An interventional study of Take-home online training and In-person online training in Electronic Health Records, Chronic Disease and Health Literacy, sponsored by University of California, San Francisco. Completed. Open to participants aged 18 Years to 100 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-04-19.
Sponsored by University of California, San Francisco · Not applicable, Interventional, and Health services research
Online patient portals are becoming ubiquitous in the US. Previous research has documented substantial usability barriers, especially among patients with limited health literacy. This pilot randomized pilot trial had the goal of determining the effectiveness of an in-person training with a scalable online video-based training program to increase portal use among patients in a safety net healthcare setting.
The intervention in this study was a patient portal training curriculum with simple instructions and 11 how-to videos for accessing features of an online patient portal. Using a deeply participatory approach, this curriculum was created in consultation with a patient advisory board from the San Francisco Health Network, a local Medicaid health plan. From June until October 2016, 93 patients with 1 or more chronic diseases were randomized to receive either: 1) an in-person tutorial with a trained research assistant versus 2) a link to view the videos on their own. The primary outcome was portal log-in (yes/no) between 3 and 6 months post-training, assessed through a portal administrative dashboard within the EHR. Secondary outcome included baseline and follow-up survey measures on participants' perceptions of the portal use and their care, as well as views of the web-based lessons.
781 studies on the registry are indexed under Chronic Disease; 144 are open to participants now.
This study's enrollment of 93 is below the median of 140 across 582 interventional studies indexed under Chronic Disease.
Browse Chronic Disease studies →University of California, San Francisco is the lead sponsor of 2,170 studies on the registry; 370 are open to participants now.
Of its 268 completed or terminated interventional studies of FDA-regulated products, 203 (76%) have results posted.
Counted across the registry records on this site, refreshed daily.
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Participants received a link to access the online tutorial videos on their own.
Behavioral: Take-home online training
Participants received an in-person tutorial of how to use the patient portal website with a trained research assistant.
Behavioral: In-person online training
We randomized patients to receive a link to access the online tutorial on their own. Participants in the take-home arm were given a paper handout with a link to the training materials and an outline of the steps for accessing the training curriculum.
For participants randomized to the in-person training arm, a trained research assistant prompted participants to log into the learning platform and guided them in accessing the training materials for portal features that were of interest to them. The staff member provided further explanation or clarification if participants had questions about the training material.
Portal log-ins
Logging into the portal website in the 3-6 months post-training (yes/no)
Time frame: 3-6 months post-training
eHealth Literacy
The eHEALS is a measure of eHealth literacy developed to measure consumers' combined knowledge, comfort, and perceived skills at finding, evaluating, and applying electronic health information to health problems. eHEALS was measured at baseline and follow-up via surveys
Time frame: 3-6 months post-training
Portal sign-up
Initiating sign-up process for the portal website (yes/no), as pulled from EHR chart review
Time frame: 3-6 months post-training
Digital literacy skills
Confidence in having skills to be able to use online portal website (scored from 1 to 0), as self-reported via baseline and follow-up surveys
Time frame: 3-6 months post-training
No study locations are listed for this record.
Ran from Aug 2015 to primary completion in Jul 2017, 23 months.
Of 318 non-industry interventional studies with no phase under Chronic Disease, half reached primary completion within 21 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 33. This study's 23 months is close to that.
Counting every sponsor, half of 328 studies reached it within 21 months; a quarter within 11 and three quarters within 33.
Chronic Disease covers many different conditions, not one, so the studies compared here vary widely. Read these figures as a rough guide.
How these figures are worked out, and which studies are left out of them.
This study is completed, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.
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