Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial
Abstract Background Patients who are better informed and more engaged in their health care have higher satisfaction with health care and better health outcomes. While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studi...
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Veröffentlicht in: | Contemporary clinical trials 2016-03, Vol.47, p.165-171 |
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creator | Masterson Creber, Ruth Prey, Jennifer Ryan, Beatriz Alarcon, Irma Qian, Min Bakken, Suzanne Feiner, Steven Hripcsak, George Polubriaginof, Fernanda Restaino, Susan Schnall, Rebecca Strong, Philip Vawdrey, David |
description | Abstract Background Patients who are better informed and more engaged in their health care have higher satisfaction with health care and better health outcomes. While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studied. We are undertaking a study to assess how patients' information needs during hospitalization can be addressed with health information technologies. To achieve this aim, we developed a personalized inpatient portal that allows patients to see who is on their care team, monitor their vital signs, review medications being administered, review current and historical lab and test results, confirm allergies, document pain scores and send questions and comments to inpatient care providers. The purpose of this paper is to describe the protocol for the study. Methods/design This pragmatic randomized controlled trial will enroll 426 inpatient cardiology patients at an urban academic medical center into one of three arms receiving: 1) usual care, 2) iPad with general internet access, or 3) iPad with access to the personalized inpatient portal. The primary outcome of this trial is patient engagement, which is measured through the Patient Activation Measure. To assess scalability and potential reach of the intervention, we are partnering with a West Coast community hospital to deploy the patient engagement technology in their environment with an additional 160 participants. Conclusion This study employs a pragmatic randomized control trial design to test whether a personalized inpatient portal will improve patient engagement. If the study is successful, continuing advances in mobile computing technology should make these types of interventions available in a variety of clinical care delivery settings. |
doi_str_mv | 10.1016/j.cct.2016.01.005 |
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While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studied. We are undertaking a study to assess how patients' information needs during hospitalization can be addressed with health information technologies. To achieve this aim, we developed a personalized inpatient portal that allows patients to see who is on their care team, monitor their vital signs, review medications being administered, review current and historical lab and test results, confirm allergies, document pain scores and send questions and comments to inpatient care providers. The purpose of this paper is to describe the protocol for the study. Methods/design This pragmatic randomized controlled trial will enroll 426 inpatient cardiology patients at an urban academic medical center into one of three arms receiving: 1) usual care, 2) iPad with general internet access, or 3) iPad with access to the personalized inpatient portal. The primary outcome of this trial is patient engagement, which is measured through the Patient Activation Measure. To assess scalability and potential reach of the intervention, we are partnering with a West Coast community hospital to deploy the patient engagement technology in their environment with an additional 160 participants. Conclusion This study employs a pragmatic randomized control trial design to test whether a personalized inpatient portal will improve patient engagement. If the study is successful, continuing advances in mobile computing technology should make these types of interventions available in a variety of clinical care delivery settings.</description><identifier>ISSN: 1551-7144</identifier><identifier>EISSN: 1559-2030</identifier><identifier>DOI: 10.1016/j.cct.2016.01.005</identifier><identifier>PMID: 26795675</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Cardiovascular ; Clinical Protocols ; Computers, Handheld ; Female ; Hematology, Oncology and Palliative Medicine ; Hospitalization ; Humans ; Inpatient portal ; Male ; Medical informatics ; Middle Aged ; Patient Access to Records ; Patient activation ; Patient engagement ; Patient Participation - methods ; Patient Portals ; Patient-centered care ; Pragmatic clinical trial ; Randomized controlled trial ; Young Adult</subject><ispartof>Contemporary clinical trials, 2016-03, Vol.47, p.165-171</ispartof><rights>2016 Elsevier Inc.</rights><rights>Copyright © 2016 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-fcd18155d91b9ae41c29e6cc51ab282cee67d35f8c0d0b83af59c884b8c72fb13</citedby><cites>FETCH-LOGICAL-c506t-fcd18155d91b9ae41c29e6cc51ab282cee67d35f8c0d0b83af59c884b8c72fb13</cites><orcidid>0000-0003-0770-3238 ; 0000-0002-7766-4687 ; 0000-0002-4238-9902</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.cct.2016.01.005$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26795675$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Masterson Creber, Ruth</creatorcontrib><creatorcontrib>Prey, Jennifer</creatorcontrib><creatorcontrib>Ryan, Beatriz</creatorcontrib><creatorcontrib>Alarcon, Irma</creatorcontrib><creatorcontrib>Qian, Min</creatorcontrib><creatorcontrib>Bakken, Suzanne</creatorcontrib><creatorcontrib>Feiner, Steven</creatorcontrib><creatorcontrib>Hripcsak, George</creatorcontrib><creatorcontrib>Polubriaginof, Fernanda</creatorcontrib><creatorcontrib>Restaino, Susan</creatorcontrib><creatorcontrib>Schnall, Rebecca</creatorcontrib><creatorcontrib>Strong, Philip</creatorcontrib><creatorcontrib>Vawdrey, David</creatorcontrib><title>Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial</title><title>Contemporary clinical trials</title><addtitle>Contemp Clin Trials</addtitle><description>Abstract Background Patients who are better informed and more engaged in their health care have higher satisfaction with health care and better health outcomes. While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studied. We are undertaking a study to assess how patients' information needs during hospitalization can be addressed with health information technologies. To achieve this aim, we developed a personalized inpatient portal that allows patients to see who is on their care team, monitor their vital signs, review medications being administered, review current and historical lab and test results, confirm allergies, document pain scores and send questions and comments to inpatient care providers. The purpose of this paper is to describe the protocol for the study. Methods/design This pragmatic randomized controlled trial will enroll 426 inpatient cardiology patients at an urban academic medical center into one of three arms receiving: 1) usual care, 2) iPad with general internet access, or 3) iPad with access to the personalized inpatient portal. The primary outcome of this trial is patient engagement, which is measured through the Patient Activation Measure. To assess scalability and potential reach of the intervention, we are partnering with a West Coast community hospital to deploy the patient engagement technology in their environment with an additional 160 participants. Conclusion This study employs a pragmatic randomized control trial design to test whether a personalized inpatient portal will improve patient engagement. If the study is successful, continuing advances in mobile computing technology should make these types of interventions available in a variety of clinical care delivery settings.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cardiovascular</subject><subject>Clinical Protocols</subject><subject>Computers, Handheld</subject><subject>Female</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Hospitalization</subject><subject>Humans</subject><subject>Inpatient portal</subject><subject>Male</subject><subject>Medical informatics</subject><subject>Middle Aged</subject><subject>Patient Access to Records</subject><subject>Patient activation</subject><subject>Patient engagement</subject><subject>Patient Participation - methods</subject><subject>Patient Portals</subject><subject>Patient-centered care</subject><subject>Pragmatic clinical trial</subject><subject>Randomized controlled trial</subject><subject>Young Adult</subject><issn>1551-7144</issn><issn>1559-2030</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9UsFu1TAQjBCIlsIHcEE-ckm6TmInAakSqgpFqsShcLactZP61bEftlPp8fX49bUVcODksTwzu97ZonhLoaJA-emmQkxVnWEFtAJgz4pjythQ1tDA83tMy4627VHxKsYNQMMZZy-Lo5p3A-MdOy5uL9wsZ-NmcuPj1iRpzS-tyFYmo12KxDiC1jiD0hKUQX8g12lVO7INPnn0lkw-EJmvcl6yBkmQTvnl3gS9S8Fbm2EKRtrXxYtJ2qjfPJwnxY_PF9_PL8urb1--nn-6KpEBT-WEiva5dTXQcZC6pVgPmiMyKse6r1Fr3qmGTT2CgrFv5MQG7Pt27LGrp5E2J8XZwXe7jotWmD8SpBXbYBYZdsJLI_5-ceZGzP5OtH0uzCEbvH8wCP7nqmMSi4morZVO-zUK2nXd0PWsbTKVHqgYfIxBT09lKIh9SGIjckhiH5IAKnJIWfPuz_6eFI-pZMLHA0HnKd0ZHUTEHAdqZYLOZsqb_9qf_aN-TPBW73Tc-DW4PH5BRawFiOv9luyXhPIGAHjb_AaC4rrY</recordid><startdate>20160301</startdate><enddate>20160301</enddate><creator>Masterson Creber, Ruth</creator><creator>Prey, Jennifer</creator><creator>Ryan, Beatriz</creator><creator>Alarcon, Irma</creator><creator>Qian, Min</creator><creator>Bakken, Suzanne</creator><creator>Feiner, Steven</creator><creator>Hripcsak, George</creator><creator>Polubriaginof, Fernanda</creator><creator>Restaino, Susan</creator><creator>Schnall, Rebecca</creator><creator>Strong, Philip</creator><creator>Vawdrey, David</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-0770-3238</orcidid><orcidid>https://orcid.org/0000-0002-7766-4687</orcidid><orcidid>https://orcid.org/0000-0002-4238-9902</orcidid></search><sort><creationdate>20160301</creationdate><title>Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial</title><author>Masterson Creber, Ruth ; Prey, Jennifer ; Ryan, Beatriz ; Alarcon, Irma ; Qian, Min ; Bakken, Suzanne ; Feiner, Steven ; Hripcsak, George ; Polubriaginof, Fernanda ; Restaino, Susan ; Schnall, Rebecca ; Strong, Philip ; Vawdrey, David</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-fcd18155d91b9ae41c29e6cc51ab282cee67d35f8c0d0b83af59c884b8c72fb13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cardiovascular</topic><topic>Clinical Protocols</topic><topic>Computers, Handheld</topic><topic>Female</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Hospitalization</topic><topic>Humans</topic><topic>Inpatient portal</topic><topic>Male</topic><topic>Medical informatics</topic><topic>Middle Aged</topic><topic>Patient Access to Records</topic><topic>Patient activation</topic><topic>Patient engagement</topic><topic>Patient Participation - methods</topic><topic>Patient Portals</topic><topic>Patient-centered care</topic><topic>Pragmatic clinical trial</topic><topic>Randomized controlled trial</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Masterson Creber, Ruth</creatorcontrib><creatorcontrib>Prey, Jennifer</creatorcontrib><creatorcontrib>Ryan, Beatriz</creatorcontrib><creatorcontrib>Alarcon, Irma</creatorcontrib><creatorcontrib>Qian, Min</creatorcontrib><creatorcontrib>Bakken, Suzanne</creatorcontrib><creatorcontrib>Feiner, Steven</creatorcontrib><creatorcontrib>Hripcsak, George</creatorcontrib><creatorcontrib>Polubriaginof, Fernanda</creatorcontrib><creatorcontrib>Restaino, Susan</creatorcontrib><creatorcontrib>Schnall, Rebecca</creatorcontrib><creatorcontrib>Strong, Philip</creatorcontrib><creatorcontrib>Vawdrey, David</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Contemporary clinical trials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Masterson Creber, Ruth</au><au>Prey, Jennifer</au><au>Ryan, Beatriz</au><au>Alarcon, Irma</au><au>Qian, Min</au><au>Bakken, Suzanne</au><au>Feiner, Steven</au><au>Hripcsak, George</au><au>Polubriaginof, Fernanda</au><au>Restaino, Susan</au><au>Schnall, Rebecca</au><au>Strong, Philip</au><au>Vawdrey, David</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial</atitle><jtitle>Contemporary clinical trials</jtitle><addtitle>Contemp Clin Trials</addtitle><date>2016-03-01</date><risdate>2016</risdate><volume>47</volume><spage>165</spage><epage>171</epage><pages>165-171</pages><issn>1551-7144</issn><eissn>1559-2030</eissn><abstract>Abstract Background Patients who are better informed and more engaged in their health care have higher satisfaction with health care and better health outcomes. While patient engagement has been a focus in the outpatient setting, strategies to engage inpatients in their care have not been well studied. We are undertaking a study to assess how patients' information needs during hospitalization can be addressed with health information technologies. To achieve this aim, we developed a personalized inpatient portal that allows patients to see who is on their care team, monitor their vital signs, review medications being administered, review current and historical lab and test results, confirm allergies, document pain scores and send questions and comments to inpatient care providers. The purpose of this paper is to describe the protocol for the study. Methods/design This pragmatic randomized controlled trial will enroll 426 inpatient cardiology patients at an urban academic medical center into one of three arms receiving: 1) usual care, 2) iPad with general internet access, or 3) iPad with access to the personalized inpatient portal. The primary outcome of this trial is patient engagement, which is measured through the Patient Activation Measure. To assess scalability and potential reach of the intervention, we are partnering with a West Coast community hospital to deploy the patient engagement technology in their environment with an additional 160 participants. Conclusion This study employs a pragmatic randomized control trial design to test whether a personalized inpatient portal will improve patient engagement. If the study is successful, continuing advances in mobile computing technology should make these types of interventions available in a variety of clinical care delivery settings.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>26795675</pmid><doi>10.1016/j.cct.2016.01.005</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-0770-3238</orcidid><orcidid>https://orcid.org/0000-0002-7766-4687</orcidid><orcidid>https://orcid.org/0000-0002-4238-9902</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Aged Aged, 80 and over Cardiovascular Clinical Protocols Computers, Handheld Female Hematology, Oncology and Palliative Medicine Hospitalization Humans Inpatient portal Male Medical informatics Middle Aged Patient Access to Records Patient activation Patient engagement Patient Participation - methods Patient Portals Patient-centered care Pragmatic clinical trial Randomized controlled trial Young Adult |
title | Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial |
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