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Improving Aspirin Use in Diabetes: A Cluster Randomized Trial

Not Applicable
Completed
Conditions
Diabetes Mellitus
Registration Number
NCT00262977
Lead Sponsor
Northwestern University
Brief Summary

Our aim is to determine if a patient-directed intervention is more effective than computerized clinician reminders alone for improving aspirin use in adults with diabetes.

Detailed Description

Many patients with diabetes do not use aspirin to prevent cardiovascular events. Quality improvement initiatives involving both patients and physicians may be more effective than physician-directed approaches alone.

In a large urban primary care internal medicine practice, this study seeks to test if a patient-directed intervention is more effective than computerized clinician reminders alone for improving the appropriate use of aspirin in adults with diabetes.

The study design is a cluster-randomized trial by physician. The frequency of self-reported regular aspirin use will be compared between patients cared for by physicians in the computerized reminder alone group and the computerized reminder plus physician-supervised, nurse practitioner intervention group.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
300
Inclusion Criteria

Diabetes mellitus

  • Age at least 40 years old
  • At least 2 clinic visits in the 18 months prior to the intervention
Exclusion Criteria
  • Primary care physician declined enrollment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Patient reported aspirin use daily or every other day.
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Northwestern University, Division of General Internal Medicine

🇺🇸

Chicago, Illinois, United States

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