Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

Obesity Clinical Trial

Official title:

Integrating Targeted MedlinePlus Health Prescriptions Into Clinic Practice Workflow

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00634608
• Other study ID #: HHSN276200700263P
• Status: Completed
• Phase: N/A
• First received: February 22, 2008
• Last updated: September 29, 2016
• Start date: February 2008
• Est. completion date: September 2009

Study information

• Verified date: September 2016
• Source: University of Missouri-Columbia
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

The specific aim of this proposed project is to implement a standard process for integrating MedlinePlus health information prescriptions into the clinic workflow.

Hypothesis 1: Individuals in the intervention group who receive tailored email health information with provider selected MedlinePlus links and added commentary for patient specific conditions will be more likely to seek information / use MedlinePlus compared with individuals in the control group.

Hypothesis 2: Individuals in the intervention group who receive tailored email health information with provider selected MedlinePlus links and added commentary for patient specific conditions will be more satisfied with the information received compared with individuals in the control group.

Description:

Providing patient education in an outpatient practice can be challenging in part due to the variety of patient medical conditions and the quantity of materials needed. Increasingly, electronic resources such as those found on the internet have the potential to provide easily accessible needed information. However, clinicians do not have the time to assemble a list of websites for their patients and even if they did, the quality of information varies greatly and would require close screening. MedlinePlus is a free National Library of Medicine sponsored website that features health information on hundreds of conditions with all information carefully screened for quality standards by expert librarians. We will conduct a pilot study to seamlessly integrate provider-customized MedlinePlus health education prescriptions for specific conditions into the normal clinic workflow to motivate patients to access and expand their use of MedlinePlus to benefit their health. As HIV prevention/education is very important, we will include the HIV clinic as well as a general internal medicine clinic.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 224
• Est. completion date: September 2009
• Est. primary completion date: March 2009
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• To be included in the study population, patients must also be seen by their physician for one of the 21 target health conditions (Allergic Rhinitis, Asthma, Back Pain, Benign Prostatic Hypertrophy, Bursitis, Depression/Anxiety, Diabetes Mellitus, Esophageal Reflux, HIV, Hyperlipidemia, Hypertension, Insomnia, Irritable Bowel Syndrome, Obesity, Osteoporosis (senile), Shoulder Pain, Sinusitis, Symptomatic Menopause, Urinary Incontinence, Urinary Tract Infection, Vaginitis) and be willing to provide an email address.

• Patients will be included only once.

• All patients in the intervention and the control group will receive the survey.

• All physicians and staff at the Fairview Clinic and HIV Clinic will be invited to complete the physician or staff survey.

Exclusion Criteria:

• No email address

Study Design

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label

Related Conditions & MeSH terms

• Allergic Rhinitis
• Anxiety
• Asthma
• Back Pain
• Benign Prostatic Hypertrophy
• Bursitis
• Communicable Diseases
• Depression
• Diabetes Mellitus
• Enuresis
• Esophageal Reflux
• Gastroesophageal Reflux
• HIV Infections
• Hyperlipidemia
• Hyperlipidemias
• Hypertension
• Hypertrophy
• Infection
• Insomnia
• Irritable Bowel Syndrome
• Obesity
• Osteoporosis
• Osteoporosis (Senile)
• Prostatic Hyperplasia
• Rhinitis
• Rhinitis, Allergic
• Shoulder Pain
• Sinusitis
• Symptomatic Menopause
• Urinary Incontinence
• Urinary Tract Infection
• Urinary Tract Infections
• Vaginitis

Intervention

Other:
• Health Information Prescription
The patient education materials will consist of approximately 21 topics representing some of the most common conditions seen at the Fairview Internal Medicine Clinic. Twenty-one e-mails, one per topic, will be created by Fairview physicians to be distributed to selected clinic patients. There will be a standard e-mail for each condition with a specific link to MedlinePlus. To create the targeted health information topic email, the physician will review the information available at MedlinePlus. The physician will then select several links of appropriate information and, using the template, will write a short annotation on each link.

Locations

Country	Name	City	State
United States	University of Missouri, Department of Internal Medicine	Columbia	Missouri

Sponsors (2)

Lead Sponsor	Collaborator
University of Missouri-Columbia	National Library of Medicine (NLM)

Country where clinical trial is conducted

United States, 

References & Publications (1)

Coberly E, Boren SA, Davis JW, McConnell AL, Chitima-Matsiga R, Ge B, Logan RA, Steinmann WC, Hodge RH. Linking clinic patients to Internet-based, condition-specific information prescriptions. J Med Libr Assoc. 2010 Apr;98(2):160-4. doi: 10.3163/1536-5050 — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	health information experiences of the patient		approximately one week following clinic appointment	No
Secondary	clinician feedback on the health information prescription process		midpoint and conclusion of the study	No