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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

Page last updated: August 23, 2015

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