A Mobile Personal Health Record for Behavioral Health Homes

Hypertension Clinical Trial

— mPHR  

Official title:

A Mobile Personal Health Record for Behavioral Health Homes

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01890226
• Other study ID #: IRB00067447
• Secondary ID: 1R01MH100467-01
• Status: Completed
• Phase: N/A
• Start date: November 2014
• Est. completion date: January 2019

Study information

• Verified date: February 2020
• Source: Emory University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Poor quality of medical care is a major contributor to excess medical morbidity and premature mortality in persons with serious mental illnesses (SMI). To address this problem, community mental health providers are increasingly partnering with safety net medical providers to develop behavioral health homes, integrated clinics in which persons with SMI receive coordinated medical and mental health care. However, behavioral health homes have faced logistical and privacy challenges in integrating electronic medical records across organizations.

This application proposes to develop and test a mobile Personal Health Record (mPHR) to overcome this problem while more fully engaging patients in their health care. The study will develop, test, and disseminate the mPHR. The investigators will develop the app building on experience and preliminary data from a PC-based PHR project, and link it to the medical and mental health EHR in a behavioral health home. Next, the investigators will conduct a randomized trial of the mPHR in 300 subjects randomized to the mPHR or usual care.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 311
• Est. completion date: January 2019
• Est. primary completion date: November 2018
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• one or more of the following conditions: hyperlipidemia, hypertension, diabetes

• able to give consent

• patient in the behavioral health home

Exclusion Criteria:

• Unable to give consent

Related Conditions & MeSH terms

• Diabetes
• Hyperlipidemia
• Hyperlipidemias
• Hypertension

Intervention

Behavioral:
• Mobile Personal Health Record App.

Locations

Country	Name	City	State
United States	Viewpoint Health & Oakhurst Medical Center	Conyers	Georgia

Sponsors (2)

Lead Sponsor	Collaborator
Emory University	National Institute of Mental Health (NIMH)

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Composite Quality Score	It is a measure of quality of care. The aggregate score represents the total number of eligible services received for an individual generated by dividing all instances in which recommended care was delivered by the number of times a participant was eligible for the indicator. The score ranges from 0 to 1 with higher scores indicating receipt of recommended care/services.	Baseline, 12 month post intervention
Secondary	Change in Patient Assessment of Chronic Illness Care	20-item patient self-report instrument that assesses the extent to which patients with chronic illness report receiving care that aligns with the Chronic Care Model. The summary score ranges from 1 to 5 with a higher score indicating patient's perception of greater involvement in self-management and receipt of chronic care counseling.	Baseline, 6 month post intervention, 12 month post intervention
Secondary	Change in Patient Activation Measure	Assesses a patients' perceived ability to manage their illnesses and their healthcare visits. Patient Activation Measure Scores were summed to calculate the overall raw score then transformed to an activation scale ranging from 0 to 100. Higher scores indicate greater patient activation.	Baseline, 6 month post intervention, 12 month post intervention
Secondary	Change in Health-related Quality of Life	Measured using the Physical and Mental Component Summary scales of the SF-12. Assesses a patients' perceived health related quality of life.; The composite physical (PCS) and mental component (MCS) summary scores for the SF-12 are each scored on a 0-100 scale. Higher scores indicate better functioning.	Baseline, 6 month post intervention, 12 month post intervention