miércoles, 26 de octubre de 2016

Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial. - PubMed - NCBI

Engaging hospitalized patients in clinical care: Study protocol for a pragmatic randomized controlled trial. - PubMed - NCBI



 2016 Mar;47:165-71. doi: 10.1016/j.cct.2016.01.005. Epub 2016 Jan 18.

Engaging hospitalized patients in clinical careStudy protocol for a pragmatic randomized controlledtrial.

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 patientsto 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.

KEYWORDS:

Inpatient portal; Medical informatics; Patient activation; Patient engagement; Patient-centered carePragmatic clinical trialRandomizedcontrolled trial

PMID:
 
26795675
 
PMCID:
 
PMC4818160
 
DOI:
 
10.1016/j.cct.2016.01.005

[PubMed - in process] 
Free PMC Article