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Clinical Decision-support Reminders to Improve IPT Initiation Among HIV Positive Adults in Western Kenya (TBTech)

Indiana University logo

Indiana University

Status

Completed

Conditions

Tuberculosis

Treatments

Behavioral: TB reminders

Study type

Interventional

Funder types

Other

Identifiers

NCT01934309
AID-OAA-TO-11-00060

Details and patient eligibility

About

The overall research objective is to evaluate the impact of implementing a reminder system for medical providers to improve TB case-finding and isoniazid preventative therapy (IPT) for adults living with HIV in western Kenya

Full description

The purpose of this study is to evaluate the impact of implementing a clinical decision support reminder system for medical providers (i.e., nurses, clinical officers, medical officers, consultants) to improve tuberculosis case-finding and the use of isoniazid preventative therapy for adults living with HIV in western Kenya.

Enrollment

3,782 patients

Sex

All

Ages

16+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Clusters:

Inclusion Criteria

  • active
  • uses HIV initial and return encounter paper forms
  • enters data into the AMPATH medical records system (AMRS) or sends forms to central location for data entry
  • prints or receives printed paper summary sheets with reminders
  • interprets chest x-rays
  • interprets sputum smear results
  • prescribes IPT and dispenses INH
  • completed an average of 10 initial adult HIV positive encounters per month in 2012
  • HIV Care Clinic

Exclusion Criteria -

Patients:

Inclusion Criteria

  • HIV positive
  • complete an adult initial encounter at an HIV Care Clinic during the enrollment period
  • attend at least one additional appointment within 90 days after the initial encounter

Exclusion Criteria

  • history of TB or IPT

Trial design

Primary purpose

Health Services Research

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

3,782 participants in 2 patient groups

TB reminders
Experimental group
Description:
Receive existing reminders plus new patient-specific reminders about TB screening, prevention, and treatment
Treatment:
Behavioral: TB reminders
No TB reminders
No Intervention group
Description:
Only receive existing reminders; no TB reminders

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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