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Evidence-Based Medicine Electronic Decision Support Study (EBMeDS)

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00915304
First Posted: June 8, 2009
Last Update Posted: December 18, 2012
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Collaborators:
The Finnish Medical Society Duodecim
National Institute for Health and Welfare, Finland
Duodecim Medical Publications Ltd.
ProWellness Ltd.
The Finnish Funding Agency for Technology and Innovation (TEKES)
Information provided by (Responsible Party):
Tiina Kortteisto, University of Tampere
  Purpose

The purpose of this study is to analyze the effect of the Evidence-Based Medicine electronic Decision Support (EBMeDS) automatic reminders in primary health care.

Hypothesis (1)is that in the intervention group the total number of EBMeDS reminders will decrease compared to the control group.

Hypothesis (2) is that in the intervention group the quality measures will increase faster compared to the control group at follow-up time.


Condition Intervention Phase
Decision Support Systems, Clinical Behavioral: The EBMeDS reminders Phase 1 Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Health Services Research
Official Title: Patient Specific Automatic Reminders in Primary Care - the EBMeDS Randomised Trial

Further study details as provided by Tiina Kortteisto, University of Tampere:

Primary Outcome Measures:
  • The number of reminders triggered (in relation to the number of eligible patients, Ri/Ni) during repeated Virtual Health Checks (VHCs) [ Time Frame: Follow-up time max one and half year ]
    VHC will be performed once a week for the whole study population, beginning at baseline and before randomisation. The main outcome measure is Ri/Ni at follow-up time after commencement of the study where Ri is the total number of reminders triggered by the patient record data in intervention and in control group at the time of analysis, and Ni is the total number of patients.


Secondary Outcome Measures:
  • Specific clinical measures compared to an intervention and a control group
    Clinical measures as mean values of laboratory parameters, for example a mean level of HbA1c, a mean level of total cholesterol.


Enrollment: 12101
Study Start Date: June 2009
Study Completion Date: February 2011
Primary Completion Date: February 2011 (Final data collection date for primary outcome measure)
Intervention Details:
    Behavioral: The EBMeDS reminders

    Phase I: EBMeDS reminders specific to the visiting or caring patient and his/her clinical problem are generated when the practitioner uses the electronic patient record. During visits of intervention group patients the EBMeDS reminders will be shown on screen to the practitioner.

    Phase II: As phase I and in addition, results of the Virtual Health Check (VHC) of all the intervention group patients will be shown to the practitioners.Phase II will be fulfilled in Autumn 2010 and follow-up time will be about 3 months.

  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • All residents of Sipoo who have patient ID number in the Mediatri electronic patient record system in Sipoo Health Centre

Exclusion Criteria:

  • Those residents who's occupational health care is produced by Sipoo Health Centre
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00915304


Locations
Finland
University of Tampere; School of Health Sciences
Tampere, Finland, 33014
Sponsors and Collaborators
University of Tampere
The Finnish Medical Society Duodecim
National Institute for Health and Welfare, Finland
Duodecim Medical Publications Ltd.
ProWellness Ltd.
The Finnish Funding Agency for Technology and Innovation (TEKES)
Investigators
Study Director: Pekka Rissanen, Professor University of Tampere; School of Health Sciences
Principal Investigator: Tiina Kortteisto, MSc University of Tampere; School of Health Sciences
  More Information

Additional Information:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Tiina Kortteisto, researcher, University of Tampere
ClinicalTrials.gov Identifier: NCT00915304     History of Changes
Other Study ID Numbers: EBMeDS-40344-06
First Submitted: June 5, 2009
First Posted: June 8, 2009
Last Update Posted: December 18, 2012
Last Verified: December 2012

Keywords provided by Tiina Kortteisto, University of Tampere:
Clinical Decision Support System
Automatic reminder
Primary care
Evidence-Based Medicine