800 Participants Needed

PING for Chronic Disease Management

(PING Trial)

DJ
Overseen ByDavid J Casarett, MD
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: Duke University
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

Trial Summary

Do I need to stop my current medications for the trial?

The trial protocol does not specify whether you need to stop taking your current medications.

Do I need to stop taking my current medications for the PING trial?

The trial protocol does not specify whether you need to stop taking your current medications.

What data supports the idea that PING for Chronic Disease Management is an effective treatment?

The available research does not provide direct evidence about the effectiveness of PING for Chronic Disease Management. However, it suggests that increasing patient involvement in their own care, such as through personalized health records, can improve the receipt of recommended services for chronic conditions. This implies that treatments like PING, which encourage patient participation, might be beneficial. Unfortunately, there is no specific data comparing PING to other treatments for chronic disease management in the provided information.12345

What data supports the effectiveness of the treatment Patient-Initiated Note about Goals (PING) for chronic disease management?

Research suggests that increasing patients' involvement in their own care, such as through personalized health records, can improve the receipt of recommended services for chronic conditions. This implies that treatments like PING, which encourage patient participation, may be effective in managing chronic diseases.12345

What safety data exists for PING in chronic disease management?

The provided research does not contain specific safety data for PING or Patient-Initiated Note about Goals. The studies focus on communication practices, patient engagement, and the use of health information technology, but do not directly address safety data for PING.13678

Is the treatment in the PING for Chronic Disease Management trial a promising treatment?

Yes, the treatment is promising because it helps patients and doctors communicate better, makes patients feel more prepared for their visits, and improves the quality of care for chronic diseases.910111213

How is the PING treatment for chronic disease management different from other treatments?

The PING treatment is unique because it uses a personal health record system that allows patients and their healthcare providers to share medical records and decision support tools online, which can improve communication and the quality of routine care.910111213

What is the purpose of this trial?

This is a randomized controlled trial of the Patient-Initiated Note about Goals (PING).

Research Team

DJ

David J Casarett, MD

Principal Investigator

Duke Health

Eligibility Criteria

This trial is for patients who have been referred for an Annual Wellness Visit at a participating clinic. It's specifically designed for English-speaking individuals, as non-English speakers are not eligible to participate.

Inclusion Criteria

Patient referred for Annual Wellness Visit at participating clinic

Exclusion Criteria

Non-English speaking

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive the Patient-Initiated Note about Goals (PING) administered by a registered nurse or usual care

2 months

Follow-up

Participants are monitored for subsequent goals of care conversations and healthcare utilization

4 weeks

Treatment Details

Interventions

  • Patient-Initiated Note about Goals (PING)
Trial Overview The study is examining the effectiveness of a Patient-Initiated Note about Goals (PING) in managing chronic diseases. This randomized controlled trial will compare outcomes between those using PING and those who do not.
Participant Groups
2Treatment groups
Experimental Treatment
Active Control
Group I: TreatmentExperimental Treatment1 Intervention
Patients receive PING administered by RN
Group II: ControlActive Control1 Intervention
Usual care

Find a Clinic Near You

Who Is Running the Clinical Trial?

Duke University

Lead Sponsor

Trials
2,495
Recruited
5,912,000+

Findings from Research

Only 42% of hospitalized patients with Stage IV cancer had documented goals-of-care discussions in their electronic health records, with a strong focus on treatment options but limited communication about prognosis.
Using templated notes significantly improved the documentation of patients' goals and values (80% vs. 61%), suggesting that structured communication can enhance the quality of EHR documentation in goal-concordant care.
How well do documented goals-of-care discussions for patients with stage IV cancer reflect communication best practices?Ernecoff, NC., Wessell, KL., Wood, WA., et al.[2021]
Patients and clinicians find electronic health record (EHR)-generated after-visit summaries (AVSs) valuable for summarizing health visits, but both groups suggest improvements in content organization and clarity, such as preferring a single 'current' medication list.
Concerns about patient privacy and clinician workflow challenges were highlighted, indicating that while AVSs are useful, their effectiveness can be hindered by these issues, suggesting a need for collaboration between EHR vendors and stakeholders to enhance their utility.
Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design.Federman, AD., Sanchez-Munoz, A., Jandorf, L., et al.[2022]
In a study involving 584 participants at high risk for cardiovascular disease, 86% responded to notifications about preventive healthcare services through a personalized health record (PHR), leading to a significant engagement in their care.
The intervention resulted in the closure of 58% of the 2,656 identified prevention gaps over one year, demonstrating that PHR notifications can effectively encourage patients to take action on their healthcare needs without causing alert fatigue.
Patterns of response to patient-centered decision support through a personal health record.Hess, R., Fischer, GS., Sullivan, SM., et al.[2021]

References

How well do documented goals-of-care discussions for patients with stage IV cancer reflect communication best practices? [2021]
Patient and clinician perspectives on the outpatient after-visit summary: a qualitative study to inform improvements in visit summary design. [2022]
Patterns of response to patient-centered decision support through a personal health record. [2021]
Physicians' perceptions about narrative note sections format and content: A multi-specialty survey. [2021]
Can sharing clinic notes improve communication and promote self-management? A qualitative study of patients with COPD. [2023]
Attitudes, experiences, and safety behaviours of adolescents and young adults who read visit notes: Opportunities to engage patients early in their care. [2021]
Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool. [2023]
Using Health Information Technology to Foster Engagement: Patients' Experiences with an Active Patient Health Record. [2023]
Empowering patients to improve the quality of their care: design and implementation of a shared health maintenance module in a US integrated healthcare delivery network. [2008]
10.United Statespubmed.ncbi.nlm.nih.gov
People with diabetes who read their clinicians' visit notes: Behaviors and attitudes. [2023]
11.United Statespubmed.ncbi.nlm.nih.gov
Survey analysis of patient experience using a practice-linked PHR for type 2 diabetes mellitus. [2021]
The Importance of Visit Notes on Patient Portals for Engaging Less Educated or Nonwhite Patients: Survey Study. [2021]
13.United Statespubmed.ncbi.nlm.nih.gov
Health coaching via an internet portal for primary care patients with chronic conditions: a randomized controlled trial. [2019]
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