Evaluation of Computer Generated After Visit Summaries

NCT01685541 | Completed Phase 3

• 1 other identifier: H-25343
• Study Type: interventional
• Target: 272
• Locations: 0 countries
• Sites: N/A

Brief Summary

The electronic medical record (EMR) offers a new method to provide patients with information about their visits with a clinician. The EMR can generate personalized and patient specific handouts at the end of the visit that can recap the topics covered during that visit. These After Visit Summaries (AVS) can be automatically generated with information contained in the patient's chart. The AVS has the potential to improve patient retention of information needed for adherence to treatment plans, and follow-up instructions, and to facilitate information transfer between healthcare settings. However, the content and formatting of the AVS to optimize patients' information retention and satisfaction with the visit is not known. In this study, we will develop and test in a randomized trial three different versions of an AVS to determine the AVS content that maximizes patient satisfaction and retention of information on the AVS,and adherence to physician instructions. The three versions of the AVS developed from patient and physician input will be compared to a control condition which consists of current practice in each setting.

Conditions

Primary Care Patients With Chronic Conditions

Outcome Measures

Primary Outcomes (1)

• Recall of After Visit Summary Content

  2 days post visit

Secondary Outcomes (1)

• Satisfaction with the After Visit Summary

  2 days post visit

Other Outcomes (1)

• Adherence to physician treatment recommendations

  2 days post visit and 2 weeks post visit

Study Arms (4)

Maximum AVS Content

EXPERIMENTAL

AVS includes patient name, visit date, chief complaining, allergies, immunizations, vital signs, medications, problem list, lab order, physician contact information, referrals, instructions

Other: Maximum After Visit Summary Content

Intermediate AVS content

EXPERIMENTAL

AVS includes patient name, visit date, vital signs, medications, diagnosis, problem list, physician contact information, referrals, instructions

Other: Intermediate After Visit Summary Content

Minimum AVS content

EXPERIMENTAL

AVS contains patient name, visit date, medications, diagnosis, physician contact information, referrals, instructions

Other: Minimum After Visit Summary Content

Control Group (Usual AVS)

ACTIVE COMPARATOR

Content differed by clinic site

Other: Usual AVS

Interventions

Maximum After Visit Summary Content OTHER

Maximum AVS Content

Intermediate After Visit Summary Content OTHER

Intermediate AVS content

Minimum After Visit Summary Content OTHER

Minimum AVS content

Usual AVS OTHER

Control Group (Usual AVS)

Eligibility Criteria

• Age: 21 Years - 99 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult 21 or over
• At least one previous visit to the clinic
• Has one chronic condition require medications
• Willing to participate and answer questionnaires by phone

You may not qualify if:

• No previous visits to the clinic
• Unwilling to participate

Sponsors & Collaborators

• Baylor College of Medicine: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Design

• Study Type: interventional
• Phase: phase 3
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Study Record Dates

• First Submitted: September 12, 2012
• First Posted: September 14, 2012
• Study Start: December 1, 2010
• Primary Completion: January 1, 2012
• Study Completion: June 1, 2012
• Last Updated: November 18, 2023

Record last verified: 2023-11