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.
Studieoversikt
Status
Intervensjon / Behandling
Studietype
Registrering (Faktiske)
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
-
-
Minnesota
-
Brooklyn Center, Minnesota, Forente stater, 55430
- Park Nicollet- Brookdale
-
Delano, Minnesota, Forente stater, 55328
- Ridgeview Medical Center
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Duluth, Minnesota, Forente stater, 55804
- Essentia Health-Lakeside Clinic
-
Eagan, Minnesota, Forente stater, 55122
- Fairview Clinic-Eagan
-
Golden Valley, Minnesota, Forente stater, 55427
- Park Nicollet-Golden Valley
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Hermantown, Minnesota, Forente stater, 55811
- Essentia Hermantown Clinic
-
Minneapolis, Minnesota, Forente stater, 55404
- Native American Community Clinic
-
Rochester, Minnesota, Forente stater, 55905
- Mayo Clinic
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Rochester, Minnesota, Forente stater, 55904
- Community Health Service, Inc.
-
Rosemount, Minnesota, Forente stater, 55068
- Fairview Medical-Rosemount
-
-
Wisconsin
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Baldwin, Wisconsin, Forente stater, 54002
- Baldwin Area Medical Center, Inc.
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Hudson, Wisconsin, Forente stater, 54016
- Hudson Physicians S.C.
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-
Deltakelseskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
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 studiet utformet?
Designdetaljer
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Ingen (Open Label)
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
|
Annen: 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).
|
|
|
Annen: 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.
|
Hva måler studien?
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
|
Samarbeidspartnere og etterforskere
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart
Primær fullføring (Faktiske)
Studiet fullført (Faktiske)
Datoer for studieregistrering
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Oppdateringer av studieposter
Sist oppdatering lagt ut (Anslag)
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- 14-002055
Denne informasjonen ble hentet direkte fra nettstedet clinicaltrials.gov uten noen endringer. Hvis du har noen forespørsler om å endre, fjerne eller oppdatere studiedetaljene dine, vennligst kontakt register@clinicaltrials.gov. Så snart en endring er implementert på clinicaltrials.gov, vil denne også bli oppdatert automatisk på nettstedet vårt. .
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