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An Observational Pilot Study to Develop a Behavioral Economics Electronic Health Record Module to Guide the Care of Older Adults With Diabetes

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ClinicalTrials.gov Identifier: NCT03409523
Recruitment Status : Completed
First Posted : January 24, 2018
Last Update Posted : July 8, 2019
Sponsor:
Information provided by (Responsible Party):
NYU Langone Health

Brief Summary:

This study will develop a new electronic health record module to improve guideline-compliant care of older adults with diabetes. The module will incorporate effective behavioral economics (BE) principles to improve the degree to which care of older adults is compliant with Choosing Wisely guidelines; this generally involves less aggressive targets for HbA1c, and reductions of medications other than metformin.

The implementation of the module will ultimately be triggered by medication prescribing in EPIC. The BE principles include suggesting alternatives to medications, requiring justification, setting of appropriate default order sets, and incorporation of anchoring and checklists to guide behavior. The study will involve provider workflow analysis based on observation, module user testing, and live usability testing with direct observation and semi-structure interviews.


Condition or disease
Diabete Mellitus

Detailed Description:
The primary objective of this study is to develop a scalable, EHR customization toolkit that applies BE insights to promote appropriate diabetes care in older adults based on the American Geriatric Society's Choosing Wisely Guideline, as to assess the acceptability of the resulting module.

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Study Type : Observational
Actual Enrollment : 30 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: An Observational Pilot Study to Develop a Behavioral Economics Electronic Health Record Module to Guide the Care of Older Adults With Diabetes
Actual Study Start Date : January 8, 2018
Actual Primary Completion Date : July 3, 2019
Actual Study Completion Date : July 3, 2019



Primary Outcome Measures :
  1. Compliance with Choosing Wisely guidelines measured by number of reductions of medications [ Time Frame: 60 Months ]
    The implementation of the module will ultimately be triggered by medication prescribing in EPIC.


Secondary Outcome Measures :
  1. Usability measured by module user testing with direct observation and semi structured interviews [ Time Frame: 60 Months ]


Information from the National Library of Medicine

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Ages Eligible for Study:   21 Years to 90 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Providers in NYU outpatient primary care, geriatrics, or endocrine clinics at NYU who care for older adults with diabetes
Criteria

Inclusion Criteria:

  • Providers in NYU outpatient primary care, geriatrics, or endocrine clinics at NYU who care for older adults with diabetes

Exclusion Criteria:

  • None

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): NCT03409523


Locations
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United States, New York
New York University School of Medicine
New York, New York, United States, 10016
Sponsors and Collaborators
NYU Langone Health
Investigators
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Principal Investigator: Andrea Troxel, MD NYU Langone Health

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Responsible Party: NYU Langone Health
ClinicalTrials.gov Identifier: NCT03409523     History of Changes
Other Study ID Numbers: 17-01308
First Posted: January 24, 2018    Key Record Dates
Last Update Posted: July 8, 2019
Last Verified: July 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Additional relevant MeSH terms:
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Diabetes Mellitus
Glucose Metabolism Disorders
Metabolic Diseases
Endocrine System Diseases