NCT00915304

Brief Summary

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.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
12,101

participants targeted

Target at P75+ for phase_1

Timeline
Completed

Started Jun 2009

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2009

Completed
4 days until next milestone

First Submitted

Initial submission to the registry

June 5, 2009

Completed
3 days until next milestone

First Posted

Study publicly available on registry

June 8, 2009

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

February 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2011

Completed
Last Updated

December 18, 2012

Status Verified

December 1, 2012

Enrollment Period

1.7 years

First QC Date

June 5, 2009

Last Update Submit

December 17, 2012

Conditions

Decision Support Systems, Clinical

Keywords

Clinical Decision Support SystemAutomatic reminderPrimary careEvidence-Based Medicine

Outcome Measures

Primary Outcomes (1)

  • The number of reminders triggered (in relation to the number of eligible patients, Ri/Ni) during repeated Virtual Health Checks (VHCs)

    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.

    Follow-up time max one and half year

Secondary Outcomes (1)

  • Specific clinical measures compared to an intervention and a control group

Interventions

The EBMeDS remindersBEHAVIORAL

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 Criteria

Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

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

You may not qualify if:

  • Those residents who's occupational health care is produced by Sipoo Health Centre

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

University of Tampere; School of Health Sciences

Tampere, Finland, 33014, Finland

Location

Related Publications (1)

  • Kortteisto T, Raitanen J, Komulainen J, Kunnamo I, Makela M, Rissanen P, Kaila M; EBMeDS (Evidence-Based Medicine electronic Decision Support) Study Group. Patient-specific computer-based decision support in primary healthcare--a randomized trial. Implement Sci. 2014 Jan 20;9:15. doi: 10.1186/1748-5908-9-15.

    PMID: 24444113DERIVED

Related Links

Study Officials

  • Pekka Rissanen, Professor

    University of Tampere; School of Health Sciences

    STUDY DIRECTOR

  • Tiina Kortteisto, MSc

    University of Tampere; School of Health Sciences

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
researcher

Study Record Dates

First Submitted

June 5, 2009

First Posted

June 8, 2009

Study Start

June 1, 2009

Primary Completion

February 1, 2011

Study Completion

February 1, 2011

Last Updated

December 18, 2012

Record last verified: 2012-12

Locations

FI(1)