Feasibility of a Clinician Training Program to Improve Patient-provider Communication in the Presence of Health IT Systems in the Exam Room

NCT02915068 | Completed

• 1 other identifier: HUM00100232
• Study Type: interventional
• Target: 126
• Locations: 1 country
• Sites: 1

Brief Summary

The investigators propose to modify and expand the internationally-recognized evidence-based Physician Asthma Care Education (PACE) program to make it a suitable tool for training primary care clinicians on the effective use of EHRs at the point of care. The investigators will first develop the EHR edition of PACE (EHR-PACE) through literature and expert review of best practices for clinicians interacting with patients in the presence of computer systems in the exam room. They will then establish the feasibility and potential impact of EHR-PACE via a randomized design on 125 patients of 20 physicians who receive the intervention on the following outcomes via survey 3 and 6 months post-intervention: patient satisfaction with the physician's performance, asthma control, and asthma-related quality of life. Outcomes will be assessed on patients, but physicians will receive the intervention. Patients will not know which arm their doctor was randomized to. The pilot trial will compare two groups of primary care physicians who see patients with asthma in clinics equipped with certified EHRs. It is hypothesized that patients of physicians who receive EHR-PACE training will achieve better outcomes compared to physicians who do not receive EHR-PACE.

Conditions

Asthma

Keywords

patient-provider communication; Electronic Health Records; Provider education

Outcome Measures

Primary Outcomes (1)

• Change from baseline patient report of physician performance at 3 and 6 months

  The patient's report of physician performance will be used as the key measure in this study. They will use a validated instrument previously developed by the research group in the PACE trials, focusing on clinical practices of the clinician, especially, use of National Asthma Education and Prevention Program recommended therapies, communication and counseling behaviors specially related to EHR use.

  baseline, 3 months, 6 months

Secondary Outcomes (3)

• Change from baseline patient satisfaction at 3 and 6 months

  baseline, 3 months, 6 months

• Change from baseline asthma control at 3 and 6 months

  baseline, 3 months, 6 months

• Change from baseline asthma-related quality of life at 3 and 6 months

  baseline, 3 months, 6 months

Study Arms (2)

Control

NO INTERVENTION

Physicians do not receive focused education and training on patient-centered communication with the EHR

EHR-PACE

EXPERIMENTAL

participants will receive EHR-PACE, an interactive 1.5 hour training module that teaches clinicians best practices for communicating with patients in the presence of computer systems in the exam room (specifically EHRs).

Behavioral: EHR-Physician Asthma Care Education Program

Interventions

EHR-Physician Asthma Care Education Program BEHAVIORAL

participants will receive EHR-PACE, an interactive 1.5 hour training module that teaches clinicians best practices for communicating with patients in the presence of computer systems in the exam room (specifically EHRs).

EHR-PACE

Eligibility Criteria

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

You may qualify if:

• Physicians:
• Licensed physician in practice and board certified in primary care or family medicine
• Treating adults with asthma
• Full-time in a practice at an Integrated Health Associates clinic that has implemented a certified EHR system for at least one year
• Consent to participate
• Patients:
• Treated by the participating physician during the study intake period
• years of age or older
• Have a diagnosis of asthma made by a physician using the National Asthma Education and Prevention Program Guidelines
• Have at least one urgent medical care visit for asthma in the previous year
• Have access to a telephone
• Consent to participate

You may not qualify if:

• Patients:
• \. Have other chronic disorders that have pulmonary complications

Sponsors & Collaborators

• University of Michigan: lead
• Agency for Healthcare Research and Quality (AHRQ): collaborator

Study Sites (1)

Integrated Health Associates ClinSite Research

Ann Arbor, Michigan, 48105, United States

Location

MeSH Terms

Conditions

Asthma

Condition Hierarchy (Ancestors)

Bronchial Diseases; Respiratory Tract Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Study Officials

• Minal R Patel, PhD, MPH

  Assistant Professor

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: September 20, 2016
• First Posted: September 26, 2016
• Study Start: June 1, 2015
• Primary Completion: August 31, 2017
• Study Completion: August 31, 2017
• Last Updated: September 14, 2017

Record last verified: 2017-09

Locations

US (1)