Use of Decision Aids in Clinical Encounters
Patient-centered Dissemination of Evidence-based Medicine: Share EBM
The active strategy for dissemination and implementation of Share Evidence Based Medicine (EBM) will yield greater reach of clinicians, be adopted by the practices more readily, and a greater uptake of use amongst encounters will be seen.
The Institute for Clinical Systems Improvement (ICSI) is a nonprofit organization with expertise in large-scale practice improvement at the state and national level. Largely funded by health organizations in Minnesota, ICSI has a sustainable model to translate evidence into practice, through clinical practice guidelines, shared decision making, and practice redesign. A partnership between these two organizations (ICSI and Mayo Clinic) may lead to a sustainable and innovative approach to the dissemination of evidence-based health information at the point of care.
The objective of the current study is therefore to leverage the expertise of these two organizations to compare the impact of an active to a passive dissemination and implementation strategy of the ShareEBM toolkit. The aim of the study is to disseminate evidence-based information through the use of decision aids during encounters. The overall purpose of the qualitative evaluation is to understand why decision aids were used more or less in certain practices and what factors contributed to or hindered this uptake.
Studieoversigt
Status
Intervention / Behandling
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Minnesota
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Brooklyn Center, Minnesota, Forenede Stater, 55430
- Park Nicollet- Brookdale
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Delano, Minnesota, Forenede Stater, 55328
- Ridgeview Medical Center
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Duluth, Minnesota, Forenede Stater, 55804
- Essentia Health-Lakeside Clinic
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Eagan, Minnesota, Forenede Stater, 55122
- Fairview Clinic-Eagan
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Golden Valley, Minnesota, Forenede Stater, 55427
- Park Nicollet-Golden Valley
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Hermantown, Minnesota, Forenede Stater, 55811
- Essentia Hermantown Clinic
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Minneapolis, Minnesota, Forenede Stater, 55404
- Native American Community Clinic
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Rochester, Minnesota, Forenede Stater, 55905
- Mayo Clinic
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Rochester, Minnesota, Forenede Stater, 55904
- Community Health Service, Inc.
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Rosemount, Minnesota, Forenede Stater, 55068
- Fairview Medical-Rosemount
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Wisconsin
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Baldwin, Wisconsin, Forenede Stater, 54002
- Baldwin Area Medical Center, Inc.
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Hudson, Wisconsin, Forenede Stater, 54016
- Hudson Physicians S.C.
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
Practices meeting the following criteria will be deemed eligible for the study if they have:
- At least 2 primary care clinicians committed to participate in the study. Clinicians are defined as any healthcare professional providing patient care (i.e., physicians, nurse practitioners, physician assistants, diabetes educators)
- A designated site champion and support staff that can provide the support needed to conduct the study
- An IRB approval from their institution or are covered under Mayo Clinic IRB
- Leadership is committed to this research and has endorsed the study
- Any clinician caring for patients with a chronic condition and who has opportunities to discuss medication management with their patients will be deemed eligible
Exclusion Criteria:
- Major barriers to participating or to providing informed consent
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: Active Implementation of Share EBM Toolkit
Investigators led implementation of tailored activities and tactics (Shared EBM Toolkit) designed to promote the use of the decision aids in clinical encounters (i.e.
journal clubs, value map streaming).
|
|
|
Andet: Passive Implementation of Share EBM Toolkit
Locally supported dissemination of Shared EBM Toolkit designed to promote the use of the decision aids in clinical encounters.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Tidsramme |
|---|---|
|
Frequency of use of decision aids in clinical encounters by weekly reports
Tidsramme: up to 1 year
|
up to 1 year
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 14-002055
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
Kliniske forsøg med Active Implementation of ShareEBM Toolkit
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Hidde van der PloegHannover Medical School; Institut Català d'Oncologia; German Cancer Research... og andre samarbejdspartnereTilmelding efter invitationUndersøgelsesfokus: Skræddersyet implementeringIrland, Tyskland, Spanien, Australien, Albanien, Italien, Holland, Ukraine, Det Forenede Kongerige
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University of MichiganAfsluttet
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University of California, San FranciscoAfsluttetFor tidligt arbejde | For tidlig leveringForenede Stater
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NYU Langone HealthNational Institute of Mental Health (NIMH)RekrutteringDepression, angst | Mental Health LiteracyUganda
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