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Physician-Patient RelationsNCT02943109

High Tech and High Touch (HT2): Transforming Patient Engagement Through Portal Technology at the Bedside

A study testing High Touch, Low Touch and High Tech in people with Physician-Patient Relations and Inpatient Facility Diagnoses, run by Ohio State University at 1 site in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A large-scale randomized control trial (RCT) of the impact and use of an inpatient tablet-based patient portal embedded in a larger mixed methods study to examine changes in patient experiences and outcomes, and subsequent ambulatory patient portal usage. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
High Touch, Low Touch and High Tech
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3,782 participants
Where
1 siteUnited States
Study dates
Dec 2016to Apr 2020
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • patient accepted MyChart Bedside tablet
  • patient available in their room
  • capable of providing informed consent

Who cannot join

  • Patient in a pilot unit where Full Tech was available prior to study start
  • Patient was less than 18 years of age

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Ohio State University

    Columbus, Ohio, 43210

Other trials in United States

About this study

A large-scale randomized control trial (RCT) of the impact and use of an inpatient tablet-based patient portal embedded in a larger mixed methods study to examine changes in patient experiences and outcomes, and subsequent ambulatory patient portal usage.

Read the detailed description

The appropriate use of technology to actively engage with patients who suffer from multiple chronic conditions, called multimorbidity, is one of the frontiers of both research and practice. For multimorbid patients, engagement in disease management activities is particularly critical, and evidence shows that enhanced patient self-management can lead to better control of chronic illness. One tool finding increasing use is the patient portal, and its pervasiveness is supported by virtue of its role as a component of the Meaningful Use criteria. A patient portal is a tethered personal health record (tPHR) that links to the patient's electronic health record, facilitating communication and engagement activities with healthcare providers. While most tPHRs have been focused on outpatient activities, a new class of tools focused on the inpatient experience has begun deployment in 2014.

In response, this study supports the conduct of the first, large-scale randomized control trial (RCT) of the impact and use of an inpatient tablet-based patient portal embedded in a larger mixed methods study to examine changes in patient experiences and outcomes, and subsequent ambulatory patient portal usage. The investigators aim to study how access to a patient portal tailored to the inpatient stay can improve patient experience and increase patient engagement by improving patients' perception of the process of care while in the hospital (patient experience), increasing patients' self-efficacy for managing their chronic conditions (patient engagement), and facilitating use of a patient portal for care management activities after discharge (patient engagement).

The study site is a world-class healthcare facility with the ability to provide access to a patient portal designed specifically for the inpatient experience, bridging to outside the hospital after discharge.

Currently, this inpatient technology exists in only one other hospital in the US, but the investigators expect that as inpatient PHRs become more readily available, the need for clarity on this issue will only increase. The investigator's evaluation is a mixed-methods design consisting of primary data collection through surveys and interviews throughout the study period, and secondary data collection from the electronic health record and health system metadata. This study will offer insight into a potentially important mechanism to facilitate patient self-management.

Being tested
High Touch, Low Touch, High Tech, Low Tech
Keywords
patient portal, Health Information Technology, Electronic Health Records, Inpatient Care, Outpatient Care, Patient Engagement
Medical subject headings
Patient Participation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • High TouchOther

    Participants receives an in person visit from an "technology navigator" who helps to explain the technology to the patient.

  • Low TouchOther

    Participants receives a visit from a "patient navigator" who helps to explain how to navigate the hospital system (active control).

  • High TechOther

    Patient receives full-suite access to an inpatient patient portal with bi-directional communication enabled.

  • Low TechOther

    Patient receives a limited access version of the inpatient patient portal with bi-directional communication disabled.

Study groups in NCT02943109
Study groupRoleWhat they receive
High tech, high touchExperimentalPatient receives the full version of MyChart Bedside. Patient receives training/intervention from technology navigator
Receives: Other: High Touch; Other: High Tech
Low tech, high touchExperimentalPatient receives the non-interactional version of MyChart Bedside. Patient receives training/intervention from technology navigator
Receives: Other: High Touch; Other: Low Tech
High tech, low touchExperimentalPatient receives the full version of MyChart Bedside. Patient receives online training, only
Receives: Other: Low Touch; Other: High Tech
Low tech, low touchExperimentalPatient receives the non-interactional version of MyChart Bedside. Patient receives online training, only
Receives: Other: Low Touch; Other: Low Tech

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Inpatient Portal Use Frequency

    The count of MyChart Bedside (inpatient portal) sessions for the admission associated with study enrollment.

    Measured: At hospital discharge.

  2. Inpatient Portal Comprehensiveness of Use

    Based on the use of all available MyChart Bedside (inpatient portal) functions, a comprehensive inpatient portal user was one who used all three functions - for patients in the low tech assignment - or used eight or more functions - for patients in the high tech assignment.

    Measured: At hospital discharge.

  3. Inpatient Portal Functions Proportion of Use

    For each MyChart Bedside (inpatient portal) function available to patients assigned to high tech, a proportion of total use is calculated for each patient as the sum of actions in a given function divided for the total sum of user actions during the hospital admission associated with study enrollment.

    Measured: At hospital discharge.

  4. Patient Satisfaction With Care - Responses From Healthcare Professionals

    Questions from the satisfaction and experience domains of the 15-day Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In your most recent hospital experience, how satisfied were you with how well your healthcare professionals responded to your concerns? ". Responses were dichotomized to one "most positive" response versus all other responses.

    Measured: 15 days after discharge

  5. Patient Satisfaction With Care - Interactions With Healthcare Professionals

    Questions from the satisfaction and experience domains of the 15-day Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In your most recent hospital experience, how satisfied were you with the interactions you had with your healthcare professionals? ". Responses were dichotomized to one "most positive" response versus all other responses.

    Measured: 15 days after discharge

  6. Patient Satisfaction With Care - Responses From Healthcare Professionals

    Questions from the satisfaction and experience domains of the 6-month Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In the past 6 months, how satisfied were you with how well your healthcare professionals responded to your concerns? ". Responses were dichotomized to one "most positive" response versus all other responses.

    Measured: 6 months after discharge

  7. Patient Satisfaction With Care - Interactions With Healthcare Professionals

    Questions from the satisfaction and experience domains of the 6-month Post-discharge surveys were used to assess patient satisfaction with their care. Answers to the following 5-point Likert scale survey item were explored: "In your most recent hospital experience, how satisfied were you with the interactions you had with your healthcare professionals? ". Responses were dichotomized to one "most positive" response versus all other responses.

    Measured: 6 months after discharge

  8. Patient Involvement With Care - Questions About Health Management

    Questions from the involvement with care domain of the 15-day Post-discharge surveys were used to assess patient involvement with their care. Answers to the following 5-point Likert scale survey item were explored: "All of my questions about managing my health, including my medications, were addressed before I left the hospital.". Responses were dichotomized to one "most positive" response versus all other responses.

    Measured: 15 days after discharge.

  9. Patient Involvement With Care - Finding Answers to Health Management Questions

    Questions from the involvement with care domain of the 15-day Post-discharge surveys were used to assess patient involvement with their care. Answers to the following multiple-choice survey item were explored: "If you had a question about your care while you were in the hospital, what steps did you take to find an answer? (mark all that apply)".

    Measured: 15 days after discharge.

  10. Patient Involvement With Care - Tablet's Activities

    Questions from the involvement with care domain of the 15-day Post-discharge surveys were used to assess patient involvement with their care. Answers to the following multiple-choice survey item were explored: "What kind of activities did you use the table for? (mark all that apply)".

    Measured: 15 days after discharge.

Secondary outcomes (5)
  1. Outpatient Portal Adoption

    MyChart (outpatient portal) accounts activated by participants after their enrollment in the study (based on log file analysis).

    Measured: 3 months post-discharge

  2. Outpatient Portal Frequency of Use

    Count of MyChart (outpatient portal) sessions (based on log file analysis).

    Measured: 3 months post-discharge

  3. Self-Efficacy

    5-point Likert scale built on the participant responses to 6 self-efficacy-related items from the admission survey. Self-efficacy measures the belief in one's capacity to complete a task, rather than the relevant skills possessed. Scale developed on the basis of Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares \& T. Urdan (Eds.). Self-Efficacy Beliefs of Adolescent. Greenwich, CT: Information Age Publishing, pp. 307-337.

    Self-Efficacy scale:

    • min value: 1;
    • max value: 5;
    • higher scores are better outcomes.

    Measured: Baseline

  4. Self-Efficacy

    5-point Likert scale built on the participant responses to 6 self-efficacy-related items from the admission survey. Self-efficacy measures the belief in one's capacity to complete a task, rather than the relevant skills possessed. Scale developed on the basis of Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares \& T. Urdan (Eds.). Self-Efficacy Beliefs of Adolescent. Greenwich, CT: Information Age Publishing, pp. 307-337.

    Self-Efficacy scale:

    • min value: 1;
    • max value: 5;
    • higher scores are better outcomes.

    Measured: 15 days post-discharge

  5. Self-Efficacy

    5-point Likert scale built on the participant responses to 6 self-efficacy-related items from the admission survey. Self-efficacy measures the belief in one's capacity to complete a task, rather than the relevant skills possessed. Scale developed on the basis of Bandura, A. (2006). Guide for constructing self-efficacy scales. In F. Pajares \& T. Urdan (Eds.). Self-Efficacy Beliefs of Adolescent. Greenwich, CT: Information Age Publishing, pp. 307-337.

    Self-Efficacy scale:

    • min value: 1;
    • max value: 5;
    • higher scores are better outcomes.

    Measured: 6 months post-discharge

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2016 (estimated)
  2. Study startDec 2016
  3. Primary completionFeb 2020
  4. Study completionApr 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Factorial
Masking
Single blind
Who is masked
Participant
Enrolment
3,782 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02943109
Sponsor's protocol ID
R01HS024091
Status last verified
Feb 2024
First submitted
19 Oct 2016
Last updated
22 Jul 2024
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: Data types: Deidentified participant data. How to access data: Data may be requested from the PI via a request to ht2study@osumc.edu.

Publications

  • McAlearney AS, Sieck CJ, Hefner JL, Aldrich AM, Walker DM, Rizer MK, Moffatt-Bruce SD, Huerta TR. High Touch and High Tech (HT2) Proposal: Transforming Patient Engagement Throughout the Continuum of Care by Engaging Patients with Portal Technology at the Bedside. JMIR Res Protoc. 2016 Nov 29;5(4):e221. doi: 10.2196/resprot.6355.

    PubMed 27899338
  • Walker DM, Hefner JL, MacEwan SR, Di Tosto G, Sova LN, Gaughan AA, Huerta TR, McAlearney AS. Differences by Race in Outcomes of an In-Person Training Intervention on Use of an Inpatient Portal: A Secondary Analysis of a Randomized Clinical Trial. JAMA Netw Open. 2024 Apr 1;7(4):e245091. doi: 10.1001/jamanetworkopen.2024.5091.

    PubMed 38573634
  • McAlearney AS, Walker DM, Sieck CJ, Fareed N, MacEwan SR, Hefner JL, Di Tosto G, Gaughan A, Sova LN, Rush LJ, Moffatt-Bruce S, Rizer MK, Huerta TR. Effect of In-Person vs Video Training and Access to All Functions vs a Limited Subset of Functions on Portal Use Among Inpatients: A Randomized Clinical Trial. JAMA Netw Open. 2022 Sep 1;5(9):e2231321. doi: 10.1001/jamanetworkopen.2022.31321.

    PubMed 36098967

Questions about this trial

What is this clinical trial studying?

A study testing High Touch, Low Touch and High Tech in people with Physician-Patient Relations and Inpatient Facility Diagnoses, run by Ohio State University at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 22 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 22 Jul 2024). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Inpatient Portal Use Frequency (time frame: At hospital discharge.). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT02943109, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2024.

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