Improving Diabetes Care Through Effective Personalized Patient Portal Interactions
1 other identifier
interventional
275
1 country
2
Brief Summary
Patient-facing eHealth technologies, such as online patient portals, connect patients with the healthcare system, help them access their health information, and support self-management of health conditions. This study tested an intervention to improve adoption and use of the My HealtheVet patient portal for diabetes management.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable diabetes-mellitus
Started Jul 2019
2 active sites
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 31, 2016
CompletedFirst Posted
Study publicly available on registry
November 2, 2016
CompletedStudy Start
First participant enrolled
July 22, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 5, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2020
CompletedResults Posted
Study results publicly available
July 23, 2021
CompletedJuly 28, 2023
July 1, 2023
12 months
October 31, 2016
July 2, 2021
July 19, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Any My HealtheVet Patient Portal Use
This measure captures any use of MHV within 180 days of the brochure mailing, including use of prescription refills, secure messaging, Blue Button, or any other portal features.
Portal use within 180 days of initial brochure mailing
Secondary Outcomes (3)
Patient Upgraded to a Premium My HealtheVet Portal Account
180 days from brochure mailing
Use of Online Prescription Refills
180 days from brochure mailing
Use of Secure Messaging
180 days from brochure mailing
Study Arms (4)
Encouragement Arm 1
EXPERIMENTALParticipants in this encouragement condition will receive a mailed brochure with basic My HealtheVet content and a training guide with (a) insights from other Veterans on how to use My HealtheVet for diabetes self-management, (b) step-by-step guidance for how to sign up for My HealtheVet and, (c) detailed guidance on how to learn to use key features.
Encouragement Arm 2
EXPERIMENTALParticipants in this encouragement condition will receive the same brochure and training guide as Arm 1 but will also be offered optional attendance at one of several group training sessions.
Encouragement Arm 3
EXPERIMENTALParticipants in this encouragement condition will receive the same as in Arm 2 (brochure, training guide, and group training offer) but will also be offered a one-on-one My HealtheVet training session.
Brochure Only Comparison Arm
OTHERThe Comparison condition will only receive a mailed brochure with basic My HealtheVet content during the trial. (The training guide will be mailed to them after completion of the interview at the end.)
Interventions
Participants will receive a mailed brochure with basic My HealtheVet content.
Participants will be mailed a bound My HealtheVet training guide with step by step instructions on how to register, upgrade to Premium account, refill prescriptions, use secure messaging, download their Blue Button reports, and other features
Participants will be invited to participate in a scheduled group training to learn how to use My HealtheVet to help manage their diabetes
Participants will be invited to participate in a one-on-one training to learn how to use My HealtheVet to help manage their diabetes at a time of their convenience.
Eligibility Criteria
You may qualify if:
- Veterans
- Hemoglobin A1c result \>=8.5% at most recent lab test prior to recruitment
- Non use of the VA patient portal, defined by not being registered or registered with no activity in 12 months
- Currently being seen at one of the sites participating in the study (upcoming appointment scheduled)
You may not qualify if:
- Non-Veterans
- Controlled hemoglobin A1c levels (A1c\<8.5%) at most recent lab test prior to recruitment
- Recent use of the patient portal
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
VA Bedford HealthCare System, Bedford, MA
Bedford, Massachusetts, 01730-1114, United States
VA Boston Healthcare System Jamaica Plain Campus, Jamaica Plain, MA
Boston, Massachusetts, 02130-4817, United States
Related Publications (4)
Robinson SA, Zocchi MS, Netherton D, Ash A, Purington CM, Connolly SL, Vimalananda VG, Hogan TP, Shimada SL. Secure Messaging, Diabetes Self-management, and the Importance of Patient Autonomy: a Mixed Methods Study. J Gen Intern Med. 2020 Oct;35(10):2955-2962. doi: 10.1007/s11606-020-05834-x. Epub 2020 May 21.
PMID: 32440998RESULTStewart MT, Hogan TP, Nicklas J, Robinson SA, Purington CM, Miller CJ, Vimalananda VG, Connolly SL, Wolfe HL, Nazi KM, Netherton D, Shimada SL. The Promise of Patient Portals for Individuals Living With Chronic Illness: Qualitative Study Identifying Pathways of Patient Engagement. J Med Internet Res. 2020 Jul 17;22(7):e17744. doi: 10.2196/17744.
PMID: 32706679RESULTZocchi MS, Robinson SA, Ash AS, Vimalananda VG, Wolfe HL, Hogan TP, Connolly SL, Stewart MT, Am L, Netherton D, Shimada SL. Patient portal engagement and diabetes management among new portal users in the Veterans Health Administration. J Am Med Inform Assoc. 2021 Sep 18;28(10):2176-2183. doi: 10.1093/jamia/ocab115.
PMID: 34339500RESULTRobinson SA, Netherton D, Zocchi M, Purington C, Ash AS, Shimada SL. Differences in Secure Messaging, Self-management, and Glycemic Control Between Rural and Urban Patients: Secondary Data Analysis. JMIR Diabetes. 2021 Nov 19;6(4):e32320. doi: 10.2196/32320.
PMID: 34807834RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Limitations and Caveats
Due to the COVID-19 pandemic, group and one-on-one sessions planned at the second site had to be converted to virtual sessions without a hands-on component. This led to lower participation in training sessions at this second site. At the second site, 15 people who had portal activity in the previous year were inadvertently included. These 15 people were excluded from analysis of outcomes. Only a subset of those enrolled in each arm completed the telephone interview.
Results Point of Contact
- Title
- Stephanie Shimada, PhD
- Organization
- Center for Healthcare Organization and Implementation Research (CHOIR) United States Department of Veterans Affairs VA Bedford Healthcare System
Study Officials
- PRINCIPAL INVESTIGATOR
Stephanie L Shimada, PhD
VA Bedford HealthCare System, Bedford, MA
Publication Agreements
- PI is Sponsor Employee
- Yes
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Participants were not explicitly told which group they were randomized to
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- FED
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
October 31, 2016
First Posted
November 2, 2016
Study Start
July 22, 2019
Primary Completion
July 5, 2020
Study Completion
September 30, 2020
Last Updated
July 28, 2023
Results First Posted
July 23, 2021
Record last verified: 2023-07
Data Sharing
- IPD Sharing
- Will not share