NCT01634802

Evaluation of Use of Clinical Decision Support System in HIV Care in Resource Constrained Settings

Evaluation of Use of Clinical Decision Support System for Early Detection of Immunological Treatment Failure Among HIV Patients in Resource Constrained Settings

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,460 (estimated)
• Sponsor: Kenya Medical Research Institute · Academic / Other
• Sex: All
• Age: 18 Months
• Healthy volunteers: Not accepted

Summary

The purpose of this study is to determine whether the use of a Computerized Decision Support System (CDSS) in form of alerts to clinicians enhances early detection of immunological treatment failure in HIV patients.

Detailed description

We hypothesize that there is no difference in the time to detecting immunological treatment failure among HIV patients in resource poor settings whether the clinicians use an Electronic Medical Record (EMR) system with a Computerized Decision Support (CDSS) or an EMR without a CDSS. In this study, 20 clinics were assigned to the intervention (EMR+CDSS) arm and non-intervention arm (EMR only) and will be followed up for 12 months to assess whether there are any differences in time taken to detect immunological treatment failure based on CD4 cell count.

Conditions

• HIV

Interventions

Type	Name	Description
OTHER	EMR Only	Clinics in this arm of the study will have a standard Electronic Medical Record (EMR) system installed - without a computerized decision support system.
OTHER	EMR+CDSS	Clinics in this arm of the study will have an Electronic Medical Record (EMR) system with Clinical Decision Support System (CDSS) enhancement implemented as alerts to aid the clinician in decision making.

Timeline

• Start date: 2012-08-01
• Primary completion: 2013-08-01
• Completion: 2013-12-01
• First posted: 2012-07-06
• Last updated: 2012-07-06

Locations

1 site across 1 country: Kenya