High Tech and High Touch (HT2): Transforming Patient Engagement Through Portal Technology at the Bedside

NCT02943109 | Completed Results

• 1 other identifier: R01HS024091
• Study Type: interventional
• Target: 3,782
• Locations: 1 country
• Sites: 1

Brief Summary

A large-scale randomized control trial (RCT) of the impact and use of an inpatient tablet-based patient portal embedded in a larger mixed methods study to examine changes in patient experiences and outcomes, and subsequent ambulatory patient portal usage.

Conditions

Physician-Patient Relations; Inpatient Facility Diagnoses; Electronic Health Records; Outpatient

Keywords

patient portal; Health Information Technology; Electronic Health Records; Inpatient Care; Outpatient Care; Patient Engagement

Outcome Measures

Primary Outcomes (10)

• Inpatient Portal Use Frequency

  The count of MyChart Bedside (inpatient portal) sessions for the admission associated with study enrollment.

  At hospital discharge.

• Inpatient Portal Comprehensiveness of Use

  Based on the use of all available MyChart Bedside (inpatient portal) functions, a comprehensive inpatient portal user was one who used all three functions - for patients in the low tech assignment - or used eight or more functions - for patients in the high tech assignment.

  At hospital discharge.

• Inpatient Portal Functions Proportion of Use

  For each MyChart Bedside (inpatient portal) function available to patients assigned to high tech, a proportion of total use is calculated for each patient as the sum of actions in a given function divided for the total sum of user actions during the hospital admission associated with study enrollment.

  At hospital discharge.

• Patient Satisfaction With Care - Responses From Healthcare Professionals

  Questions from the satisfaction and experience domains of the 15-day Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In your most recent hospital experience, how satisfied were you with how well your healthcare professionals responded to your concerns? ". Responses were dichotomized to one "most positive" response versus all other responses.

  15 days after discharge

• Patient Satisfaction With Care - Interactions With Healthcare Professionals

  Questions from the satisfaction and experience domains of the 15-day Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In your most recent hospital experience, how satisfied were you with the interactions you had with your healthcare professionals? ". Responses were dichotomized to one "most positive" response versus all other responses.

  15 days after discharge

• Patient Satisfaction With Care - Responses From Healthcare Professionals

  Questions from the satisfaction and experience domains of the 6-month Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In the past 6 months, how satisfied were you with how well your healthcare professionals responded to your concerns? ". Responses were dichotomized to one "most positive" response versus all other responses.

  6 months after discharge

• Patient Satisfaction With Care - Interactions With Healthcare Professionals

  Questions from the satisfaction and experience domains of the 6-month Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In your most recent hospital experience, how satisfied were you with the interactions you had with your healthcare professionals? ". Responses were dichotomized to one "most positive" response versus all other responses.

  6 months after discharge

• Patient Involvement With Care - Questions About Health Management

  Questions from the involvement with care domain of the 15-day Post-discharge surveys were used to assess patient involvement with their care. Answers to the following 5-point Likert scale survey item were explored: "All of my questions about managing my health, including my medications, were addressed before I left the hospital.". Responses were dichotomized to one "most positive" response versus all other responses.

  15 days after discharge.

• Patient Involvement With Care - Finding Answers to Health Management Questions

  Questions from the involvement with care domain of the 15-day Post-discharge surveys were used to assess patient involvement with their care. Answers to the following multiple-choice survey item were explored: "If you had a question about your care while you were in the hospital, what steps did you take to find an answer? (mark all that apply)".

  15 days after discharge.

• Patient Involvement With Care - Tablet's Activities

  Questions from the involvement with care domain of the 15-day Post-discharge surveys were used to assess patient involvement with their care. Answers to the following multiple-choice survey item were explored: "What kind of activities did you use the table for? (mark all that apply)".

  15 days after discharge.

Secondary Outcomes (5)

• Outpatient Portal Adoption

  3 months post-discharge

• Outpatient Portal Frequency of Use

  3 months post-discharge

• Self-Efficacy

  Baseline

• Self-Efficacy

  15 days post-discharge

• Self-Efficacy

  6 months post-discharge

Study Arms (4)

High tech, high touch

EXPERIMENTAL

Patient receives the full version of MyChart Bedside. Patient receives training/intervention from technology navigator

Other: High Touch; Other: High Tech

Low tech, high touch

EXPERIMENTAL

Patient receives the non-interactional version of MyChart Bedside. Patient receives training/intervention from technology navigator

Other: High Touch; Other: Low Tech

High tech, low touch

EXPERIMENTAL

Patient receives the full version of MyChart Bedside. Patient receives online training, only

Other: Low Touch; Other: High Tech

Low tech, low touch

EXPERIMENTAL

Patient receives the non-interactional version of MyChart Bedside. Patient receives online training, only

Other: Low Touch; Other: Low Tech

Interventions

High Touch OTHER

Participants receives an in person visit from an "technology navigator" who helps to explain the technology to the patient.

High tech, high touch; Low tech, high touch

Low Touch OTHER

Participants receives a visit from a "patient navigator" who helps to explain how to navigate the hospital system (active control).

High tech, low touch; Low tech, low touch

High Tech OTHER

Patient receives full-suite access to an inpatient patient portal with bi-directional communication enabled.

High tech, high touch; High tech, low touch

Low Tech OTHER

Patient receives a limited access version of the inpatient patient portal with bi-directional communication disabled.

Low tech, high touch; Low tech, low touch

Eligibility Criteria

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

You may qualify if:

• patient accepted MyChart Bedside tablet
• patient available in their room
• capable of providing informed consent

You may not qualify if:

• Patient in a pilot unit where Full Tech was available prior to study start
• Patient was less than 18 years of age

Sponsors & Collaborators

• Ohio State University: lead

Study Sites (1)

Ohio State University

Columbus, Ohio, 43210, United States

Location

Related Publications (3)

• McAlearney AS, Sieck CJ, Hefner JL, Aldrich AM, Walker DM, Rizer MK, Moffatt-Bruce SD, Huerta TR. High Touch and High Tech (HT2) Proposal: Transforming Patient Engagement Throughout the Continuum of Care by Engaging Patients with Portal Technology at the Bedside. JMIR Res Protoc. 2016 Nov 29;5(4):e221. doi: 10.2196/resprot.6355.

  PMID: 27899338 BACKGROUND

• Walker DM, Hefner JL, MacEwan SR, Di Tosto G, Sova LN, Gaughan AA, Huerta TR, McAlearney AS. Differences by Race in Outcomes of an In-Person Training Intervention on Use of an Inpatient Portal: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024 Apr 1;7(4):e245091. doi: 10.1001/jamanetworkopen.2024.5091.

  PMID: 38573634 DERIVED

• McAlearney AS, Walker DM, Sieck CJ, Fareed N, MacEwan SR, Hefner JL, Di Tosto G, Gaughan A, Sova LN, Rush LJ, Moffatt-Bruce S, Rizer MK, Huerta TR. Effect of In-Person vs Video Training and Access to All Functions vs a Limited Subset of Functions on Portal Use Among Inpatients: A Randomized Clinical Trial. JAMA Netw Open. 2022 Sep 1;5(9):e2231321. doi: 10.1001/jamanetworkopen.2022.31321.

  PMID: 36098967 DERIVED

MeSH Terms

Conditions

Patient Participation

Condition Hierarchy (Ancestors)

Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Results Point of Contact

• Title: Prof. Ann Scheck McAlearney
• Organization: Ohio State University College of Medicine

Ann.McAlearney@osumc.edu

614-293-8973

Study Officials

• Ann S McAlearney, ScD

  Ohio State University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: FACTORIAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor of Family Medicine and Executive Director, CATALYST

Study Record Dates

• First Submitted: October 19, 2016
• First Posted: October 24, 2016
• Study Start: December 1, 2016
• Primary Completion: February 1, 2020
• Study Completion: April 1, 2020
• Last Updated: July 22, 2024
• Results First Posted: July 22, 2024

Record last verified: 2024-02

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: Starting date: 2023-07-01 End date: 2027-06-30
• Access Criteria: Who can access the data: Open to all requesters who provide a methodologically sound proposal whose use has also been approved by an independent review committee. Types of analyses: There are no a priori limits. Limits are based on approved proposals. Mechanisms of data availability: Secure Data transfer. Interested parties will be required to complete an institutional Data Use Agreement.

Locations

US (1)