Do Clinical Decision-support Reminders for Medical Providers Improve the Do Clinical Decision-support Reminders for Medical Providers Improve the Prevalence of IPT Initiation Among HIV Positive Adults in Western Kenya? (TBTech)

This study is not yet open for participant recruitment.
Verified August 2013 by Indiana University
Sponsor:
Collaborators:
Moi University
AMPATH
Regenstrief Institute, IU Center for Aging Research
InSTEDD
Kijani Consulting
Information provided by (Responsible Party):
Indiana University
ClinicalTrials.gov Identifier:
NCT01934309
First received: August 29, 2013
Last updated: September 3, 2013
Last verified: August 2013

August 29, 2013
September 3, 2013
Not Provided
December 2014   (final data collection date for primary outcome measure)
Prescription of Isonazid [ Time Frame: within 3 months of initial encounter ] [ Designated as safety issue: No ]
Provider prescribes INH within 3 months of patient's initial encounter.
Same as current
Complete list of historical versions of study NCT01934309 on ClinicalTrials.gov Archive Site
Time to isoniazid prophylactic therapy (IPT) initiation [ Time Frame: within 3 months of initial encounter ] [ Designated as safety issue: No ]
The time in weeks from a patient's initial encounter to the week the patient picks up the initial batch of INH from the pharmacy.
Same as current
  • Initiation of isoniazid prophylactic therapy (IPT) [ Time Frame: within 3 months of initial encounter ] [ Designated as safety issue: No ]
    IPT will be considered "initiated" when a patient picks up the initial batch of the prescribed medications within 3 months of the initial encounter.
  • Isoniazid prophylactic therapy (IPT) completion [ Time Frame: 9 months after treatment initiation ] [ Designated as safety issue: No ]
    Patient completes 9-month course of IPT
Same as current
 
Do Clinical Decision-support Reminders for Medical Providers Improve the Do Clinical Decision-support Reminders for Medical Providers Improve the Prevalence of IPT Initiation Among HIV Positive Adults in Western Kenya?
Do Clinical Decision-support Reminders for Medical Providers Improve the Prevalence of IPT Initiation Among HIV Positive Adults in Western Kenya?

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.

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.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Tuberculosis
Behavioral: TB reminders
The intervention to be studied involves providing clinic-based medical care providers (e.g., nurses, clinical officers, medical officers, consultants) with patient-specific clinical reminders regarding TB that are generated from a patient's electronic medical record and based on accepted clinical algorithms for TB screening and treatment.
  • Experimental: TB reminders
    Receive existing reminders plus new patient-specific reminders about TB screening, prevention, and treatment
    Intervention: Behavioral: TB reminders
  • No Intervention: No TB reminders
    Only receive existing reminders; no TB reminders
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Not yet recruiting
1000
Not Provided
December 2014   (final data collection date for primary outcome measure)

Clusters:

Inclusion Criteria

  • active
  • 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

Exclusion Criteria -

Patients:

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

Both
16 Years and older
No
Contact: Aggrey K Keny, MBChB, MSc +254-722-571562 agris57@yahoo.com
Kenya
 
NCT01934309
AID-OAA-TO-11-00060
Yes
Indiana University
Indiana University
  • Moi University
  • AMPATH
  • Regenstrief Institute, IU Center for Aging Research
  • InSTEDD
  • Kijani Consulting
Principal Investigator: Lameck O Diero, MBChB, MMed Moi University College of Health Sciences
Indiana University
August 2013

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP