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N/A Completed N=166 Randomized Health Services Research

SPREAD-NET: PRactices Enabling Adapting and Disseminating in the Safety NET

Source: ClinicalTrials.gov NCT02325531 ↗
Enrolled (actual)
166
Serious AEs
Results posted
Dec 2022
Primary outcomePrimary: Rate Ratio of the Percent of the Clinics' Patients "Indicated" for Statin With a Guideline-appropriate Prescription for Statins — 1.09; 1.11; 1.06; 1.04 Rate ratio

Summary

The investigators propose to compare the effectiveness of 3 strategies (low, medium, high intensity) at supporting CHCs' implementation of the ALL Initiative (an intervention shown to reduce patients' cardiovascular disease (CVD) event risk), through a cluster-randomized trial.

Outcome Measures

OutcomeResultp-value
PRIMARY
Rate Ratio of the Percent of the Clinics' Patients "Indicated" for Statin With a Guideline-appropriate Prescription for Statins
1.09; 1.11; 1.06; 1.04
PRIMARY
Rate Ratio of the Percent of the Clinics' Patients "Indicated" for ACE/ARB With Guideline-appropriate Prescription for ACE/ARBs
0.95; 0.99; 0.99; 0.95
SECONDARY
Identify Clinic Characteristics Associated With the Support Strategies' Effectiveness (e.g. Decision-making Structures, Leadership Support, Team Processes I Characteristics, Readiness and Capacity for Change).
SECONDARY
Rate Ratio of the Change in the Percent of the Clinic's 'Indicated' Patients With Correct Intensity Statin Prescribing
1.24; 1.35; 1.11; 1.17

Eligibility Criteria

Inclusion Criteria

  • Convenience sample, all patients with Diabetes Mellitus from 30 community health clinics (CHCs) that are members of OCHIN, Inc.

Exclusion Criteria

  • Patients without diagnosed DM
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT02325531). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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