Program Session

1 - The Effects of a Telemedicine Health Information Prescription in Uncontrolled Hypertensive Patients in a Family Medicine Ambulatory Clinic

Monday, May 29
10:35 AM - 10:50 AM
Room: 608

Objectives: Only 50% of hypertensive patients have their blood pressure under control despite treatment. Limited understanding of hypertension contributes to poor outcomes. Patients who receive materials customized to health literacy level and learning style show gains in knowledge. Our study aims to improve blood pressure control and increase self-management in hypertensive patients by utilizing librarians and telemedicine to provide tailored information.

Methods: In this randomized, unblinded feasibility study, we recruited 50 adults with uncontrolled hypertension. All participants completed five validated assessments and questionnaires before and after the study intervention: Single-Item Health Literacy Screener; High Blood Pressure Questionnaire (assesses patient disease knowledge); Learning Style Preference assessment; Patient Activation Measure; and Press Ganey Patient Satisfaction survey. The intervention group received an information prescription to visit with the health librarian via the health information kiosk (a dedicated clinic computer equipped with telemedicine technology). Prior to the visit, the librarian reviewed the patient's chart in the electronic health record and the assessment/questionnaire results in order to tailor the educational materials provided. The control group received standard patient education and information from their primary care providers. Participants' providers were also surveyed about their satisfaction with the intervention and with librarian involvement on the health care team.

Results: Results are pending - the six month post-assessments are currently being conducted. A qualitative anaylsis with kiosk session participants will be conducted. We will have results to present by May 2017.

Conclusion: Results are pending -we will have conclusions to present by May 2017. We hypothesize the telemedicine provision of tailored patient education by health librarians outside of the provider-physician visit in patients with uncontrolled hypertension will reduce the time to achieve blood pressure goal, increase patient activation and self-management practice, increase patient satisfaction with their care, increase patient hypertension-specific health literacy, and increase provider satisfaction as compared to standard care.

Keywords: Information prescription Hypertension High blood pressure Telehealth Tailored health information Patient outcomes Patient education Inter-professional team-based approach to health care delivery



Program Session

Erica Lake

Associate Librarian
Spencer S. Eccles Health Sciences Library
University of Utah
Salt Lake City, Utah

Erica Lake joined the team at the Spencer S. Eccles Health Sciences Library in 2011 as an Associate Librarian, and as the Associate Director of the Hope Fox Eccles Health Library. As Associate Director, Erica provides consumer health information services and resources for the University of Utah Health Care system, the University of Utah campus, and the greater Salt Lake Valley community. Prior to this position, she was a Senior Medical Librarian at Intermountain Healthcare for 11 years, providing clinical library services for three hospitals in the region.

Erica earned her Masters Degree in Library and Information Science at Indiana University, and has worked in academic, public, and special libraries. Throughout her 16 year medical library career, Erica has worked to create gateways for consumers and clinicians to access evidence-based health care information, and has taken leadership roles in coordinating organization-wide availability of online resources and services. She is currently involved in a wide range of projects and initiatives with clinicians, bioinformaticists, university faculty, public librarians, community partners, and local organizations. These include researching the effect health information provision has on patient outcomes and engagement, creating consumer health information services that are high-tech and high-touch, building organizational patient education information infrastructure, and integrating library services into the EHR and PHR.

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Bernadette Kiraly

Medical Director, Sugar House Health Center; Associate Professor, Family and Preventive Medicine
Sugar House Health Center
Salt Lake City, Utah

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Rachel Christensen

Student - Research
Family Medicine
Salt Lake City, Utah

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Kimiya Nourian

Medical Assistant
Sugar House Health Center
Salt Lake City, Utah

Presentation(s):

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1 - The Effects of a Telemedicine Health Information Prescription in Uncontrolled Hypertensive Patients in a Family Medicine Ambulatory Clinic

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