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Electronic Health Records for Health Promotion

Primary Purpose

Influenza

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Electronic health record and messaging system
Sponsored by
Boston Children's Hospital
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional prevention trial for Influenza focused on measuring Influenza, Electronic health record, Behavior modification

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria: The subject is a part-time or full-time employee at a major corporation. The subject is eighteen years of age or older. The subject is comfortable reading and writing in English. The subject has reliable internet access at home, at school, or at work. The subject uses email regularly (i.e. at least once every 2 days) The subject does not have a known allergy to chicken eggs or a history of a severe reaction to an influenza vaccination in the past. Exclusion Criteria: -

Sites / Locations

  • Children's Hospital Boston

Outcomes

Primary Outcome Measures

- Rate of influenza immunization among subjects

Secondary Outcome Measures

Change in knowledge, attitutes, and beliefs regarding influenza and influenza immunization.
Changes in health behaviors around influenza (e.g. hand washing and cough etiquette).
General health outcomes related to respiratory illnesses (e.g. number of influenza-like illnesses, number of physician visits, number of missed work days).
Rate of influenza immunization among subject household members.

Full Information

First Posted
August 31, 2005
Last Updated
April 4, 2007
Sponsor
Boston Children's Hospital
Collaborators
Centers for Disease Control and Prevention
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1. Study Identification

Unique Protocol Identification Number
NCT00142077
Brief Title
Electronic Health Records for Health Promotion
Official Title
Health Promotion in the Workplace Using Personally Controlled Health Records
Study Type
Interventional

2. Study Status

Record Verification Date
January 2006
Overall Recruitment Status
Completed
Study Start Date
October 2005 (undefined)
Primary Completion Date
undefined (undefined)
Study Completion Date
May 2006 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Boston Children's Hospital
Collaborators
Centers for Disease Control and Prevention

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine whether personally controlled electronic health records can be used for health promotion in a workplace setting.
Detailed Description
In response to the call for research of the new Health Protection Research Initiative at the Centers for Disease Control and Prevention (CDC), we propose to adapt newly mature informatics technology to shift the paradigm for health alerting and health promotion in the workplace. The goal is to firmly ground these activities on real time information collected from and delivered to employees, in an interactive, secure, electronic environment. We will study influenza prevention and control, an archetype of public health practice requiring surveillance, communication, and timely influence of health-related behaviors. Complex information gleaned from surveillance will be processed, translated and provided to employees. The goal is to provide employees with timely, individualized health promotion messages to improve their knowledge, attitudes and beliefs regarding influenza and to increase the rate of seasonal influenza immunization for them and their household members. The approach will be evaluated in a group randomized design at several worksites of a major corporation.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Influenza
Keywords
Influenza, Electronic health record, Behavior modification

7. Study Design

Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Single
Allocation
Randomized
Enrollment
700 (false)

8. Arms, Groups, and Interventions

Intervention Type
Device
Intervention Name(s)
Electronic health record and messaging system
Primary Outcome Measure Information:
Title
- Rate of influenza immunization among subjects
Secondary Outcome Measure Information:
Title
Change in knowledge, attitutes, and beliefs regarding influenza and influenza immunization.
Title
Changes in health behaviors around influenza (e.g. hand washing and cough etiquette).
Title
General health outcomes related to respiratory illnesses (e.g. number of influenza-like illnesses, number of physician visits, number of missed work days).
Title
Rate of influenza immunization among subject household members.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The subject is a part-time or full-time employee at a major corporation. The subject is eighteen years of age or older. The subject is comfortable reading and writing in English. The subject has reliable internet access at home, at school, or at work. The subject uses email regularly (i.e. at least once every 2 days) The subject does not have a known allergy to chicken eggs or a history of a severe reaction to an influenza vaccination in the past. Exclusion Criteria: -
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Kenneth D Mandl, MD, MPH
Organizational Affiliation
Boston Children's Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Children's Hospital Boston
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02116
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
11231710
Citation
Nichol KL. Cost-benefit analysis of a strategy to vaccinate healthy working adults against influenza. Arch Intern Med. 2001 Mar 12;161(5):749-59. doi: 10.1001/archinte.161.5.749.
Results Reference
background
PubMed Identifier
9614766
Citation
Keech M, Scott AJ, Ryan PJ. The impact of influenza and influenza-like illness on productivity and healthcare resource utilization in a working population. Occup Med (Lond). 1998 Feb;48(2):85-90. doi: 10.1093/occmed/48.2.85.
Results Reference
background
PubMed Identifier
16086456
Citation
Harper SA, Fukuda K, Uyeki TM, Cox NJ, Bridges CB; Advisory Committee on Immunization Practices (ACIP), Centers for Disease Control and Prevention (CDC). Prevention and control of influenza. Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2005 Jul 29;54(RR-8):1-40. Erratum In: MMWR Morb Mortal Wkly Rep. 2005 Aug 5;54(30):750.
Results Reference
background
PubMed Identifier
11015795
Citation
Bridges CB, Thompson WW, Meltzer MI, Reeve GR, Talamonti WJ, Cox NJ, Lilac HA, Hall H, Klimov A, Fukuda K. Effectiveness and cost-benefit of influenza vaccination of healthy working adults: A randomized controlled trial. JAMA. 2000 Oct 4;284(13):1655-63. doi: 10.1001/jama.284.13.1655.
Results Reference
background
PubMed Identifier
11157533
Citation
Mandl KD, Szolovits P, Kohane IS. Public standards and patients' control: how to keep electronic medical records accessible but private. BMJ. 2001 Feb 3;322(7281):283-7. doi: 10.1136/bmj.322.7281.283. No abstract available.
Results Reference
background
PubMed Identifier
11340004
Citation
Riva A, Mandl KD, Oh DH, Nigrin DJ, Butte A, Szolovits P, Kohane IS. The personal internetworked notary and guardian. Int J Med Inform. 2001 Jun;62(1):27-40. doi: 10.1016/s1386-5056(00)00136-2.
Results Reference
background
PubMed Identifier
14633933
Citation
Mandl KD, Overhage JM, Wagner MM, Lober WB, Sebastiani P, Mostashari F, Pavlin JA, Gesteland PH, Treadwell T, Koski E, Hutwagner L, Buckeridge DL, Aller RD, Grannis S. Implementing syndromic surveillance: a practical guide informed by the early experience. J Am Med Inform Assoc. 2004 Mar-Apr;11(2):141-50. doi: 10.1197/jamia.M1356. Epub 2003 Nov 21.
Results Reference
background
PubMed Identifier
15200820
Citation
Heffernan R, Mostashari F, Das D, Karpati A, Kulldorff M, Weiss D. Syndromic surveillance in public health practice, New York City. Emerg Infect Dis. 2004 May;10(5):858-64. doi: 10.3201/eid1005.030646. Erratum In: Emerg Infect Dis. 2006 Sep;12(9):1472.
Results Reference
background
PubMed Identifier
18343794
Citation
Bourgeois FT, Simons WW, Olson K, Brownstein JS, Mandl KD. Evaluation of influenza prevention in the workplace using a personally controlled health record: randomized controlled trial. J Med Internet Res. 2008 Mar 14;10(1):e5. doi: 10.2196/jmir.984.
Results Reference
derived

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Electronic Health Records for Health Promotion

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