Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial.

Journal Article (Journal Article)

Background

Web-based personal health records (PHRs) have been advocated as a means to improve type 2 diabetes mellitus (DM) care. However, few Web-based systems are linked directly to the electronic medical record (EMR) used by physicians.

Methods

We randomized 11 primary care practices. Intervention practices received access to a DM-specific PHR that imported clinical and medications data, provided patient-tailored decision support, and enabled the patient to author a "Diabetes Care Plan" for electronic submission to their physician prior to upcoming appointments. Active control practices received a PHR to update and submit family history and health maintenance information. All patients attending these practices were encouraged to sign up for online access.

Results

We enrolled 244 patients with DM (37% of the eligible population with registered online access, 4% of the overall population of patients with DM). Study participants were younger (mean age, 56.1 years vs 60.3 years; P < .001) and lived in higher-income neighborhoods (median income, $53,784 vs $49,713; P < .001) but had similar baseline glycemic control compared with nonparticipants. More patients in the intervention arm had their DM treatment regimens adjusted (53% vs 15%; P < .001) compared with active controls. However, there were no significant differences in risk factor control between study arms after 1 year (P = .53).

Conclusions

Previsit use of online PHR linked to the EMR increased rates of DM-related medication adjustment. Low rates of online patient account registration and good baseline control among participants limited the intervention's impact on overall risk factor control.

Trial registration

clinicaltrials.gov Identifier: NCT00251875.

Full Text

Duke Authors

Cited Authors

  • Grant, RW; Wald, JS; Schnipper, JL; Gandhi, TK; Poon, EG; Orav, EJ; Williams, DH; Volk, LA; Middleton, B

Published Date

  • September 2008

Published In

Volume / Issue

  • 168 / 16

Start / End Page

  • 1776 - 1782

PubMed ID

  • 18779465

Pubmed Central ID

  • PMC3829635

Electronic International Standard Serial Number (EISSN)

  • 1538-3679

International Standard Serial Number (ISSN)

  • 0003-9926

Digital Object Identifier (DOI)

  • 10.1001/archinte.168.16.1776

Language

  • eng