Functional Assessment Screening Patient Reported Information

Completed · Not applicable

Conditions studied: Quality of Life, Tobacco Use Cessation, Physical Activity

In brief

This study will evaluate a new tool, based on our currently implemented "Functional Assessment Screening Tablets (FAST)," and activate patients to partner with their physicians. Completion of this project, FAST-PRI, will provide important information on the effectiveness of using HIT patient feedback to inform and activate patients and promote health behavior change. Aim 1 Hypotheses: Patients who receive self-management support through HIT patient feedback (intervention) will be more likely than patients who do not receive such feedback (control) to: * Initiate discussions with their provider regarding study-designated PRI; * Have discussions with their providers, regardless of the initiator, regarding study-designated PRI; and * Perceive these discussions of study-designated PRI to be useful. Approach: We will conduct a 12-month randomized controlled trial of HIT patient feedback, clustered at the physician level, in an academic group medical practice. Patients and providers will complete questionnaires regarding discussions of health behaviors and HRQoL at each clinical encounter. Aim 2 Hypotheses: HIT patient feedback will result in: 1) increased number of smoking quit attempts, 2) increased physical activity, and 3) improved mental HRQoL at six, and twelve months. Approach: Patient participants will complete questionnaires regarding smoking quit attempts, physical activity, and their mental HRQoL at baseline, six and twelve months. Aim 3 Hypotheses: For each study-designated PRI, patients who receive HIT patient feedback will: 1) receive more treatment recommendations (e.g., nurse educator, pharmacist, social worker referrals); 2) act on more treatment recommendations; and 3) exhibit improved self-efficacy regarding their ability to make positive lifestyle changes and improve their HRQoL; physicians whose patients receive HIT patient feedback will have higher self-efficacy regarding their ability to influence their patients to make positive lifestyle changes and improve HRQoL. These, in addition to discussions (Aim 1), will mediate the relationship between HIT patient feedback and improvements in study-designated PRI. Approach: We will survey patients and physicians and abstract referral data from the electronic medical record (EMR).

Key facts

Study ID

NCT01669564

Run by

University of Pittsburgh

People needed

666

Starts

2013-02-01

Expected to finish

2015-08-01

Last updated by the study team

2015-12-02

Who can join

Age: 18 and older. Sex: any. Healthy volunteers: accepted.

You may qualify if…

• Physicians will be eligible to participate if:
• They see patients in the GIMO practice and
• They consent to participate in FAST-PRI.
• Patients will be eligible to participate if:
• They are 18 years or older,
• Complete a FAST questionnaire at that visit,
• Have at least one study-designated PRI (i.e.,
• Tobacco use,
• Physical inactivity, or
• Poor mental HRQoL (MHC≤38))
• Consent to participate, and
• Speak English. FAST is only available in English.

You may not qualify if…

• Physicians will be ineligible to participate if:
• They are planning to leave the practice during the study period or
• See patients fewer than 4 hours/week.
• Patients will be ineligible to participate if:
• They are planning to relocate during the study period.

Where it is running

• General Internal Medicine — Pittsburgh, Pennsylvania, United States

Full record on ClinicalTrials.gov

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