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.
연구 개요
상태
연구 유형
등록 (실제)
단계
- 해당 없음
연락처 및 위치
연구 장소
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Minnesota
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Brooklyn Center, Minnesota, 미국, 55430
- Park Nicollet- Brookdale
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Delano, Minnesota, 미국, 55328
- Ridgeview Medical Center
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Duluth, Minnesota, 미국, 55804
- Essentia Health-Lakeside Clinic
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Eagan, Minnesota, 미국, 55122
- Fairview Clinic-Eagan
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Golden Valley, Minnesota, 미국, 55427
- Park Nicollet-Golden Valley
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Hermantown, Minnesota, 미국, 55811
- Essentia Hermantown Clinic
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Minneapolis, Minnesota, 미국, 55404
- Native American Community Clinic
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Rochester, Minnesota, 미국, 55905
- Mayo Clinic
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Rochester, Minnesota, 미국, 55904
- Community Health Service, Inc.
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Rosemount, Minnesota, 미국, 55068
- Fairview Medical-Rosemount
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Wisconsin
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Baldwin, Wisconsin, 미국, 54002
- Baldwin Area Medical Center, Inc.
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Hudson, Wisconsin, 미국, 54016
- Hudson Physicians S.C.
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참여기준
자격 기준
공부할 수 있는 나이
건강한 자원 봉사자를 받아들입니다
연구 대상 성별
설명
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
공부 계획
연구는 어떻게 설계됩니까?
디자인 세부사항
- 할당: 무작위
- 중재 모델: 병렬 할당
- 마스킹: 없음(오픈 라벨)
무기와 개입
참가자 그룹 / 팔 |
개입 / 치료 |
|---|---|
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다른: 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).
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다른: 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.
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연구는 무엇을 측정합니까?
주요 결과 측정
결과 측정 |
기간 |
|---|---|
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Frequency of use of decision aids in clinical encounters by weekly reports
기간: up to 1 year
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up to 1 year
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공동 작업자 및 조사자
스폰서
연구 기록 날짜
연구 주요 날짜
연구 시작
기본 완료 (실제)
연구 완료 (실제)
연구 등록 날짜
최초 제출
QC 기준을 충족하는 최초 제출
처음 게시됨 (추정)
연구 기록 업데이트
마지막 업데이트 게시됨 (추정)
QC 기준을 충족하는 마지막 업데이트 제출
마지막으로 확인됨
추가 정보
이 정보는 변경 없이 clinicaltrials.gov 웹사이트에서 직접 가져온 것입니다. 귀하의 연구 세부 정보를 변경, 제거 또는 업데이트하도록 요청하는 경우 register@clinicaltrials.gov. 문의하십시오. 변경 사항이 clinicaltrials.gov에 구현되는 즉시 저희 웹사이트에도 자동으로 업데이트됩니다. .