Improving Aspirin Use in Diabetes: A Cluster Randomized Trial
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.
Behavioral: Electronic prompt plus patient-directed intervention
Behavioral: Electronic prompt to clinician to prescribe aspirin
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
|Official Title:||Improving Appropriate Aspirin Use Among Adults With Diabetes in a Primary Care Setting: Using an Electronic Medical Record to Target a Physician-supervised Nurse Practitioner Intervention|
- Patient reported aspirin use daily or every other day.
|Study Start Date:||September 2004|
|Estimated Study Completion Date:||May 2005|
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.
|United States, Illinois|
|Northwestern University, Division of General Internal Medicine|
|Chicago, Illinois, United States, 60611|
|Principal Investigator:||Stephen D Persell, MD, MPH||Northwestern University|