Advertisement

Topics

Improving Aspirin Use Among Adults at Risk for Cardiovascular Disease (CVD)

2014-08-27 03:19:11 | BioPortfolio

Summary

The investigators' aim is to implement an intervention to increase aspirin prophylaxis use among patients that is patient initiated, optimizes use of physician and staff time, appropriately compensates staff, provides clinicians with tools necessary for managing aspiring prophylaxis, and ensures continuous management.

Description

This intervention addresses a fundamental question of how clinicians need to be directly involved in motivating behavior change (i.e., aspirin prophylaxis). While complex behavior change likely demands high levels of involvement, a single simple action (aspirin prophylaxis) may not require such complex interactions.

We propose to compare the effectiveness of three models of care in a rigorous randomized controlled trial that will consist of a 3-arm, within-clinic design in which patients will be randomized to either the physician-initiated, the patient-initiated model, or to a control group in which usual care is delivered. In a patient-initiated model, patients are active participants in their own care and receive a pre-visit summary that contains an individualized risk assessment and patient education. In the physician-initiated model, patients receive the pre-visit summary and the physician uses a clinical decision support tool through the electronic health record that details the patient risk of CVD.

The specific aims of the proposed work are to compare the reliability and overall effectiveness of two different methods for motivating patients to take aspirin to prevent stroke and heart attacks as well as to develop a plan for translating the intervention into a process that is suitable for a paper-based clinic.

Study Design

Allocation: Randomized, Control: Active Control, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Conditions

Cardiovascular Disease

Intervention

Pre-visit Summary, Clinical Decision Sharing Tool

Location

Geisinger Clinic - Lewistown
Lewistown
Pennsylvania
United States
17044

Status

Recruiting

Source

Geisinger Clinic

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:19:11-0400

Clinical Trials [2543 Associated Clinical Trials listed on BioPortfolio]

Clinical Decision Support for Stroke Prevention in Atrial Fibrillation

A cluster randomised study in the primary care setting to evaluate a electronic clinical decision tool for stroke prophylaxis in patients with atrial fibrillation.

Patient-Centered Support for Contraceptive Decision-Making

The investigators have designed a tablet-based decision support tool to help women learn more about their birth control options and support them in choosing a method they are happy with. T...

Nevus Doctor Clinical Decision Support for GPs

The study investigates if a computer-based clinical decision support tool for skin cancer may improve the diagnostic accuracy of general practitioners (GPs). The aim of the program is to h...

Ultrasound First Clinical Decision Support for Suspected Nephrolithiasis

This is a randomized trial to determine the effect of a clinical decision support tool on image ordering for patients with suspected nephrolithiasis. Patients who present with acute unilat...

Validation of Clinical Decision Support Tool for Acute Stroke Diagnosis (InstaDx)

This is a observational validation study. The Stroke Clinical Decision Support Tool ( InstaDx) , an information technology application will be adapted and developed in accordance to eviden...

PubMed Articles [40793 Associated PubMed Articles listed on BioPortfolio]

Multimodality imaging evaluation of Chagas disease: an expert consensus of Brazilian Cardiovascular Imaging Department (DIC) and the European Association of Cardiovascular Imaging (EACVI).

To develop a document by Brazilian Cardiovascular Imaging Department (DIC) and the European Association of Cardiovascular Imaging (EACVI) to review and summarize the most recent evidences about the no...

Association between B-type natriuretic peptide and within-visit blood pressure variability.

Blood pressure variability (BPV) has been shown to predict cardiovascular events. Within-visit BPV is the simplest and easiest measure of BPV, but previous studies have shown conflicts as to whether w...

Feasibility, Process, and Outcomes of Cardiovascular Clinical Trial Data Sharing: A Reproduction Analysis of the SMART-AF Trial.

Data sharing is as an expanding initiative for enhancing trust in the clinical research enterprise.

Evaluation of a patient-centered after visit summary in primary care.

To test the impact of a redesigned, patient-centered after visit summary (AVS) on patients' and clinicians' ratings of and experience with the document.

Design considerations for an eHealth decision support tool in inflammatory bowel disease self-management.

Electronic health (eHealth) decision support tools have the potential to: facilitate inflammatory bowel disease (IBD) self-management; reduce health care utilization, and; alleviate the pressure on ov...

Medical and Biotech [MESH] Definitions

Computer-based information systems used to integrate clinical and patient information and provide support for decision-making in patient care.

Usage of a single needle among two or more people for injecting drugs. Needle sharing is a high-risk behavior for contracting infectious disease.

A graphic device used in decision analysis, series of decision options are represented as branches (hierarchical).

The co-occurrence of pregnancy and a cardiovascular disease. The disease may precede or follow FERTILIZATION and it may or may not have a deleterious effect on the pregnant woman or FETUS.

Provisions of an insurance policy that require the insured to pay some portion of covered expenses. Several forms of sharing are in use, e.g., deductibles, coinsurance, and copayments. Cost sharing does not refer to or include amounts paid in premiums for the coverage. (From Dictionary of Health Services Management, 2d ed)

More From BioPortfolio on "Improving Aspirin Use Among Adults at Risk for Cardiovascular Disease (CVD)"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topic

Nutrition
Within medicine, nutrition (the study of food and the effect of its components on the body) has many different roles. Appropriate nutrition can help prevent certain diseases, or treat others. In critically ill patients, artificial feeding by tubes need t...


Searches Linking to this Trial