A Clinical Decision Support Tool for Electronic Health Records (BHCDS)
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|ClinicalTrials.gov Identifier: NCT02697643|
Recruitment Status : Active, not recruiting
First Posted : March 3, 2016
Last Update Posted : February 28, 2018
For behavioral health clinicians who are interested in getting tailored treatment and level of care recommendations, "BH-CDS" is a desktop/tablet web-based application that provides clinicians with data and a rationale for better decision-making to improve patient care.
Few Clinical Decision Support (CDS) systems are available for Behavioral Health, and unlike existing CDS this product will compile relevant patient data and organize these data into general treatment recommendations linked to the patient's presenting circumstances, symptoms and substance use issues.
The BH-CDS solution shall factor patient characteristics into a Latent Class Analysis (LCA) that will group patients according to their responses with other patients with similar responses (i.e., a subgroup or "class"). Once patients have been assigned to a class, the solution shall present recommendations to counselors that use the software.
|Condition or disease||Intervention/treatment||Phase|
|Substance Abuse||Behavioral: BHCDS-based recommendations Behavioral: Non-tailored recommendations||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||250 participants|
|Intervention Model:||Parallel Assignment|
|Primary Purpose:||Health Services Research|
|Official Title:||A Clinical Decision Support Tool for Electronic Health Records|
|Actual Study Start Date :||March 17, 2016|
|Estimated Primary Completion Date :||March 2018|
|Estimated Study Completion Date :||May 2018|
Experimental: BHCDS-based recommendations
The Experimental condition will use the BH-CDS tool and receive tailored recommendations in addition to treatment as usual.
Behavioral: BHCDS-based recommendations
Other Name: Behavioral Health Clinical Decision Support, BH-CDS
Placebo Comparator: Non-tailored recommendations
The Control condition will use the BH-CDS tool and receive non-tailored recommendations in addition to treatment as usual.
Behavioral: Non-tailored recommendations
Other Name: control condition
- Change in clients' past 30-day substance use and psychosocial functioning at 1 month and 3 months post-baseline as measured by ASI-MV composite scores [ Time Frame: 1-month, 3-month ]
Measured through ASI-MV composite scores at each time point. Composite Scores for the Addiction Severity Index - Multimedia Version (ASI-MV) are generated from a number of answered questions in each domain that refer to client behavior over the last 30 days. Therefore, they are useful for identifying changes in problem status and can be used in research and outcome evaluation.
For more information, please see:
Butler, S. F., Budman, S. H., Goldman, R. J., Newman, F. J., Beckley, K. E., Trottier, D., & Cacciola, J. S. (2001). Initial validation of a computer-administered Addiction Severity Index: The ASI-MV. Psychology of Addictive Behaviors, 15(1), 4.
- Number of client treatment visits [ Time Frame: 3-month ]Total number of treatment and assessment visits throughout the field trial period.
- Number of services each client receives or is referred to [ Time Frame: 3-month ]Total number of services (including wraparound services, such as housing support or medical consultation) the client received or was referred to throughout the field trial period.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02697643
|United States, Massachusetts|
|Newton, Massachusetts, United States, 02464|
|Principal Investigator:||Stephen F. Butler, PhD||Inflexxion, Inc.|