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.
研究概览
地位
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Minnesota
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Brooklyn Center、Minnesota、美国、55430
- Park Nicollet- Brookdale
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Delano、Minnesota、美国、55328
- Ridgeview Medical Center
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Duluth、Minnesota、美国、55804
- Essentia Health-Lakeside Clinic
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Eagan、Minnesota、美国、55122
- Fairview Clinic-Eagan
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Golden Valley、Minnesota、美国、55427
- Park Nicollet-Golden Valley
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Hermantown、Minnesota、美国、55811
- Essentia Hermantown Clinic
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Minneapolis、Minnesota、美国、55404
- Native American Community Clinic
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Rochester、Minnesota、美国、55905
- Mayo Clinic
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Rochester、Minnesota、美国、55904
- Community Health Service, Inc.
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Rosemount、Minnesota、美国、55068
- Fairview Medical-Rosemount
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Wisconsin
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Baldwin、Wisconsin、美国、54002
- Baldwin Area Medical Center, Inc.
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Hudson、Wisconsin、美国、54016
- Hudson Physicians S.C.
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
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
学习计划
研究是如何设计的？
设计细节
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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其他：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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|
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其他：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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研究衡量的是什么？
主要结果指标
结果测量 |
大体时间 |
|---|---|
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Frequency of use of decision aids in clinical encounters by weekly reports
大体时间：up to 1 year
|
up to 1 year
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合作者和调查者
赞助
研究记录日期
研究主要日期
学习开始
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (估计)
研究记录更新
最后更新发布 (估计)
上次提交的符合 QC 标准的更新
最后验证
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.