Clinical trial NCT01966068: Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3
Official title: Informing Policy to Implement Pediatric Family Engagement in Meaningful Use Stage 3
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Asthma
Keywords: Asthma
Pediatrics
Health Technology
Meaningful Use Stage-3
Web Portal
Lead sponsor: Children's Hospital of Philadelphia
Sponsor class: OTHER
Collaborators: name: Agency for Healthcare Research and Quality (AHRQ)
name: American Academy of Pediatrics
name: DARTNet Institute
First posted: 2013-10-21
Enrollment: 294
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: This study will enroll parents/guardians of children who receive treatment at one of the pediatric primary care practice settings in the Pediatric Research in Office Settings (PROS) network or at the Children's Hospital of Philadelphia's Pediatric Research Consortium (PeRC) network.

The study will use an evidence-based conceptual model to study determinants of implementation success, implementation outcomes, and health care outcomes resulting from implementing an already functional, electronic health record (EHR)-linked asthma portal, MyAsthma. The study will measure the portal's feasibility and determine the impact on providing asthma education and fostering patient engagement as well as the ability to collect patient-reported outcomes for children, evaluate medication use and side effects and track parents' preferences and goals.

Detailed description: This study uses a newly published, evidence-based conceptual model to study the determinants of implementation success, implementation outcomes, and health care outcomes resulting from implementing an asthma portal, MyAsthma, in the national, Agency for Health Care Research and Quality(AHRQ)-funded, Center for Pediatric Practice Research and Learning. Technically, the portal will be implemented with 2 innovative approaches that facilitate rapid cycle evaluation in multiple Electronic Health Records (EHRs). Although many patient portals are simple vehicles for transferring information about upcoming appointments, test results or laboratory findings, the asthma portal in this project extends this basic functionality to provide asthma education, collect patient-reported outcomes, evaluate medication use and side effects, and track parents' preferences and goals. Because asthma is an AHRQ priority condition which addresses three AHRQ priority criteria (children, low income, and special health care needs), our study will use this population to focus on stage 3 Meaningful Use (MU3) objectives. It is the hope that by conducting this study, translational knowledge will be gained to make recommendations for practice implementation and actionable policy statements.

Eligibility criteria: Inclusion Criteria For Parents/Guardians:

1. Parent/guardian of a child who:

   * Is between the ages of 6-12 years old
   * Has a diagnosis of asthma on his/her problem list at the time of recruitment
   * Has had an office visit with asthma as a diagnosis within the past 12 months
2. Must be able to speak and read English

Exclusion Criteria For Parents/Guardians:

1. Child has not had an office visit for asthma with in the last 12 months
2. Parent or guardian does not speak or read English

Primary outcomes:
measure: Difference Between Number of Families Who Adopted MyAsthma Portal Use and Number of Families With Sustained Use
timeFrame: Up to 6 Months
Secondary outcomes:
Other outcomes:
Locations:
city: Elk Grove Village
country: United States
facility: Pediatrick Research in Office Settings (PROS)
state: Illinois
city: Philadelphia
country: United States
facility: Pediatric Research Consortium of the Children's Hospital of Philadelphia (PeRC)
state: Pennsylvania
Study officials:
affiliation: Children's Hospital of Philadelphia
name: Alexander Fiks, MD, MSCE
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fiks AG, DuRivage N, Mayne SL, Finch S, Ross ME, Giacomini K, Suh A, McCarn B, Brandt E, Karavite D, Staton EW, Shone LP, McGoldrick V, Noonan K, Miller D, Lehmann CU, Pace WD, Grundmeier RW. Adoption of a Portal for the Primary Care Management of Pediatric Asthma: A Mixed-Methods Implementation Study. J Med Internet Res. 2016 Jun 29;18(6):e172. doi: 10.2196/jmir.5610.