Feasibility Study of a Patient-centered CDS for Recommended Screenings in Primary Care
NCT ID: NCT07270926
Last Updated: 2025-12-08
Study Results
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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NOT_YET_RECRUITING
NA
210 participants
INTERVENTIONAL
2026-01-01
2026-07-01
Brief Summary
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Lack of information for patients and lack of time for PCPs are the main obstacles to prevention in primary care (PC). Another barrier identified is the lack of opportunity for patients who do not consult their PCP very often, as they are less likely to be approached for preventive interventions due to other more urgent reasons for consultation.
A Medical Decision Support System (MDSS) is a software application designed to be a direct aid to clinical decision-making, in which an inference engine matches individual patient characteristics with a computerized knowledge base or machine-learning algorithm to propose a risk assessment or adapted recommendations to the healthcare professional and/or patient.
The aim of the ADER-F research program is to support the development and evaluation of a complex intervention centred on the use of a MDSS called "Lianeli".
This complex intervention will ultimately contribute to structuring new consultations dedicated to prevention in general practice, by improving the physician's sense of self-efficacy in conducting the shared screening decision, and reducing the patient's decision-making conflict.
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Detailed Description
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Conditions
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Study Design
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NA
SINGLE_GROUP
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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ADER-F
The Lianeli digital platform is a SADM produced by PREVENEAR. The Lianeli SADM is designed to facilitate the identification of patients' eligibility for screening recommended by the HAS (French National Authority for Health), and shared decision-making. It will be used by the patient through a health self-questionnaire and access to factual information sheets, then by the patient and GP during the consultation dedicated to prevention. All the examinations suggested by Lianeli are based on national recommendations, mainly from the HAS.
A mixed methodology was used, combining the quantitative component with a qualitative component involving semi-structured interviews with volunteer healthcare professionals and a sample of volunteer patients from among those included.
ADER-F quantitative assessment
The Lianeli SADM is designed to facilitate the identification of patients eligible for screenings recommended by the HAS (French National Authority for Health) and to facilitate shared decision-making during a primary care consultation dedicated to prevention.
The Lianeli SADM will be used by the patient first via a health questionnaire, then by the patient and the general practitioner during the consultation dedicated to prevention.
Individual semi directive interview with the patient
24 Semi-structured individual interviews will be conducted with a sample of volunteer patients, one month after the end of their follow-up, by a psychologist specializing in qualitative studies.
The objective is to describe qualitatively the feasibility criteria for implementing the intervention according to the GUIDES checklist domains (A favorable context of use, appropriate content, a high-performance system, adequate implementation)
Individual semi directive interview or r Focus Group with the primary care professional
Semi-structured individual interviews or focus groups with 24 primary care professionals will be conducted by a psychologist specializing in qualitative studies with a sample of volunteers, one month after the last patient's last visit to the center.
The objective is to describe qualitatively the feasibility criteria for implementing the intervention according to the GUIDES checklist domains (A favorable context of use, appropriate content, a high-performance system, adequate implementation)
Interventions
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ADER-F quantitative assessment
The Lianeli SADM is designed to facilitate the identification of patients eligible for screenings recommended by the HAS (French National Authority for Health) and to facilitate shared decision-making during a primary care consultation dedicated to prevention.
The Lianeli SADM will be used by the patient first via a health questionnaire, then by the patient and the general practitioner during the consultation dedicated to prevention.
Individual semi directive interview with the patient
24 Semi-structured individual interviews will be conducted with a sample of volunteer patients, one month after the end of their follow-up, by a psychologist specializing in qualitative studies.
The objective is to describe qualitatively the feasibility criteria for implementing the intervention according to the GUIDES checklist domains (A favorable context of use, appropriate content, a high-performance system, adequate implementation)
Individual semi directive interview or r Focus Group with the primary care professional
Semi-structured individual interviews or focus groups with 24 primary care professionals will be conducted by a psychologist specializing in qualitative studies with a sample of volunteers, one month after the last patient's last visit to the center.
The objective is to describe qualitatively the feasibility criteria for implementing the intervention according to the GUIDES checklist domains (A favorable context of use, appropriate content, a high-performance system, adequate implementation)
Eligibility Criteria
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Inclusion Criteria
* Consultant to general practitioner,
* Without communication barriers in French, able to read and write
* Have signed the written consent form to participate in the study
Exclusion Criteria
* with a psychiatric pathology or disorder with impaired judgment, as determined by the GP
* Pregnant or breast-feeding
* Not affiliated to a social security scheme or not benefiting from a similar scheme
* Participating in another clinical study that may interfere with the ADER-F study-
18 Years
74 Years
ALL
Yes
Sponsors
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Hospices Civils de Lyon
OTHER
Responsible Party
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Locations
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Cabinet médical
Belley, , France
Cabinet médical
Beynost, , France
CSCP - Centre de Santé Communautaire et Planétaire
Bron, , France
CSCP - Centre de Santé Communautaire et Planétaire
Bron, , France
CSCP - Centre de Santé Communautaire et Planétaire
Bron, , France
CSCP - Centre de Santé Communautaire et Planétaire
Bron, , France
Cabinet médical
Craponne, , France
MSP
Crêches-sur-Saône, , France
Maison de santé Gleizé Epinay
Gleizé, , France
Groupe Médical Claude Bernard
LArbresle, , France
Groupe Médical Claude Bernard
LArbresle, , France
Cabinet médical
Lyon, , France
Maison de Santé Beauvisage
Lyon, , France
Maison de Santé Beauvisage
Lyon, , France
Maison de Santé Beauvisage
Lyon, , France
Maison de Santé Beauvisage
Lyon, , France
Cabinet médcial
Saint-Pierre-la-Palud, , France
MSP du Tissage
Tignieu, , France
Cabinet médical
Villeurbanne, , France
Maison de Santé Clos Caroline
Villeurbanne, , France
Countries
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Central Contacts
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Facility Contacts
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Emmanuel VIRY
Role: primary
Other Identifiers
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2025-A00819-40
Identifier Type: OTHER
Identifier Source: secondary_id
69HCL23_1126
Identifier Type: -
Identifier Source: org_study_id
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