NCT04181307

A Randomized Trial of a BE-EHR Module to Guide the Care of Older Adults With Diabetes

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 7,630 (actual)
• Sponsor: NYU Langone Health · Academic / Other
• Sex: All
• Age: 75 Years
• Healthy volunteers: Not accepted

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.

Conditions

• Diabetes

Interventions

Type	Name	Description
BEHAVIORAL	BE-EHR module	The BE-EHR module includes six components: 1) a tailored advisory for patients over 75 with diabetes, 2) medication refill protocol with information on Choosing Wisely guidelines, 3) pre-population of the medication preference list with metformin, 4) lab result protocol with information on Choosing Wisely guidelines, 5) peer comparisons regarding performance meeting guidelines, and 6) media campaign with information about Choosing Wisely guidelines. The set of nudges is referred to collectively as the BE-EHR module.

Timeline

• Start date: 2020-12-01
• Primary completion: 2022-07-01
• Completion: 2022-07-01
• First posted: 2019-11-29
• Last updated: 2023-07-19
• Results posted: 2023-07-19

Locations

1 site across 1 country: United States