An Observational Pilot Study to Develop a Behavioral Economics Electronic Health Record Module to Guide the Care of Older Adults With Diabetes
| Status: | Enrolling by invitation |
|---|---|
| Conditions: | Diabetes |
| Therapuetic Areas: | Endocrinology |
| Healthy: | No |
| Age Range: | 21 - 90 |
| Updated: | 1/30/2019 |
| Start Date: | January 8, 2018 |
| End Date: | March 2019 |
This study will develop a new electronic health record module to improve guideline-compliant
care of older adults with diabetes. The module will incorporate effective behavioral
economics (BE) principles to improve the degree to which care of older adults is compliant
with Choosing Wisely guidelines; this generally involves less aggressive targets for HbA1c,
and reductions of medications other than metformin.
The implementation of the module will ultimately be triggered by 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. The study will involve provider workflow analysis based on
observation, module user testing, and live usability testing with direct observation and
semi-structure interviews.
care of older adults with diabetes. The module will incorporate effective behavioral
economics (BE) principles to improve the degree to which care of older adults is compliant
with Choosing Wisely guidelines; this generally involves less aggressive targets for HbA1c,
and reductions of medications other than metformin.
The implementation of the module will ultimately be triggered by 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. The study will involve provider workflow analysis based on
observation, module user testing, and live usability testing with direct observation and
semi-structure interviews.
The primary objective of this study is to develop a scalable, EHR customization toolkit that
applies BE insights to promote appropriate diabetes care in older adults based on the
American Geriatric Society's Choosing Wisely Guideline, as to assess the acceptability of the
resulting module.
applies BE insights to promote appropriate diabetes care in older adults based on the
American Geriatric Society's Choosing Wisely Guideline, as to assess the acceptability of the
resulting module.
Inclusion Criteria:
- Providers in NYU outpatient primary care, geriatrics, or endocrine clinics at NYU who
care for older adults with diabetes
Exclusion Criteria:
We found this trial at
1
site
550 1st Ave
New York, New York 10016
New York, New York 10016
(212) 263-7300
Principal Investigator: Andrea Troxel, MD
Phone: 646-501-2325
New York University School of Medicine NYU School of Medicine has a proud history that...
Click here to add this to my saved trials
