NCT05203185

Nudging Provider Adoption of Clinical Decision Support

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 1,612 (actual)
• Sponsor: NYU Langone Health · Academic / Other
• Sex: All
• Age: 25 Years – 70 Years
• Healthy volunteers: Accepted

Summary

The central hypothesis of this proposal is that the addition of a theory-informed "nudge" to a clinical decision support (CDS) tool will address identified behavioral barriers to use and significantly improve adoption by providers. Nudges are applications of behavioral science, defined as positive reinforcement and indirect suggestions that have a non-forced effect on decision making. This study will use a behavioral theory-informed process to develop a new CDS tool that includes a nudge that addresses barriers to adoption.

Detailed description

The research team developed and pilot tested two CDS tools for pulmonary embolism (PE) risk stratification in the Emergency Department (ED). One of the tools incorporated two behavioral theory-informed nudges in the user interface. The research team's objective was to pilot test the tools to demonstrate feasibility as well as examine preliminary efficacy of the nudges on provider adoption of the tool. This cluster non-randomized controlled trial took place between September 20th, 2021 and March 3rd, 2022 in two EDs that are a part of a large academic health system in the New York City metropolitan area. All ED providers (physicians, physician assistants and nurse practitioners) seeing patients for the evaluation of PE during this time were included in the trial. The EDs were chosen based on their comparable size and acuity levels.

Conditions

• Pulmonary Embolism

Interventions

Type	Name	Description
OTHER	Pulmonary Embolism Risk Kalculator (PERK)	Nudges are applications of behavioral science, defined as positive reinforcement and indirect suggestions that have a non-forced effect on decision making. Nudges will be to the PE CALC CDS tool to develop the new CDS tool, PERK.

Timeline

• Start date: 2021-07-01
• Primary completion: 2022-04-30
• Completion: 2022-04-30
• First posted: 2022-01-24
• Last updated: 2023-06-26
• Results posted: 2023-06-26

Locations

2 sites across 1 country: United States