Web-based self-management for patients with multiple sclerosis: A practical, randomized trial

Deborah M. Miller, Shirley M. Moore, Robert J. Fox, Ashish Atreja, Alex Z. Fu, Jar Chi Lee, Welf Saupe, Maria Stadtler, Swati Chakraborty, Martin Harris, Richard A. Rudick

Research output: Contribution to journalArticle

30 Citations (Scopus)

Abstract

Objective: No studies have addressed the use of electronic personal health records (e-PHRs) for self-management in complex neurological disorders. We assessed and tested an Internet-based self-management system that utilized the e-PHR and determined its impact on self-assessed well-being, clinician-assessed well-being, and healthcare utilization in patients with multiple sclerosis (MS). Materials and Methods: Subjects were randomized to usual care (a secure Web-based messaging system) or active intervention, which included secure messaging, self-monitoring, self-management of MS symptoms, and communication about upcoming clinic visits. Computers and Internet access were provided. Subjects were included if they had MS, lived within the county or region surrounding our MS center, had at least two appointments at our center in the previous 12 months, and demonstrated basic typing and computer skills. Study duration was 12 months. Results: Of 220 subjects completing informed consent, 206 met the inclusion criteria. At the study's end, 83 subjects remained in the usual care group and 84 in the enhanced care group. Both groups used the available system components. The groups did not significantly differ on the primary endpoints or healthcare utilization. Conclusions: Self-management support is an emerging aspect of chronic care management. We established the feasibility of conducting a randomized, controlled trial using e-PHRs for patient self-management. We did not find that e-PHR-enabled self-management augmented multidisciplinary MS center-based care, possibly because the differences between interventions were not great enough.

Original languageEnglish (US)
Pages (from-to)5-13
Number of pages9
JournalTelemedicine and e-Health
Volume17
Issue number1
DOIs
StatePublished - Jan 1 2011

Fingerprint

Self Care
Personal Health Records
Multiple Sclerosis
Electronic Health Records
Internet
Forms and Records Control
Delivery of Health Care
Ambulatory Care
Nervous System Diseases
Informed Consent
Appointments and Schedules
Randomized Controlled Trials
Communication

Keywords

  • clinical trials randomized controlled (CONSORT agreement)
  • multiple sclerosis
  • outcome research

ASJC Scopus subject areas

  • Health Informatics
  • Health Information Management

Cite this

Miller, D. M., Moore, S. M., Fox, R. J., Atreja, A., Fu, A. Z., Lee, J. C., ... Rudick, R. A. (2011). Web-based self-management for patients with multiple sclerosis: A practical, randomized trial. Telemedicine and e-Health, 17(1), 5-13. https://doi.org/10.1089/tmj.2010.0133

Web-based self-management for patients with multiple sclerosis : A practical, randomized trial. / Miller, Deborah M.; Moore, Shirley M.; Fox, Robert J.; Atreja, Ashish; Fu, Alex Z.; Lee, Jar Chi; Saupe, Welf; Stadtler, Maria; Chakraborty, Swati; Harris, Martin; Rudick, Richard A.

In: Telemedicine and e-Health, Vol. 17, No. 1, 01.01.2011, p. 5-13.

Research output: Contribution to journalArticle

Miller, DM, Moore, SM, Fox, RJ, Atreja, A, Fu, AZ, Lee, JC, Saupe, W, Stadtler, M, Chakraborty, S, Harris, M & Rudick, RA 2011, 'Web-based self-management for patients with multiple sclerosis: A practical, randomized trial', Telemedicine and e-Health, vol. 17, no. 1, pp. 5-13. https://doi.org/10.1089/tmj.2010.0133
Miller, Deborah M. ; Moore, Shirley M. ; Fox, Robert J. ; Atreja, Ashish ; Fu, Alex Z. ; Lee, Jar Chi ; Saupe, Welf ; Stadtler, Maria ; Chakraborty, Swati ; Harris, Martin ; Rudick, Richard A. / Web-based self-management for patients with multiple sclerosis : A practical, randomized trial. In: Telemedicine and e-Health. 2011 ; Vol. 17, No. 1. pp. 5-13.
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