Improving Evidence-Based Primary Care for Chronic Kidney Disease
This is a randomized controlled trial of point-of-care computer decision support (CDS) plus full TRANSLATE model of practice change, versus CDS alone. The study aims to analyze differences in promoting evidence-based care in primary care practices. Thirty-six practices will be recruited for this study. Patient inclusion criteria: adult patients with estimated Glomerular Filtration Rate (eGFR) of < 60 and > 15ml/min/1.73m2 confirmed with repeat testing over three or more months.
A process evaluation will be conducted between the CDS practices with facilitation and the CDS only practices to assess clinical outcomes of CKD progression and all-cause mortality. Because all data will be gathered from the practice EHRs, availability of data will not be dependent on participation in interventions, allowing robust estimates of effectiveness of interventions among those for whom they are intended as well as sub-analyses among those who participate. A true contemporary control for secular trends will be a third arm of the study. This will be practices with the same characteristics as the intervention practices will be looked at for the same time period, but they will not have had either computer decision support or practice facilitation.
Academic Detailing slides (PowerPoint)
TRANSLATE Model slides (PowerPoint)
TRANSLATE rubric for evaluation (Excel file)
Improving evidence-based primary care for chronic kidney disease: Study protocol for a cluster randomized control trial for translating evidence into practice (TRANSLATE CKD)
Fox, H. Chester; Vest, M. Bonnie; Kahn, Linda; Dickinson, L. Miriam; Fang, Hai; Pace, Wilson; Kimminau, Kim; Vassalotti, Joseph; Loskutova, Natalia, Peterson, Kevin
Implementation Science. 2013; 8(88). DOI: 10.1186/1748-5908-8-88
Abstract | Full Text
|Study Name||Description||Type of Patients Included||N||Data Elements|
|Translate CKD||This group randomized controlled trial will test the extent to which CDS plus practice facilitation promotes evidence-based care and improves the clinical outcomes of reduced disease progression and mortality in primary care practices.||Adults over age 18 with the diagnosis of CKD and/or one eGFR <60 within last 48 months||22683||