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

Publication ,  Journal Article
Grant, RW; Wald, JS; Schnipper, JL; Gandhi, TK; Poon, EG; Orav, EJ; Williams, DH; Volk, LA; Middleton, B
Published in: Archives of internal medicine
September 2008

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.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.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).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.clinicaltrials.gov Identifier: NCT00251875.

Duke Scholars

Published In

Archives of internal medicine

DOI

EISSN

1538-3679

ISSN

0003-9926

Publication Date

September 2008

Volume

168

Issue

16

Start / End Page

1776 / 1782

Related Subject Headings

  • Risk Factors
  • Primary Health Care
  • Patient Participation
  • Patient Education as Topic
  • Middle Aged
  • Medical Records Systems, Computerized
  • Male
  • Internet
  • Humans
  • General & Internal Medicine
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Grant, R. W., Wald, J. S., Schnipper, J. L., Gandhi, T. K., Poon, E. G., Orav, E. J., … Middleton, B. (2008). Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial. Archives of Internal Medicine, 168(16), 1776–1782. https://doi.org/10.1001/archinte.168.16.1776
Grant, Richard W., Jonathan S. Wald, Jeffrey L. Schnipper, Tejal K. Gandhi, Eric G. Poon, E John Orav, Deborah H. Williams, Lynn A. Volk, and Blackford Middleton. “Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial.Archives of Internal Medicine 168, no. 16 (September 2008): 1776–82. https://doi.org/10.1001/archinte.168.16.1776.
Grant RW, Wald JS, Schnipper JL, Gandhi TK, Poon EG, Orav EJ, et al. Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial. Archives of internal medicine. 2008 Sep;168(16):1776–82.
Grant, Richard W., et al. “Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial.Archives of Internal Medicine, vol. 168, no. 16, Sept. 2008, pp. 1776–82. Epmc, doi:10.1001/archinte.168.16.1776.
Grant RW, Wald JS, Schnipper JL, Gandhi TK, Poon EG, Orav EJ, Williams DH, Volk LA, Middleton B. Practice-linked online personal health records for type 2 diabetes mellitus: a randomized controlled trial. Archives of internal medicine. 2008 Sep;168(16):1776–1782.

Published In

Archives of internal medicine

DOI

EISSN

1538-3679

ISSN

0003-9926

Publication Date

September 2008

Volume

168

Issue

16

Start / End Page

1776 / 1782

Related Subject Headings

  • Risk Factors
  • Primary Health Care
  • Patient Participation
  • Patient Education as Topic
  • Middle Aged
  • Medical Records Systems, Computerized
  • Male
  • Internet
  • Humans
  • General & Internal Medicine