Lamba Avi H, Muralidhar Kiranmayee, Jain Anika, Tang Fei, Gomez-Marin Orlando, Levis Silvina, Dang Stuti
Flint Hill School, Oakton, Virginia, USA.
Department of Public Health, and University of Miami Miller School of Medicine, Miami, Florida, USA.
Womens Health Rep (New Rochelle). 2020 Oct 26;1(1):500-510. doi: 10.1089/whr.2020.0091. eCollection 2020.
We developed a 6-month educational intervention addressing menopause and management of menopausal symptoms called "My HealthVet to Enable And Negotiate for Shared decision-making" or MEANS. MEANS is offered through secure messaging the My HealthVet patient portal system. Women veterans aged 45-60 years registered at the Miami, West Palm Beach, and Orlando Veterans Affairs Healthcare Systems (VAHS). Intervention group: women in the Miami VAHS enrolled in My HealthVet who were sent an invitation, agreed to participate, and completed the baseline survey. Comparison group: women from the Miami, West Palm Beach, and Orlando VAHS who responded to the baseline survey. The intervention group enrolled 269 women at Miami VAHS: average age 53.2 years; 42.4% white, 43.1% black, and 24.2% Hispanic; 95.9% already used My Healthe Vet. The Comparison group had 590 women: average age 53.8 years; 70.8% white, 20.7% black, and 10.2% Hispanic; 57.6% already used My Healthe Vet. The differences between the intervention and comparison groups likely represent the regional demographic variations and the disparate recruitment techniques adopted for the two groups. Using within- and between-group comparisons at the end of the 6-month intervention, this novel project will evaluate the feasibility of a patient portal intervention on knowledge and shared decision-making regarding menopause among racially and ethnically diverse women. The study highlights the scalable and enormous potential for patient portals in nonurgent chronic disease management and shared decision-making, important in the existing health care climate, wherein "meaningful use" of electronic health records is mandated. Because of the COVID-19 pandemic, medical care has abruptly changed to telehealth and this approach to patient education is more relevant now than ever before. This quality improvement project's registration number is ClinicalTrials.gov ID: NCT03109145.
我们开展了一项为期6个月的教育干预项目，主题是更年期及更年期症状管理，名为“我的健康兽医助力并协商共同决策”（My HealthVet to Enable And Negotiate for Shared decision-making），简称MEANS。MEANS通过安全消息传递，在“我的健康兽医”患者门户网站系统上提供。年龄在45 - 60岁的女性退伍军人在迈阿密、西棕榈滩和奥兰多退伍军人事务医疗系统（VAHS）注册。干预组：迈阿密VAHS中注册了“我的健康兽医”的女性，她们收到邀请，同意参与并完成了基线调查。对照组：来自迈阿密、西棕榈滩和奥兰多VAHS且对基线调查做出回应的女性。干预组在迈阿密VAHS招募了269名女性：平均年龄53.2岁；42.4%为白人，43.1%为黑人，24.2%为西班牙裔；95.9%已经使用过“我的健康兽医”。对照组有590名女性：平均年龄53.8岁；70.8%为白人，20.7%为黑人，10.2%为西班牙裔；57.6%已经使用过“我的健康兽医”。干预组和对照组之间的差异可能代表了地区人口统计学差异以及两组采用的不同招募技术。通过在6个月干预结束时进行组内和组间比较，这个新项目将评估患者门户网站干预对于不同种族和民族女性在更年期知识及共同决策方面的可行性。该研究凸显了患者门户网站在非紧急慢性病管理和共同决策方面具有可扩展性和巨大潜力，在当前要求电子健康记录“有意义使用”的医疗环境中这很重要。由于新冠疫情，医疗护理突然转向远程医疗，这种患者教育方式现在比以往任何时候都更具相关性。这个质量改进项目的注册号是ClinicalTrials.gov ID：NCT03109145。
