NCT01970852

Brief Summary

The aim of this study is to evaluate the impact of an inpatient personal health record (PHR) portal intervention within the hospital environment. The intervention hopes to improve patient engagement with their care and to measure patient activation and satisfaction. Additional clinical measure (e.g. number of adverse events that occur during the stay, changes to medication orders, etc.) will also be studied. Characterization of hospital patient and clinician attitudes towards patient engagement will also be formalized.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
426

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Mar 2014

Longer than P75 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

October 18, 2013

Completed
10 days until next milestone

First Posted

Study publicly available on registry

October 28, 2013

Completed
4 months until next milestone

Study Start

First participant enrolled

March 1, 2014

Completed
4.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 1, 2018

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

June 1, 2018

Completed
Last Updated

July 18, 2018

Status Verified

July 1, 2018

Enrollment Period

4.2 years

First QC Date

October 18, 2013

Last Update Submit

July 17, 2018

Conditions

Inpatient

Keywords

InpatientPHR PortalInformation Technology

Outcome Measures

Primary Outcomes (1)

  • Change in Patient Activation Measure

    The PAM assesses the knowledge, skills and confidence essential to managing one's own health and healthcare. It segments consumers into one of four progressively higher activation levels. The PAM score has been used to predict healthcare outcomes including medication adherence, ER utilization and hospitalization.

    Admission to Unit and 3-5 days after

Secondary Outcomes (1)

  • Patient Satisfaction

    3-5 days after admission to study

Study Arms (3)

Standard tablet computer

EXPERIMENTAL

Patient will receive tablet computer within 18 hours of admission and will continue to have access to it for the rest of his/her stay. Tablet has typical applications including access to the internet and entertainment.

Other: Standard tablet computer

Usual Care

NO INTERVENTION

Patients will receive usual care and will answer surveys during the usual time-frame specified.

Enhanced tablet computer

EXPERIMENTAL

Patients will receive a tablet computer within 18 hours of admission. Tablet will give access to a personalized inpatient personal health record portal. Will also provide access to standard tablet applications (e.g. video calling, streaming movies, etc.)

Other: Enhanced tablet computer

Interventions

Standard tablet computerOTHER

No special enhancements or links to personal health information.

Standard tablet computer
Enhanced tablet computerOTHER

Tablet computer with personalized access to data from the patient's electronic health record.

Enhanced tablet computer

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Speaks English or Spanish
  • Admitted to unit where study is ongoing

You may not qualify if:

  • Does not pass Mini-mental status exam

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Columbia University Medical Center

New York, New York, 10032, United States

Location

Related Publications (3)

  • Vawdrey DK, Wilcox LG, Collins SA, Bakken S, Feiner S, Boyer A, Restaino SW. A tablet computer application for patients to participate in their hospital care. AMIA Annu Symp Proc. 2011;2011:1428-35. Epub 2011 Oct 22.

    PMID: 22195206BACKGROUND

  • Greysen SR, Magan Y, Rosenthal J, Jacolbia R, Auerbach AD, Harrison JD. Patient Recommendations to Improve the Implementation of and Engagement With Portals in Acute Care: Hospital-Based Qualitative Study. J Med Internet Res. 2020 Jan 14;22(1):e13337. doi: 10.2196/13337.

    PMID: 31934868DERIVED

  • Masterson Creber RM, Grossman LV, Ryan B, Qian M, Polubriaginof FCG, Restaino S, Bakken S, Hripcsak G, Vawdrey DK. Engaging hospitalized patients with personalized health information: a randomized trial of an inpatient portal. J Am Med Inform Assoc. 2019 Feb 1;26(2):115-123. doi: 10.1093/jamia/ocy146.

    PMID: 30534990DERIVED

Study Officials

  • David Vawdrey, PhD

    Columbia University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Assistant Professor of Clinical Biomedical Informatics

Study Record Dates

First Submitted

October 18, 2013

First Posted

October 28, 2013

Study Start

March 1, 2014

Primary Completion

May 1, 2018

Study Completion

June 1, 2018

Last Updated

July 18, 2018

Record last verified: 2018-07

Locations

US(1)