Implementing Personal Health Records to Promote Evidence-Based Cancer Screening
2 other identifiers
interventional
46
1 country
3
Brief Summary
Cancer screening can improve the length and quality of life, yet the average American receives only half of recommended services. Patient-centered personal health records with higher levels of functionality, combined with practice redesign to make use of these functions, can help patients obtain recommended cancer screening tests by linking them to their doctor's records, explaining information in lay language, displaying tailored recommendations and educational resources, providing logistical support and tools to stimulate action, and generating reminders. This project will measure whether making these resources available to primary care practices and patients promotes shared decision-making and increases the delivery of cancer screening compared to existing information systems.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable cancer
Started Jan 2017
Typical duration for not_applicable cancer
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 12, 2014
CompletedFirst Posted
Study publicly available on registry
May 14, 2014
CompletedStudy Start
First participant enrolled
January 1, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 15, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
May 15, 2020
CompletedMay 31, 2023
May 1, 2023
3.4 years
May 12, 2014
May 26, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Percent of patients who are up-to-date with recommended cancer screening tests in intervention versus control practices.
The percent of eligible patients who are up-to-date with all indicated cancer screenings (all-or-none measure).
1 year
Secondary Outcomes (4)
Shared decision-making outcomes (knowledge, communication, decisional conflict, and decision control) reported by patients in intervention versus control practices
1 year
To assess whether cancer screening rates differ for disadvantaged patients, defined as minorities and Medicaid beneficiaries.
1 year
To assess whether shared decision-making differ for disadvantaged patients, defined as minorities and Medicaid beneficiaries.
1 year
To assess whether perceptions of the technology differ for disadvantaged patients, defined as minorities and Medicaid beneficiaries.
1 year
Study Arms (2)
Intervention practices
EXPERIMENTALIntervention practices will implement an interactive preventive health record in addition to their standard personal health record functionality.
Control practices
NO INTERVENTIONControl practices will continue to field their existing personal health record
Interventions
The interactive preventive healthcare record (IPHR) is a patient-centered application that links patients to their clinician's record, explains information in lay language, displays tailored recommendations and educational resources, and makes preventive care actionable.
Eligibility Criteria
You may qualify if:
- Practices in a practice based research network participating in our study that have an existing patient health record
- Patients that attend our study practices
You may not qualify if:
- Practices without a patient health record
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Virginia Commonwealth Universitylead
- National Cancer Institute (NCI)collaborator
Study Sites (3)
University of New Mexico-RIOS Net
Albuquerque, New Mexico, 87131, United States
OCHIN
Portland, Oregon, 97201, United States
Virginia Commonwalth University
Richmond, Virginia, 23298, United States
Related Publications (5)
Krist AH, Peele E, Woolf SH, Rothemich SF, Loomis JF, Longo DR, Kuzel AJ. Designing a patient-centered personal health record to promote preventive care. BMC Med Inform Decis Mak. 2011 Nov 24;11:73. doi: 10.1186/1472-6947-11-73.
PMID: 22115059BACKGROUNDKrist AH, Woolf SH. A vision for patient-centered health information systems. JAMA. 2011 Jan 19;305(3):300-1. doi: 10.1001/jama.2010.2011. No abstract available.
PMID: 21245186BACKGROUNDKerns JW, Krist AH, Longo DR, Kuzel AJ, Woolf SH. How patients want to engage with their personal health record: a qualitative study. BMJ Open. 2013 Jul 30;3(7):e002931. doi: 10.1136/bmjopen-2013-002931.
PMID: 23901027BACKGROUNDKrist AH, Woolf SH, Rothemich SF, Johnson RE, Peele JE, Cunningham TD, Longo DR, Bello GA, Matzke GR. Interactive preventive health record to enhance delivery of recommended care: a randomized trial. Ann Fam Med. 2012 Jul-Aug;10(4):312-9. doi: 10.1370/afm.1383.
PMID: 22778119BACKGROUNDKrist AH, Aycock RA, Etz RS, Devoe JE, Sabo RT, Williams R, Stein KL, Iwamoto G, Puro J, Deshazo J, Kashiri PL, Arkind J, Romney C, Kano M, Nelson C, Longo DR, Wolver S, Woolf SH. MyPreventiveCare: implementation and dissemination of an interactive preventive health record in three practice-based research networks serving disadvantaged patients--a randomized cluster trial. Implement Sci. 2014 Dec 11;9:181. doi: 10.1186/s13012-014-0181-1.
PMID: 25500097BACKGROUND
Related Links
MeSH Terms
Conditions
Study Officials
- PRINCIPAL INVESTIGATOR
Alexander H Krist, MD, MPH
Virginia Commonwalth University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 12, 2014
First Posted
May 14, 2014
Study Start
January 1, 2017
Primary Completion
May 15, 2020
Study Completion
May 15, 2020
Last Updated
May 31, 2023
Record last verified: 2023-05