May 14, 2004Journal of Medical Internet ResearchOpen Access

Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial

View Full Paper

Ask AI

Bookmark

Why the study?

Does providing a web-based online medical record with electronic communication capabilities improve self-efficacy and adherence in patients with congestive heart failure?

Population

107 English-speaking adults with heart failure followed in a specialty clinic, who had previously used a Web…

Comparison

SPPARO software, consisting of a secure… vs Standard care in the practice.

Design

RCT, Consecutively assigned identification numbers linked to either…

Follow-up

12 months

Authors

SRStephen E. RossClinical Trial Investigators LMLaurie MooreChildren's Hospital of Orange County MEMark EarnestUniversity of Colorado Hospital

Discussion

Member takes

Implication

Online records with messaging improve adherence but not self-efficacy in HF; extends digital intervention evidence for adherence support.

Structured PICO

Does providing a web-based online medical record with electronic communication capabilities improve self-efficacy and adherence in patients with congestive heart failure?

Population

107 English-speaking adults (≥18 years) with heart failure (majority NYHA Class II or III) followed in a specialty clinic, who had previously used a Web browser.

Intervention

SPPARO (System Providing Access to Records Online) software, consisting of a secure web-based electronic medical record, an educational guide, and a messaging system enabling electronic communication between the patient and staff, provided for 12 months.

Comparator

Standard care in the practice (offered use of SPPARO after the study was completed).

Outcome

Change in the self-efficacy domain of the Kansas City Cardiomyopathy Questionnaire (KCCQ) at 12 months.patient reported

Providing heart failure patients with access to an online medical record and electronic messaging improved general adherence but did not significantly improve self-efficacy or health status.

Limitations

Target enrollment not achieved, resulting in a small sample size and underpowered primary outcome (73% power to detect target difference)
Pilot study design

Cite This Study

Ross et al. (2004) studied this question.

synapsesocial.com/papers/6a109d25e1a472cb5efd3a2d https://doi.org/10.2196/jmir.6.2.e12

Topics

Heart failure HFrEF treatment

View Full Paper

Ask AI

Bookmark

Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Topics

Providing a Web-based Online Medical Record with Electronic Communication Capabilities to Patients With Congestive Heart Failure: Randomized Trial

Discussion

Member takes

Implication

Structured PICO

Limitations

Cite This Study

Also Consider

Topics

Also Consider