Use of Decision Aids in Clinical Encounters

NCT ID: NCT02136199

Last Updated: 2016-05-24

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

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-09-30

Study Completion Date

2016-05-31

Brief Summary

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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.

Detailed Description

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Conditions

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Diabetes, Depression, Cardiovascular Disease,Hypercholesterolemia, Osteoporosis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Blinding Strategy

NONE

Study Groups

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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).

Group Type OTHER

Active Implementation of ShareEBM Toolkit

Intervention Type OTHER

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.

Group Type OTHER

Passive Dissemination of Share EBM

Intervention Type OTHER

Interventions

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Active Implementation of ShareEBM Toolkit

Intervention Type OTHER

Passive Dissemination of Share EBM

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Practices meeting the following criteria will be deemed eligible for the study if they have:

1. 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)
2. A designated site champion and support staff that can provide the support needed to conduct the study
3. An IRB approval from their institution or are covered under Mayo Clinic IRB
4. 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
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mayo Clinic

OTHER

Sponsor Role lead

Responsible Party

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Victor Montori

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Victor Montori, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Locations

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Park Nicollet- Brookdale

Brooklyn Center, Minnesota, United States

Site Status

Ridgeview Medical Center

Delano, Minnesota, United States

Site Status

Essentia Health-Lakeside Clinic

Duluth, Minnesota, United States

Site Status

Fairview Clinic-Eagan

Eagan, Minnesota, United States

Site Status

Park Nicollet-Golden Valley

Golden Valley, Minnesota, United States

Site Status

Essentia Hermantown Clinic

Hermantown, Minnesota, United States

Site Status

Native American Community Clinic

Minneapolis, Minnesota, United States

Site Status

Community Health Service, Inc.

Rochester, Minnesota, United States

Site Status

Mayo Clinic

Rochester, Minnesota, United States

Site Status

Fairview Medical-Rosemount

Rosemount, Minnesota, United States

Site Status

Baldwin Area Medical Center, Inc.

Baldwin, Wisconsin, United States

Site Status

Hudson Physicians S.C.

Hudson, Wisconsin, United States

Site Status

Countries

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United States

Other Identifiers

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14-002055

Identifier Type: -

Identifier Source: org_study_id

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