Evaluating Patient Information Prescriptions

NCT00355381 | Completed Phase 2

• 2 other identifiers: JHU 04-09-03-011R01LM008143
• Study Type: interventional
• Target: 299
• Locations: 1 country
• Sites: 1

Brief Summary

Research shows that patient satisfaction with medical care correlates strongly with how satisfied they are with the ease of getting information from their providers regarding their medical condition. Although the Internet is a wonderful source of information for patients, research has shown that, unmediated, it comprises a potential quagmire of information poorly matched to users needs. Providers typically do not have enough time to fulfill all of their patients' information needs. One strategy to meeting the patient's information needs is to introduce librarians trained and experienced in consumer health information services into the relationship between the patient and the provider. One recently described tactic is for providers to provide information the way they of provide treatment-through an information prescription (IRx) filled by a librarian. The librarian fills the prescription by offering information services tailored to the needs of individual patients. At Johns Hopkins, we have piloted such a tactic, and in this project, extend and evaluate it. The research hypothesis is that provision of an IRx will improve patient satisfaction, provider knowledge and attitudes regarding patient information needs, and the efficiencies of care.

Conditions

Breast Neoplasms; Premature Birth

Keywords

Information Services; Randomized Controlled Trials; Medical Records Systems, Computerized; Internet; Librarians; Breast Neoplasms; Patient Satisfaction; Health Personnel; Costs and Cost Analysis; Premature Birth

Outcome Measures

Primary Outcomes (1)

• Patient Satisfaction

  4 years

Secondary Outcomes (1)

• provider perceptions and behavior will be assessed;costs entailed and resources utilized will be assessed;how the intervention (information services) generalizes across service environments

  4 years

Interventions

Information Services (IRx) BEHAVIORAL

Information services tailored to the needs of individual patients. The information prescription (IRx)or service is defined for this study as a combination of: 1)An evidence-based web site for use by patients and their families; 2) A reference interview and assistance in locating relevant general information in response to patient information needs; 3) Documentation of the questions and the information service provided in response to these in the patient's Electronic Patient Record for review by providers as needed; and, 4) Triage of patient's/parents clinical questions to providers.

Also known as: Information prescriptions or IRx

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Breast Cancer: any new patient seen in Johns Hopkins medical oncology for Breast Cancer
• Neonatal Intensive care:Biological mothers (or consenting guardians) of premature infants born and admitted or transferred in to Johns Hopkins Hospital or Bayview Medical Center neonatal intensive care units.

You may not qualify if:

• Breast Cancer: None
• Neonatal Intensive Care: Parents with infants whose SNAP mortality \>= 80%(J Pediatr. 2001 Jan;138(1):92-100)

Sponsors & Collaborators

• Johns Hopkins University: lead
• National Institutes of Health (NIH): collaborator
• National Library of Medicine (NLM): collaborator

Study Sites (1)

Johns Hopkins School of Medicine

Baltimore, Maryland, 21205, United States

Location

MeSH Terms

Conditions

Breast Neoplasms; Premature Birth; Patient Satisfaction

Condition Hierarchy (Ancestors)

Neoplasms by Site; Neoplasms; Breast Diseases; Skin Diseases; Skin and Connective Tissue Diseases; Obstetric Labor, Premature; Obstetric Labor Complications; Pregnancy Complications; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Nancy K Oliver, MLS

  Johns Hopkins School of Medicine

  PRINCIPAL INVESTIGATOR

• Kathleen B Oliver, MLS, MPH

  Johns Hopkins School of Medicine

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: phase 2
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 19, 2006
• First Posted: July 21, 2006
• Study Start: September 1, 2004
• Primary Completion: April 1, 2008
• Study Completion: September 1, 2009
• Last Updated: October 23, 2018

Record last verified: 2018-10

Locations

US (1)