Use of Decision Aids in Clinical Encounters

Not Applicable

Completed

• Conditions: Diabetes, Depression, Cardiovascular Disease,Hypercholesterolemia, Osteoporosis
• Interventions: Other: Passive Dissemination of Share EBM; Other: Active Implementation of ShareEBM Toolkit

• Registration Number: NCT02136199
• Lead Sponsor: Mayo Clinic

Brief Summary

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

Not available

Study Timeline

• Study First Submitted: 2014-03-24
• Study First Submitted QC: 2014-05-08
• Study First Posted: 2014-05-12
• Study Start: 2014-09
• Status Verified: 2016-05
• Primary Completion: 2016-05
• Study Completion: 2016-05
• Last Update Submitted: 2016-05-23
• Last Update Posted: 2016-05-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 62

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Passive Implementation of Share EBM Toolkit	Passive Dissemination of Share EBM	Locally supported dissemination of Shared EBM Toolkit designed to promote the use of the decision aids in clinical encounters.
Active Implementation of Share EBM Toolkit	Active Implementation of ShareEBM 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).

Primary Outcome Measures

Name	Time	Method
Frequency of use of decision aids in clinical encounters by weekly reports	up to 1 year

Trial Locations

Locations (12)

Park Nicollet- Brookdale; 🇺🇸 Brooklyn Center, Minnesota, United States

Essentia Health-Lakeside Clinic; 🇺🇸 Duluth, Minnesota, United States

Ridgeview Medical Center; 🇺🇸 Delano, Minnesota, United States

Fairview Clinic-Eagan; 🇺🇸 Eagan, Minnesota, United States

Essentia Hermantown Clinic; 🇺🇸 Hermantown, Minnesota, United States

Park Nicollet-Golden Valley; 🇺🇸 Golden Valley, Minnesota, United States

Native American Community Clinic; 🇺🇸 Minneapolis, Minnesota, United States

Community Health Service, Inc.; 🇺🇸 Rochester, Minnesota, United States

Mayo Clinic; 🇺🇸 Rochester, Minnesota, United States

Fairview Medical-Rosemount; 🇺🇸 Rosemount, Minnesota, United States

Hudson Physicians S.C.; 🇺🇸 Hudson, Wisconsin, United States

Baldwin Area Medical Center, Inc.; 🇺🇸 Baldwin, Wisconsin, United States