N/A
N=7,630
A Randomized Trial of a BE-EHR Module to Guide the Care of Older Adults With Diabetes
Diabetes
Bottom Line
View on ClinicalTrials.gov: NCT04181307 ↗Enrolled (actual)
7,630
Serious AEs
0.0%
Results posted
Jul 2023
Primary outcome: Primary: Number of Participants Who Are CW-Compliant and CW-Noncompliant — 412; 704; 1232; 1854 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- BE-EHR module (Behavioral)
- Age
- Older Adult · 75+ yrs
- Sex
- All
- Sponsor
- NYU Langone Health
- Primary completion
- Jul 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants Who Are CW-Compliant and CW-Noncompliant |
412; 704; 1232; 1854 | — |
| SECONDARY Number of Total Prescription Encounters |
0; 2056 | — |
Summary
This RCT will test a new electronic health record module to improve guideline-compliant care of older adults with diabetes. The module incorporates effective behavioral economics (BE) principles to improve the degree to which care of older adults is compliant with Choosing Wisely (CW) guidelines; this generally involves less aggressive targets for HbA1c, and reductions of medications other than metformin. The implementation of the module is triggered by patient scheduling and medication prescribing in EPIC. The BE principles include suggesting alternatives to medications, requiring justification, setting of appropriate default order sets, and incorporation of anchoring and checklists to guide behavior.
Eligibility Criteria
Inclusion Criteria
- Patient at NYULH primary care or endocrinology practice
- Practices that have patients aged 75 or older
- Practices that have a diagnosis of diabetes in the EHR chart
Exclusion Criteria
- Under age 75
Data sourced from ClinicalTrials.gov (NCT04181307). 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.