MyHealtheVet to Enable Shared Decision Making Regarding Menopausal in Postmenopausal Women Veterans (MEANS)

Study Overview
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Brief Summary
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The purpose of this research study is to examine the impact of educational secure messages on menopause. In particular, the investigators will examine whether the secure messages increase menopause knowledge and communication between patients and their providers.

Detailed Description
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The overall goal of this project is to determine the effectiveness of the MEANS (MyHealtheVet to Enable And Negotiate for Shared decision making) intervention in improving women's self-reported knowledge and rates of diagnosis and appropriate management of menopause symptoms. The proposed intervention is an educational and shared decision making platform for menopause symptoms to improve communication between patients and their providers regarding menopause symptoms. MEANS combines educational secure messages through the Veterans Affairs online Personal Health Record called MyHealtheVet, along with face-to-face and print interventions. MEANS will be applied in target population consisting of postmenopausal women Veterans ages 45 to 60 who receive primary care at the Miami Veterans Affairs Healthcare System. This project will enroll women in MyHealtheVet, develop a library of menopause symptoms material for distribution, and evaluate how useful of MyHealtheVet use for educating and tracking women regarding menopause symptoms.

Official Title
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MyHealtheVet to Enable Shared Decision Making Regarding Menopausal and Associated Symptoms in Postmenopausal Women Veterans

Conditions
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Menopause

Intervention / Treatment
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* Other: Menopause educational secure messaging


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women Veterans, age 45-60 Receive primary care at the Miami Veterans Affairs Healthcare System Able to communicate in English Already or willing to register and become authenticated in the patient health portal, MyHealtheVet. Able to use read, understand, and respond to secure messages using patient health portal. Exclusion Criteria: Not willing to register and become authenticated for patient health portal. Not willing to receive educational secure messages from patient health portal.

Ages Eligible for Study
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Minimum Age: 45 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Menopause educational secure messaging<br>Secure messages that provide information about menopause and treatment option for menopause symptoms. | Other: Menopause educational secure messaging<br>* Participants read educational material about menopause and treatment option for menopause symptoms once a week using secure messaging on a electronic patient portal.<br>|
| No Intervention: Usual care: Control<br>Control group of eligible women patients between 45-60 years who do not receive the intervention at the West Palm Beach and Orlando Veterans Healthcare System. Usual care participants did not receive the educational secure messages. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Menopause Knowledge | Total menopause knowledge score (a) before and after the intervention, an average of 6-months and (b) compared to a control group of eligible women patients between 45-60 years who do not receive the intervention at the West Palm Beach and Orlando Veterans Healthcare System. Score is the percent of knowledge questions answered correctly (0 - 100%) | 6-months | 
| Feasibility of patient portal use for educating and tracking women regarding menopause and menopause related symptoms. | The study will send weekly secure messages regarding menopause, and ask participants to report their menopause related symptoms by secure messaging. The research study will track the number of times participants read the weekly information sent via MyHealtheVet and the proportion of times they respond. | 6-months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Shared decision making | Self-reported rate of shared decision making among women veteran and their providers. | Through study completion, an average of 3-years | 
| Menopause related diagnosis | Rates of diagnosis and appropriate management of menopause related symptoms and use of hormone therapy. | Through study completion, an average of 3-years | 
| Focus Group | Qualitative assessment of the interventions through participant semi-structure focus group interviews. | 6-months | 
| Patient portal registration and authentication | Measure the number of eligible women patients in the Miami Veterans Healthcare System who are enrolled and authenticated in the patient portal before and after the intervention. | Through study completion, an average of 3-years | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Shared decision making, Knowledge, Patient portal, Secure messaging