Background: In general, medical populations, electronic Personal Health Records (PHRs), have shown promise in reshaping healthcare by shifting the ownership and locus of health records from being scattered across multiple providers to an approach that is longitudinal and person‐centered. This presentation will describe the intervention, study design, and preliminary findings from an NIMH‐funded, randomized trial testing a mobile PHR for people with serious mental illnesses and cardiovascular comorbidity. Methods: A mobile PHR was developed to improve quality of care in behavioral health homes, clinics that provide primary medical care for patients in community mental health settings. The PHR links medical and mental health records and provides patients with real‐time information about diagnoses, medications, appointments, and health goals. Primary study outcomes are quality of care as measured by receipt of indicated preventive services and RAND cardiovascular quality measures. Secondary study outcomes are patient activation, coordination of chronic care, health status, and cardiovascular risk, as well as app usage. Results: The study randomized 311 participants with a serious mental illness and one or more cardiovascular risk factor to either receive the mobile PHR (n=156) or usual care (n=155). At baseline, the mean age of participants was 51, 77% were African American, and 54% had annual incomes of less than $5,000. The most common psychiatric diagnoses were depression (79%), bipolar disorder (29%), and schizophrenia (22%). Medical comorbidities included hypertension (84%), hyperlipidemia (49%), and diabetes (47%). Baseline characteristics were balanced across the study arms. 12‐month study outcomes will be presented at the meeting. Conclusions: The presentation will address the opportunities and challenges of using health technologies to improve quality of care for people with serious mental illnesses.
CITATION STYLE
Druss, B. (2019). 27.3 A MOBILE PERSONAL HEALTH RECORD FOR BEHAVIORAL HEALTH HOMES: PRELIMINARY RESULTS FROM A RANDOMIZED TRIAL. Schizophrenia Bulletin, 45(Supplement_2), S134–S135. https://doi.org/10.1093/schbul/sbz022.113
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