Do Clinical Decision-support Reminders for Medical Providers Improve the Do Clinical Decision-support Reminders for Medical Providers Improve the Prevalence of IPT Initiation Among HIV Positive Adults in Western Kenya?
Information source: Indiana University
ClinicalTrials.gov processed this data on August 23, 2015 Link to the current ClinicalTrials.gov record.
Condition(s) targeted: Tuberculosis
Intervention: TB reminders (Behavioral)
Phase: N/A
Status: Not yet recruiting
Sponsored by: Indiana University Official(s) and/or principal investigator(s): Lameck O Diero, MBChB, MMed, Principal Investigator, Affiliation: Moi University College of Health Sciences
Overall contact: Aggrey K Keny, MBChB, MSc, Phone: +254-722-571562, Email: agris57@yahoo.com
Summary
The purpose of this study is to evaluate the impact of implementing a clinical decision
support reminder system for medical providers (i. e., nurses, clinical officers, medical
officers, consultants) to improve tuberculosis case-finding and the use of isoniazid
preventative therapy for adults living with HIV in western Kenya.
Clinical Details
Official title: Do Clinical Decision-support Reminders for Medical Providers Improve the Prevalence of IPT Initiation Among HIV Positive Adults in Western Kenya?
Study design: Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Primary outcome: Prescription of Isonazid
Secondary outcome: Time to isoniazid prophylactic therapy (IPT) initiation
Detailed description:
The purpose of this study is to evaluate the impact of implementing a clinical decision
support reminder system for medical providers (i. e., nurses, clinical officers, medical
officers, consultants) to improve tuberculosis case-finding and the use of isoniazid
preventative therapy for adults living with HIV in western Kenya.
Eligibility
Minimum age: 16 Years.
Maximum age: N/A.
Gender(s): Both.
Criteria:
Clusters:
Inclusion Criteria
- active
- uses HIV initial and return encounter paper forms
- enters data into the AMPATH medical records system (AMRS) or sends forms to central
location for data entry
- prints or receives printed paper summary sheets with reminders
- interprets chest x-rays
- interprets sputum smear results
- prescribes IPT and dispenses INH
- completed an average of 10 initial adult HIV positive encounters per month in 2012
- HIV Care Clinic
Exclusion Criteria -
Patients:
Inclusion Criteria
- HIV positive
- complete an adult initial encounter at an HIV Care Clinic during the enrollment
period
- attend at least one additional appointment within 90 days after the initial encounter
Exclusion Criteria
- history of TB or IPT
Locations and Contacts
Aggrey K Keny, MBChB, MSc, Phone: +254-722-571562, Email: agris57@yahoo.com
AMPATH, Eldoret, Kenya; Not yet recruiting Adrian F Gardner, MD, MPH, Phone: +254-708-400176, Email: adriangardner1@gmail.com Philip O Owiti, MBChB, Phone: +254-720-678625, Email: p_owiti@yahoo.com
Additional Information
Last updated: September 3, 2013
|