None listed
Conditions
Brief summary
Research to date has shown that Clinical Decision Support systems do have some efficacy in changing provider behavior, however the "look and feel" of electronic alerts has not been well studied. This study presents 1 of 4 messages to providers caring for out-of-control diabetics. The messages differ in wording (active vs passive voice) and presentation (plain black text vs black and red text).
Interventions
During a direct patient encounter, an electronic message to the provider caring for an out-of-control diabetic suggests the patient be placed on insulin. This message appears on the screen of the Electronic Health Record during the time the provider is charting on the patient. The message appears once per provider per encounter. The same message appears to all providers at the same health center. Messages are changed every month for 4 months without a washout period based on the randomizatio
During a direct patient encounter, an electronic message to the provider caring for an out-of-control diabetic suggests the patient be placed on insulin. This message appears on the screen of the Electronic Health Record during the time the provider is charting on the patient. The message appears once per provider per encounter. The same message appears to all providers at the same health center. Messages are changed every month for 4 months without a washout period based on the randomization schedule. Messages differ by wording (active vs passive voice) and presentation (all black text vs black and red text). Arm 1: Wording in active voice plus all black text presentation Arm 2: Wording in active voice plus black and red text presentation Arm 3: Wording in passive voice plus all black text presentation Arm 4: Wording in passive voice plus black and red text presentation
Sponsors
Kaiser Permanente
Study design
Allocation
Randomised controlled trial
Intervention model
Crossover
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to 120 Years
Healthy volunteers
No
Inclusion criteria
Patients in diabetic registry with HgA1C > 8.0 on at least 2 oral hypoglycemic agents. All physicians and advanced practioners caring for these patients. Only practioners in adult primary care, cardiology, endocrinology, and nephrology are included.
Exclusion criteria
on insulin, not on at least 2 oral agents, HgA1C not > 8.0
Outcome results
None listed