Clinical Decision-support Reminders to Improve IPT Initiation Among HIV Positive Adults in Western Kenya (TBTech)
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Treatments
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
Sex
Ages
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
Allocation
Interventional model
Masking
3,782 participants in 2 patient groups
Trial contacts and locations
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Data sourced from clinicaltrials.gov
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