Delivering Telemetry-Triggered Educational Content Using MyChart in Mood Disorders

NCT03575728 | Completed

• 1 other identifier: 0382017
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

Mood disorders - principally major depressive disorder and bipolar disorder - are a significant public health issue affecting one in four people during their lives in total, over 8 million Canadians are affected by mood disorders, costing the economy over $6 billion annually. At Sunnybrook, 75% of inpatient mental health admissions are due to mood disorders. Mood disorders are generally recurrent: approximately half of depression is recurrent; chronic bipolar disorder is typical. Use of ratings scales by patients and clinicians to track symptoms has also been shown to enhance outcomes such as remission, medication adherence, and patient engagement. Education is considered a key component of treating mood disorders. However, which educational information is useful can vary: in depression, changes in illness severity have been shown to affect what information is absorbed, and timing is also important.To address this, this project will deliver, for the first time ever, a system for using data from patients with mood disorders' electronic mood journals, integrated into Sunnybrook's "MyChart" personal health record system, to drive just-in-time delivery of educational interventions, using feedback from users to maximize its usefulness.

Conditions

Bipolar Disorder; Mood Disorders

Keywords

Mental Health; Information Technology; Chronic Disease Prevention and Management; Support Patient Self-Care

Outcome Measures

Primary Outcomes (1)

• Utilization rate

  Trend in utilization rate over time in users in 'mood disorder' arm

  Six month period of study

Study Arms (2)

Mood disorder

OTHER

Participants who screen positive for a history of mood disorders

Other: MyChart-MHT

Other

OTHER

Participants who do not screen positive for a history of mood disorders

Other: MyChart-MHT

Interventions

MyChart-MHT OTHER

All participants in this study will receive targeted psycho-educational interventions from time to time based on symptom severity reports as determined by the software algorithm

Mood disorder; Other

Eligibility Criteria

• Age: 14 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• i) Registered user of Sunnybrook Health Sciences Centre "MyChart" electronic patient portal

Sponsors & Collaborators

• Sunnybrook Health Sciences Centre: lead

Study Sites (1)

Sunnybrook Health Sciences Centre

Toronto, Ontario, M4N 3M5, Canada

Location

MeSH Terms

Conditions

Bipolar Disorder; Mood Disorders; Psychological Well-Being

Condition Hierarchy (Ancestors)

Bipolar and Related Disorders; Mental Disorders; Personal Satisfaction; Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: MD

Model Details: Based on self-report answers to screening questions, participants will be divided into two groups: (i) those who screen positive for a history of mood disorders and (ii) all other participants. All outcome measures apply only to the mood disorder group.

Study Record Dates

• First Submitted: June 21, 2018
• First Posted: July 2, 2018
• Study Start: May 15, 2019
• Primary Completion: December 15, 2019
• Study Completion: December 15, 2019
• Last Updated: December 10, 2024

Record last verified: 2024-12

Locations

CA (1)