Mental Health eConsults

NCT02527915 | Completed

• 1 other identifier: 1507S76668
• Study Type: interventional
• Target: 900,000
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to assess whether electronic consultations between primary care providers and psychiatrists affects mental health services delivered in primary care settings.

Conditions

Mental Disorders

Outcome Measures

Primary Outcomes (1)

• Use of eConsults

  Whether an eConsult was actually ordered in a primary care visit for a mental health issue. Data will be extracted from the electronic medical record system.

  Within one day of a primary care clinic visit

Secondary Outcomes (15)

• Frequency of specialist consultation

  Baseline and 6 months

• How easy to consult with specialist

  Baseline and 6 months

• Patient contact with a specialist, 1 month

  1-month

• Patient contact with a specialist, 3 months

  3-month

• Patient contact with a specialist, 6 months

  6-month

Other Outcomes (8)

• Emergency department use, 1 month

  1-month

• Emergency department use, 3 months

  3-month

• Psychotropic medication use, 1 month

  1-month

Study Arms (2)

Mental Health eConsults

EXPERIMENTAL

Primary care clinics that will receive the eConsults intervention at the start of the study.

Other: Mental Health eConsults

Usual care

ACTIVE COMPARATOR

Primary care clinics that will deliver care as usual for nine months, and will receive the eConsults intervention nine months subsequent to the eConsults "intervention" clinics.

Other: Care as usual

Interventions

Mental Health eConsults OTHER

Providers in primary care clinics who receive the intervention will be able to use electronic consultations (eConsults) with psychiatrists. If a primary care provider wishes to use eConsults, he/she will enter a specific question about a patient in the electronic medical record system and submit as an eConsult. A psychiatrist will review the question and the patient's record, and send a response back to the primary care provider within one business day.

Mental Health eConsults

Care as usual OTHER

Providers in primary care clinics will deliver care as usual to their patients.

Usual care

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• For the provider surveys, we will recruit all of the primary care providers who work in Allina's primary care clinics to participate in the surveys
• For the patient-level analysis, we will examine data from all patients seen in Allina's primary care clinics during the study period. We will include children and adults.

You may not qualify if:

• We will exclude patients from the patient-level analysis who have opted that their secondary data not be used by Allina for research purposes.

Sponsors & Collaborators

• University of Minnesota: lead
• Allina Health System: collaborator

Study Sites (1)

Allina Health

Minneapolis, Minnesota, 55407, United States

Location

MeSH Terms

Conditions

Mental Disorders

Study Officials

• Ezra Golberstein, Ph.D.

  University of Minnesota

  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: SPONSOR

Study Record Dates

• First Submitted: August 14, 2015
• First Posted: August 19, 2015
• Study Start: August 1, 2015
• Primary Completion: January 1, 2017
• Study Completion: March 1, 2017
• Last Updated: November 1, 2019

Record last verified: 2019-10

Locations

US (1)