Diabetes Mellitus Clinical Trial
Official title:
Improving Appropriate Aspirin Use Among Adults With Diabetes in a Primary Care Setting: Using an Electronic Medical Record to Target a Physician-supervised Nurse Practitioner Intervention
Our aim is to determine if a patient-directed intervention is more effective than computerized clinician reminders alone for improving aspirin use in adults with diabetes.
Many patients with diabetes do not use aspirin to prevent cardiovascular events. Quality
improvement initiatives involving both patients and physicians may be more effective than
physician-directed approaches alone.
In a large urban primary care internal medicine practice, this study seeks to test if a
patient-directed intervention is more effective than computerized clinician reminders alone
for improving the appropriate use of aspirin in adults with diabetes.
The study design is a cluster-randomized trial by physician. The frequency of self-reported
regular aspirin use will be compared between patients cared for by physicians in the
computerized reminder alone group and the computerized reminder plus physician-supervised,
nurse practitioner intervention group.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label
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