Trial Outcomes & Findings for Study of Medical Student Use of Templates to Document Outpatient Asthma Care in Electronic Medical Record (NCT NCT01043133)

Results Overview

The primary outcome measure is a count of whether or not the research participant uses the electronic health record-based Asthma AIM form to document a simulated outpatient mild persistent asthma encounter at T1 (immediately following intervention) and T2 (upon completion of family medicine clerkship approximately 35 days later).

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

155 participants

Primary outcome timeframe

immediately after invervention and 30+ days in follow-up

Results posted on

2011-08-12

Participant Flow

All 3rd year USU medical students rotating through Family Medicine clerkship were invited to participate. The clerkship groups scheduled every 6-8 weeks during the 2009/10 academic year. The study included both male and female participants; ratio based on assignment to rotation group which is predetermined by medical school administrative staff.

Participant milestones

Participant milestones
Measure	Intervention Group Students exposed to educational workshop on clinical documentation that was embedded with 7 select social marketing-based persuasion messages; reenforced behavior-seeking and behavior-avoidance based on template use.	Control Group Students exposed to clinical documentation workshop void of any of the 7 social marketing-based persuasion messages included in the intervention.
Overall Study STARTED	75	80
Overall Study COMPLETED	74	78
Overall Study NOT COMPLETED	1	2

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of Medical Student Use of Templates to Document Outpatient Asthma Care in Electronic Medical Record

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure	Intervention Group n=75 Participants Students exposed to educational workshop on clinical documentation that was embedded with 7 select social marketing-based persuasion messages; reenforced behavior-seeking and behavior-avoidance based on template use.	Control Group n=80 Participants Students exposed to clinical documentation workshop void of any of the 7 social marketing-based persuasion messages included in the intervention.	Total n=155 Participants Total of all reporting groups
Age, Categorical <=18 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Age, Categorical Between 18 and 65 years	75 Participants n=5 Participants	80 Participants n=7 Participants	155 Participants n=5 Participants
Age, Categorical >=65 years	0 Participants n=5 Participants	0 Participants n=7 Participants	0 Participants n=5 Participants
Sex: Female, Male Female	26 Participants n=5 Participants	33 Participants n=7 Participants	59 Participants n=5 Participants
Sex: Female, Male Male	49 Participants n=5 Participants	47 Participants n=7 Participants	96 Participants n=5 Participants
Region of Enrollment United States	75 participants n=5 Participants	80 participants n=7 Participants	155 participants n=5 Participants

PRIMARY outcome

Timeframe: immediately after invervention and 30+ days in follow-up

The primary outcome measure is a count of whether or not the research participant uses the electronic health record-based Asthma AIM form to document a simulated outpatient mild persistent asthma encounter at T1 (immediately following intervention) and T2 (upon completion of family medicine clerkship approximately 35 days later).

Outcome measures

Outcome measures
Measure	Intervention Group n=75 Participants Students exposed to educational workshop on clinical documentation that was embedded with 7 select social marketing-based persuasion messages; reenforced behavior-seeking and behavior-avoidance based on template use.	Control Group n=80 Participants Students exposed to clinical documentation workshop void of any of the 7 social marketing-based persuasion messages included in the intervention.
Number of Participants Using Evidence-based Template to Document Asthma Care Within an Electronic Medical Record	41 participants	11 participants

SECONDARY outcome

Timeframe: immediately after intervention and 30+ days in follow-up

The Note Completeness Score is a total score (range 1-31)earned when a clinical encounter note is compared against a note completeness score assessment tool designed by our research team. The tool measures 11 documentation components of the outpatient note. Each of the 11 components are scaled either 0-1 or 0-4 based on perceived importance by our physician designers.

Outcome measures

Outcome measures
Measure	Intervention Group n=75 Participants Students exposed to educational workshop on clinical documentation that was embedded with 7 select social marketing-based persuasion messages; reenforced behavior-seeking and behavior-avoidance based on template use.	Control Group n=80 Participants Students exposed to clinical documentation workshop void of any of the 7 social marketing-based persuasion messages included in the intervention.
Clinical Note Completeness Score	16.04 score Standard Deviation 2.78	17.05 score Standard Deviation 2.58

Adverse Events

Intervention Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Control Group

Serious events: 0 serious events

Other events: 0 other events

Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Ronald W. Gimbel

USUHS

Phone: 301-295-3077

Email: [email protected]

Results disclosure agreements

Principal investigator is a sponsor employee
Publication restrictions are in place