Forudsigelig analyse og klinisk beslutningsstøtte til forbedring (PrEDICT)
Scale-up of HIV preexposure prophylaxis (PrEP) is a key strategy of the U.S. initiative to end the HIV epidemic, but healthcare providers lack tools to support PrEP discussions and prescribing for patients likely to benefit. This research will evaluate whether integrating automated tools into electronic health records to help providers efficiently and equitably identify potential candidates for PrEP, discuss PrEP, and prescribe PrEP can improve PrEP initiation and persistence in safety-net community health centers. It will achieve this by conducting a stepped-wedge trial of a decision support tool with an embedded HIV prediction model to identify patients likely to benefit from PrEP. The intervention will be delivered to healthcare providers in 16 community health centers within the national OCHIN network.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
-
-
California
-
Fremont, California, Forenede Stater, 94538
- Bay Area Community Health Liberty Clinic
-
Oakland, California, Forenede Stater, 94605
- Lifelong East Oakland Health Center
-
Oceanside, California, Forenede Stater, 92054
- TrueCare Oceanside Family Medicine
-
Palm Springs, California, Forenede Stater, 92262
- DAP Legacy
-
Sacramento, California, Forenede Stater, 95811
- One Community Health Midtown Campus
-
-
Connecticut
-
Bridgeport, Connecticut, Forenede Stater, 06605
- Southwest Community Health Center 968 Fairfield Avenue
-
-
Georgia
-
Atlanta, Georgia, Forenede Stater, 30312
- Mercy Care Decatur Street
-
-
Iowa
-
Sioux City, Iowa, Forenede Stater, 51105
- Siouxland Community Health Center Sioux City
-
-
Massachusetts
-
Lynn, Massachusetts, Forenede Stater, 01901
- Lynn Community Health Center 269 Union
-
Mattapan, Massachusetts, Forenede Stater, 02126
- Mattapan Community Health Center Blue Hill
-
-
Ohio
-
Cleveland, Ohio, Forenede Stater, 44102
- Neighborhood Family Practice Ridge Community Health Center
-
Painesville, Ohio, Forenede Stater, 44077
- Signature Health Painesville
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Forenede Stater, 73112
- Variety Care Sequoyah
-
-
Oregon
-
Portland, Oregon, Forenede Stater, 97214
- Prism Belmont
-
-
Texas
-
Houston, Texas, Forenede Stater, 77031
- Bee Busy Wellness Center Bray Oaks
-
-
Washington
-
Seattle, Washington, Forenede Stater, 98122
- Seattle Roots Community Health Carolyn Downs Community Clinic
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Delivery site saw at least 500 distinct patients in 2024 during in-person or telehealth visits
- Delivery site had at least 10 new HIV diagnoses or positive HIV screening tests in 2023
- Delivery site provides primary care other than pediatrics, and the primary care department(s) were active on OCHIN Epic as of 1/1/2023
Exclusion Criteria:
- Delivery site specializing in HIV or STI care
- Correctional facilities
- Mobile sites
- School-based health center sites
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Ingen indgriben: Standard of Care
Data will be extracted from EHRs of control clinics as a comparison, and those clinics will not actively participate in study activities |
|
|
Aktiv komparator: Predictive analytics and clinical decision support
Providers in enrolled intervention clinics will receive point-of-care notifications via the EHR-embedded decision support tool about patients who are at increased predicted HIV risk and therefore likely to benefit from PrEP |
The intervention will include automated EHR notifications to clinicians at 16 OCHIN community health centers about patients who are likely to benefit from PrEP. These patients will be identified by an HIV prediction model that was developed and validated during the pilot phase of this study using historical OCHIN EHR data. For patients above a preselected threshold of predicted HIV risk, clinicians will be notified at the point of care that the patient may benefit from PrEP and will be provided with EHR-based tools to support discussions and prescribing. The intervention will also include coaching on PrEP and the decision support tool, as well as project team support during the trial period. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
PrEP initation
Tidsramme: 30 months
|
Proportion of patients above the prediction model risk threshold without a recently active PrEP prescription (within the prior 6 months) or prior HIV diagnosis who are prescribed PrEP during the study period. |
30 months
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
PrEP persistence
Tidsramme: 30 months
|
Proportion of patients prescribed PrEP who persist on PrEP for 6 and 12 months, as measured by prescription refills ordered. |
30 months
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Samarbejdspartnere
Samarbejdspartnere
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- PH001008
- R01MH133515 (U.S. NIH-bevilling/kontrakt)
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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