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

Kenya Medical Research Institute (KEMRI)

Status: Unknown

Conditions: HIV

Treatments: Other: EMR Only; Other: EMR+CDSS

Study type: Interventional

Funder types: Other

Identifiers

NCT01634802

2073

Details and patient eligibility

About

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.

Full 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.

Enrollment: 1,460 estimated patients

Sex: All

Ages: 18+ months old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• All HIV patients enrolled in participating clinics

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,460 participants in 2 patient groups

EMR Only

No Intervention group

Description:

Clinics in this arm of the study will have a standard Electronic Medical Record (EMR) system installed - without a computerized decision support system.

Treatment:

Other: EMR Only

EMR+CDSS

Experimental group

Description:

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.

Treatment:

Other: EMR+CDSS