus on assessing the impact of patient-contextual data and communication on heath disparities.

Jeana M. Holt, Rachel Cusatis, Aaron N. Winn, Onur Asan, Charles Spanbauer et al. (12 authors)

Journal of General Internal Medicine2021-02-0917 citations

10.1007/s11606-020-06583-7

Racial Disparities in Patient Activation: The Role of Economic Diversity

Jeana M. Holt, Aaron N. Winn, Rachel Cusatis, AkkeNeel Talsma, Bradley H. Crotty

Western Journal of Nursing Research2020-10-056 citations

10.1177/0193945920963130

The Impact of Previsit Contextual Data Collection on Patient-Provider Communication and Patient Activation: Study Protocol for a Randomized Controlled Trial

Jeana M. Holt, Rachel Cusatis, Aaron N. Winn, Onur Asan, Charles Spanbauer et al. (10 authors)

JMIR Research Protocols2020-07-266 citations

10.2196/20309

Interventions

BEHAVIORALFacilitated Enrollment

Research coordinator will assist patients in account creation and usage of the tool.

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

HEALTH_SERVICES_RESEARCH

Masking

DOUBLE (Investigator, Outcomes Assessor)

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Yes

Inclusion criteria

* aged 18 or older * able to speak and understand English, * a patient at a selected Froedtert & Medical College of Wisconson primary care or internal medicine clinic (i.e., General Internal Medicine On Campus of Milwaukee Regional Medical Center, Sargeant Health Center, or Tosa Health Center (Plank Road Clinic) with an upcoming (\> 4 weeks away) appointment and at least 1 previous appointment with the same provider in the previous 12 months. * Patients with cognitive impairment (e.g. dementia) are eligible to participate through the use of proxies who would ordinarily accompany them to appointments and complete forms or post-visit surveys on their behalf.

Exclusion criteria

* Minors and non-English speaking patients are not eligible to participate

Design outcomes

Primary

Measure	Time frame	Description
Composite Communication Score As Assessed by Communication Assessment Tool, a validated 14-item patient-reported outcome.	Post Visit ( 1 week)	Use of Communication Assessment Tool (CAT), a 14-item instrument that reports patient-views of clinician communication Makoul G, Krupat E, Chang CH. Measuring patient views of physician communication skills: development and testing of the Communication Assessment Tool. Patient Educ Couns. 2007;67: 333-342.

Secondary

Measure	Time frame	Description
Change in the composite score of the patient activation measure, a validated instrument to assess a patient's engagement and activation in their health issues.	Pre/Post Visit (1 week)	Short form developed by J Hibbard et al on patient activation Hibbard JH, Mahoney ER, Stockard J, Tusler M. Development and testing of a short form of the patient activation measure. Health Serv Res. 2005;40: 1918-1930.

Countries

United States

Outcome results

None listed