Sepsis
Conditions
Keywords
patient-generated data collection, electronic health record monitoring, transitional care
Brief summary
The purpose of this study is to find out if patients that receive supportive messaging with response adaptation are more likely to adhere to patient-generated data collection and electronic health record integration, compared to patients that do not receive supportive messaging.
Detailed description
This project will directly inform re-usable strategies to support the integration of important patient-generated data (PGD) into the electronic health record to improve clinical care and research. For this application, investigators propose to develop and test the PGD translational science innovation in patients recovering from sepsis. This diverse patient population frequently suffers from long-term complications that are ideally suited for development and demonstration of strategies to collect, integrate, and examine PGD and builds directly on the study team's robust research portfolio on improving sepsis recovery.
Interventions
BEHAVIORALSupplemental Text Messaging
Will receive education about the collection of patient-generated data, training in using the data collection tools, and guidance on the standard frequency for collection and sharing of information. Supplemental text messages will be sent to engage patients and deliver personalized reminders to complete monitoring tasks.
BEHAVIORALEducation and Training for Patient-Generated Data
Will receive education about the collection of patient-generated data, training in using the data collection tools, and guidance on the standard frequency for collection and sharing of information.
Sponsors
Wake Forest University Health Sciences
National Center for Advancing Translational Sciences (NCATS)
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Discharged alive from the hospital without hospice care who meet clinical criteria for infection and organ dysfunction consistent with sepsis * Enrolled into the Sepsis Transition and Recovery program * Enrolled or willing to enroll as an Epic MyChart user
Exclusion criteria
* Discharged from the hospital with hospice care
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Proportion of Completed Versus Requested Patient-Generated Data | 90 days post hospital discharge | Patient generated data completion defined as the proportion of completed vs requested patient generated data elements. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Readmissions | 90 days post hospital discharge | Number of readmissions to inpatient or observation status due to any cause assessed via electronic health record. |
| Number of Deaths | 90 days post hospital discharge | Number of participant deaths due to any cause, assessed via electronic health record and national data sources integrated in the enterprise data warehouse. |
| Number of Emergency Department Visits | 90 days post hospital discharge | Number of Emergency Department visits assessed via electronic health record. |
| Number of Outpatient Clinic Visits | 90 days post hospital discharge | Number of outpatient clinic visits assessed via electronic health record |
| Number of Hospital-Free Days | 90 days post hospital discharge | Number of hospital-free days calculated by total of days alive minus days hospitalized, measured from electronic health record data. |
Contacts
PRINCIPAL_INVESTIGATORMarc Kowalkowski, PhD
Atrium Health Wake Forest Baptist
Outcome results
None listed