Does Providing Medical Personnel in the AMPATH Network With Patient-specific Reminders Regarding TB That Are Generated From a Patient's EMR Improve the Prevalence of IPT Initiation and Decrease the Time From Screening to Treatment?
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 3,782
- 试验地点
- 1
- 主要终点
- Prescription of Isoniazid
研究概览
简要总结
The overall research objective is to evaluate the impact of implementing a reminder system for medical providers to improve TB case-finding and isoniazid preventative therapy (IPT) for adults living with HIV in western Kenya
详细描述
The purpose of this study is to evaluate the impact of implementing a clinical decision support reminder system for medical providers (i.e., nurses, clinical officers, medical officers, consultants) to improve tuberculosis case-finding and the use of isoniazid preventative therapy for adults living with HIV in western Kenya.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 16 Years 至 —（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion Criteria
- •uses HIV initial and return encounter paper forms
- •enters data into the AMPATH medical records system (AMRS) or sends forms to central location for data entry
- •prints or receives printed paper summary sheets with reminders
- •interprets chest x-rays
- •interprets sputum smear results
- •prescribes IPT and dispenses INH
- •completed an average of 10 initial adult HIV positive encounters per month in 2012
- •HIV Care Clinic
排除标准
- •Inclusion Criteria
- •HIV positive
- •complete an adult initial encounter at an HIV Care Clinic during the enrollment period
- •attend at least one additional appointment within 90 days after the initial encounter
- •Exclusion Criteria
- •history of TB or IPT
研究组 & 干预措施
TB reminders
Receive existing reminders plus new patient-specific reminders about TB screening, prevention, and treatment
干预措施: TB reminders (Behavioral)
No TB reminders
Only receive existing reminders; no TB reminders
结局指标
主要结局
Prescription of Isoniazid
时间窗: within 3 months of initial encounter
Provider prescribes INH within 3 months of patient's initial encounter.
次要结局
- Time to isoniazid prophylactic therapy (IPT) initiation(within 3 months of initial encounter)
研究者
Paul Biondich
Associate Professor of Pediatrics
Indiana University