Feasibility Study of a Patient-centered CDS for Recommended Screenings in Primary Care (ADER-F)

Civil Hospices of Lyon

Status: Not yet enrolling

Conditions: Primary Care

Treatments: Other: Individual semi directive interview or r Focus Group with the primary care professional; Other: ADER-F quantitative assessment; Other: Individual semi directive interview with the patient

Study type: Interventional

Funder types: Other

Identifiers

NCT07270926

69HCL23_1126

2025-A00819-40 (Other Identifier)

Details and patient eligibility

About

Primary care professionals (PCPs) are responsible for identifying patients who are eligible for all recommended screenings. Eligibility is difficult, given the number of screenings recommended by the French National Authority for Health (HAS), and the complexity of defining risk groups. When eligibility for one or more screenings is identified, the PCP informs the patient and can help him or her make the decision, considering his or her values and preferences.

Lack of information for patients and lack of time for PCPs are the main obstacles to prevention in primary care (PC). Another barrier identified is the lack of opportunity for patients who do not consult their PCP very often, as they are less likely to be approached for preventive interventions due to other more urgent reasons for consultation.

A Medical Decision Support System (MDSS) is a software application designed to be a direct aid to clinical decision-making, in which an inference engine matches individual patient characteristics with a computerized knowledge base or machine-learning algorithm to propose a risk assessment or adapted recommendations to the healthcare professional and/or patient.

The aim of the ADER-F research program is to support the development and evaluation of a complex intervention centred on the use of a MDSS called "Lianeli".

This complex intervention will ultimately contribute to structuring new consultations dedicated to prevention in general practice, by improving the physician's sense of self-efficacy in conducting the shared screening decision, and reducing the patient's decision-making conflict.

Enrollment: 210 estimated patients

Sex: All

Ages: 18 to 74 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Age ≥ 18 years and ≤74 years,
• Consultant to general practitioner,
• Without communication barriers in French, able to read and write
• Have signed the written consent form to participate in the study

Exclusion criteria

• Under legal protection (guardianship, curatorship, safeguard of justice or deprived of liberty)
• with a psychiatric pathology or disorder with impaired judgment, as determined by the GP
• Pregnant or breast-feeding
• Not affiliated to a social security scheme or not benefiting from a similar scheme
• Participating in another clinical study that may interfere with the ADER-F study-

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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210 participants in 1 patient group

ADER-F

Experimental group

Description:

The Lianeli digital platform is a SADM produced by PREVENEAR. The Lianeli SADM is designed to facilitate the identification of patients' eligibility for screening recommended by the HAS (French National Authority for Health), and shared decision-making. It will be used by the patient through a health self-questionnaire and access to factual information sheets, then by the patient and GP during the consultation dedicated to prevention. All the examinations suggested by Lianeli are based on national recommendations, mainly from the HAS. A mixed methodology was used, combining the quantitative component with a qualitative component involving semi-structured interviews with volunteer healthcare professionals and a sample of volunteer patients from among those included.

Treatment:

Other: Individual semi directive interview with the patient

Other: ADER-F quantitative assessment

Other: Individual semi directive interview or r Focus Group with the primary care professional