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Natural Language Processing and Quality Assessment in Primary Care

NCT ID: NCT01023243

Last Updated: 2016-01-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

389 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2011-04-30

Brief Summary

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The investigators propose to use a Natural Language Processing System (NLP) to provide an initial baseline report for primary care patients at risk for diabetes and cardiovascular complications that will include: a) evidence of foot exam documentation in the previous year; b) use of aspirin for cardiovascular risk reduction; and c) tobacco use. As part of a randomized trial, we plan to use a previously validated mailed survey (NCQA Provider Recognition Program) that requests information on the last foot exam, use of aspirin and tobacco. Patients who have been identified by NLP as not having had a foot exam will be randomized into treatment and control arms. Both arms will receive an informational letter; with a second mailing to nonresponders after one month, describing the key strategies for effective patient-physician communication during the clinical encounter. The treatment arm will also receive an informational letter and patient education brochure containing key messages about the importance of regular foot examinations. NLP will be repeated after 6 months to compare the impact of the patient education materials.

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Detailed Description

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Conditions

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Diabetes

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

HEALTH_SERVICES_RESEARCH

Blinding Strategy

SINGLE

Caregivers

Study Groups

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1 CAre of the Feet for Those at Risk

secular trends for physician documentation in the medical record for care of the feet for high risk patients

Group Type PLACEBO_COMPARATOR

Brochure: Care of the Feet for Those at Risk

Intervention Type OTHER

Patient education materials and key messages for care of the feet for those patients at risk

Quality Survey: foot exam, tobacco and aspirin use

Intervention Type OTHER

NCQA Patient Survey

Care of the feet for those at risk

the impact of 1) patient survey regarding last foot exam, tobacco and aspirin use on documentation of foot exam and 2) patient education material: Care of the Foot For Those at Risk, on documentation of foot examination in the medical record

Group Type ACTIVE_COMPARATOR

Quality Survey: foot exam, tobacco and aspirin use

Intervention Type OTHER

NCQA Patient Survey

Impact of Quality Survey

Impact of patient survey regarding last foot exam, tobacco and aspirin use on documentation of foot exam in the medical record

Group Type ACTIVE_COMPARATOR

Brochure: Care of the Feet for Those at Risk

Intervention Type OTHER

Patient education materials and key messages for care of the feet for those patients at risk

Interventions

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Brochure: Care of the Feet for Those at Risk

Patient education materials and key messages for care of the feet for those patients at risk

Intervention Type OTHER

Quality Survey: foot exam, tobacco and aspirin use

NCQA Patient Survey

Intervention Type OTHER

Other Intervention Names

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Care of the Feet For Those at Risk Care of the Feet For Those at Risk

Eligibility Criteria

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Inclusion Criteria

* primary care patients with diagnosis of diabetes

Exclusion Criteria

* unwilling to give informed consent
Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Steven Smith

PI

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gregory a Bartel, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Steven A Smith, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Mayo Clinic Rochester

Rochester, Minnesota, United States

Site Status

Countries

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United States

References

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Pakhomov S, Bjornsen S, Hanson P, Smith S. Quality performance measurement using the text of electronic medical records. Med Decis Making. 2008 Jul-Aug;28(4):462-70. doi: 10.1177/0272989X08315253. Epub 2008 May 13.

Reference Type BACKGROUND
PMID: 18480037 (View on PubMed)

Other Identifiers

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08-002255

Identifier Type: -

Identifier Source: org_study_id

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