Clinical trial NCT05989308: MyChart Proxy Outreach to Parents (MyPOP)
Official title: MyChart Proxy Outreach to Parents (MyPOP): Mode of Outreach to Parents for Proxy Patient Portal Enrollment
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Health Technology
Lead sponsor: Yale University
Sponsor class: OTHER
First posted: 2023-08-14
Enrollment: 5200
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: JDAT will access EHR visit data for these offices to establish the child patient pool and identify guardians.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: The goal of this randomized controlled trial is to assess the extent to which different modes of contacting parents who have not yet enabled to access to their children's medical records will result in greater proxy access. The main questions the study aims to answer are:

* will outreach via text or patient portal message result in more parents having access than usual care (which is in-office suggestions to get access).
* which mode - text or portal - will get more parents access. Participants will get a text message, or a portal message through their own patient portal, or no message. The investigators will check access to see which group has increased more during the study period.

Detailed description: This study aims to evaluate the feasibility and impact of contacting parents/guardians of children seen in pediatric primary care practices to establish their proxy access to the EHR patient portal, called "MyChart." The primary objective of the study is to determine if directly messaging a guardian results in activation of proxy access to a child's MyChart at a higher rate compared with no specific messaging (usual care).

A secondary objective of the study is to compare messaging strategies, with one arm being a message to the guardian's patient portal, and the other text messaging.

Another secondary objective of the study is to ascertain whether sending information about activation to a guardian via text or email (as preferred) will result in self-activating their own Electronic Health Record (EHR) patient portal access.

At the conclusion of the study, the investigators will determine best-method for activation and utilize this method to invite guardians initially randomized to the usual-care arm of the study.

Eligibility criteria: Inclusion Criteria:

* Guardian of a child aged ≤12 years seen in one of the two identified health centers within the last 3 years with guardian status and contact information documented in the child's EHR

Exclusion Criteria:

* Preferred method of contact for guardians with no MyChart is telephone or physical letter to home
* Guardians with EHR proxy access already activated for all children in their care.

Primary outcomes:
measure: Proportion of participants who activate MyChart Proxy Access
timeFrame: up to 12 weeks
Secondary outcomes:
measure: Proportion of guardians' who activate a personal MyChart account
timeFrame: up to 12 weeks
Other outcomes:
Locations:
city: New Haven
country: United States
facility: Cornell Scott Hill Health Center
state: Connecticut
city: New Haven
country: United States
facility: Fair Haven Community Health Center
state: Connecticut
city: New Haven
country: United States
facility: Yale New Haven Health
state: Connecticut
city: New Haven
country: United States
facility: Yale School of Medicine
state: Connecticut
Study officials:
affiliation: Yale University
name: Ada Fenick, MD
role: PRINCIPAL_INVESTIGATOR
References: