Trial Outcomes & Findings for A Multi-level Intervention to Increase Access and Use of the Patient Portal (NCT NCT05180721)

NCT ID: NCT05180721

Last Updated: 2025-07-10

Results Overview

Frequency. Mean portal login days/per month will be calculated using the EMR system

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

26 participants

Primary outcome timeframe

Monthly for 6 months

Results posted on

2025-07-10

Participant Flow

Participants were recruited from two community health centers. Flyers were posted in the clinics. Clinic personnel identified potentially eligible participants and if interested, would refer to research team. A trained research assistant provided information about the study and obtained informed consent in the preferred language of participant (Spanish or English).

Participant milestones

Participant milestones
Measure
Use of Patient Portal for Diabetes Management
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Overall Study
STARTED
26
Overall Study
COMPLETED
22
Overall Study
NOT COMPLETED
4

Reasons for withdrawal

Reasons for withdrawal
Measure
Use of Patient Portal for Diabetes Management
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Overall Study
Lost to Follow-up
4

Baseline Characteristics

A Multi-level Intervention to Increase Access and Use of the Patient Portal

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Sex: Female, Male
Female
16 Participants
n=39 Participants
Sex: Female, Male
Male
6 Participants
n=39 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=39 Participants
Race (NIH/OMB)
Asian
0 Participants
n=39 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=39 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=39 Participants
Race (NIH/OMB)
White
10 Participants
n=39 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=39 Participants
Race (NIH/OMB)
Unknown or Not Reported
8 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
17 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
5 Participants
n=39 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=39 Participants
Age, Continuous
56.32 Years
STANDARD_DEVIATION 10.93 • n=39 Participants

PRIMARY outcome

Timeframe: Monthly for 6 months

Frequency. Mean portal login days/per month will be calculated using the EMR system

Outcome measures

Outcome measures
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Usage of Portal
Mean of first 3 months
12.65 days per month
Standard Deviation 6.21
Usage of Portal
Mean of 3- 6 months
5.79 days per month
Standard Deviation 3.74

PRIMARY outcome

Timeframe: Baseline, 3 months and 6 months

The A1C value will be assessed via fingerprick point of care A1c kits.

Outcome measures

Outcome measures
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Change in A1C Value
Baseline
8.31 percent
Standard Deviation 1.65
Change in A1C Value
3 months
8.09 percent
Standard Deviation 1.64
Change in A1C Value
6 months
8.23 percent
Standard Deviation 1.35

SECONDARY outcome

Timeframe: Baseline, 3 months, and 6 months

Diet - following diabetes diet over past 7 days (score range 0-7, with higher scores indicating better self-care)

Outcome measures

Outcome measures
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Summary of Self-Care in Diabetes Survey- Diet
Baseline
2.82 score on a scale
Standard Deviation 2.91
Summary of Self-Care in Diabetes Survey- Diet
3 months
4.00 score on a scale
Standard Deviation 2.54
Summary of Self-Care in Diabetes Survey- Diet
6 months
3.68 score on a scale
Standard Deviation 2.80

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Self-confidence in diabetes self-management tasks (score range from 1-5 with higher scores indicating better diabetes self-efficacy)

Outcome measures

Outcome measures
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Diabetes Self-Efficacy
Baseline
3.14 score on a scale
Standard Deviation 1.01
Diabetes Self-Efficacy
3 months
3.44 score on a scale
Standard Deviation 1.17
Diabetes Self-Efficacy
6 months
3.68 score on a scale
Standard Deviation 2.80

SECONDARY outcome

Timeframe: Baseline, 3 months, 6 months

Perception of support by health care providers with higher scores indicating more perceived support, scores range from 1-5

Outcome measures

Outcome measures
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Health Care Climate Questionnaire
Baseline
4.15 score on a scale
Standard Deviation 0.78
Health Care Climate Questionnaire
3 months
4.14 score on a scale
Standard Deviation 0.83
Health Care Climate Questionnaire
6 months
3.95 score on a scale
Standard Deviation 1.07

SECONDARY outcome

Timeframe: Baseline, 3 and 6 months

Score ranges from 0-100 with higher scores indicating more distress

Outcome measures

Outcome measures
Measure
Use of Patient Portal for Diabetes Management
n=22 Participants
A multi-level intervention aimed at increasing access and use of patient portals for diabetes management (MAP) in community health centers (CHCs). 1. Provision of table and 6 month data plan for internet 2. Technology training 3. Diabetes support 4. Text message/phone calls
Problem Areas in Diabetes (PAID)
Baseline
43.58 score on a scale
Standard Deviation 30.51
Problem Areas in Diabetes (PAID)
3 months
29.09 score on a scale
Standard Deviation 23.03
Problem Areas in Diabetes (PAID)
6 months
25.45 score on a scale
Standard Deviation 24.88

Adverse Events

Use of Patient Portal for Diabetes Management

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Robin Whittemore

Yale

Phone: 203-432-7000

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place