Health Behavior Clinical Trial
Official title:
Personal Health Records and Elder Medication Use Quality
Verified date | March 2017 |
Source | University of Iowa |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
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.
Status | Completed |
Enrollment | 1163 |
Est. completion date | February 2011 |
Est. primary completion date | February 2011 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 65 Years to 95 Years |
Eligibility |
Inclusion Criteria: - Computer use within the past month. - Age 65+ |
Country | Name | City | State |
---|---|---|---|
United States | University of Iowa | Iowa City | Iowa |
Lead Sponsor | Collaborator |
---|---|
University of Iowa |
United States,
Chrischilles EA, Hourcade JP, Doucette W, Eichmann D, Gryzlak B, Lorentzen R, Wright K, Letuchy E, Mueller M, Farris K, Levy B. Personal health records: a randomized trial of effects on elder medication safety. J Am Med Inform Assoc. 2014 Jul-Aug;21(4):67 — View Citation
Hourcade, J.P., Chrischilles, E.A., Gryzlak, B.M., Hanson, B.M., Dunbar, D.E., Eichmann, D.A. and Lorentzen, R.R. (2011). Design Lessons for Older Adult Personal Health Records Software from Older Adults. Proceedings of 6th International Conference on Universal Access in Human-Computer Interaction, held as part of HCI International. Lecture Notes in Computer Science, 6766, 176-85.
Witry MJ, Doucette WR, Daly JM, Levy BT, Chrischilles EA. Family physician perceptions of personal health records. Perspect Health Inf Manag. 2010 Jan 1;7:1d. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Mean (SD) number of prescription drugs | Baseline and 6 months | ||
Primary | Mean (SD) number of over-the-counter drugs | Baseline and 6 months | ||
Primary | Any change in medication use in past 3 months | Baseline and 6 months | ||
Primary | Started prescription drug | Baseline and 6 months | ||
Primary | Stopped prescription drug | Baseline and 6 months | ||
Primary | Changed strength/dose of prescription drug | Baseline and 6 months | ||
Primary | Keep list of current medications | Baseline and 6 months | ||
Primary | Reason for medications on list | Baseline and 6 months | ||
Primary | Usually shows medication list to doctor | Baseline and 6 months | ||
Primary | Put over-the-counter drugs on list | Baseline and 6 months | ||
Primary | Updated list in past 3 months | Baseline and 6 months | ||
Primary | At last doctor visit, asked whether keep a medication list | Baseline and 6 months | ||
Primary | At last doctor visit, had medication list | Baseline and 6 months | ||
Primary | At last doctor visit showed medication list | Baseline and 6 months | ||
Primary | Someone asked about medication strength at last doctor visit (for all medications) | Baseline and 6 months | ||
Primary | Someone asked about medication strength at last doctor visit (for some medications) | Baseline and 6 months | ||
Primary | At last doctor visit, doctor compared records with what patient said they were taking | Baseline and 6 months | ||
Primary | At last doctor visit, differences found between doctor and patient medication records | Baseline and 6 months | ||
Primary | Use of potentially inappropriate medications (ACOVE) | List of potentially inappropriate medications derived from the Assessing Care of Vulnerable Elders project (ACOVE-3) Shrank WH, Polinski JM, Avorn J. Quality Indicators for Medication Use in Vulnerable Elders. J Am Geriatr Soc 2007;55:S373-S382. |
Baseline and 6 months | |
Primary | Taking 2 or more NSAIDS (including aspirin) | Baseline and 6 months | ||
Primary | Mean (SD) number of medication management problems | Baseline and 6 months | ||
Primary | Knows how to recognize side effects | 6 months | ||
Primary | Medication side effects in past 3 months | Baseline and 6 months | ||
Primary | Mean (SD) modified Morisky adherence score | Baseline and 6 months |
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