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Adapt and Incorporate dDPP Into Clinical Workflows

NCT04049500 — Withdrawn, NYU Langone Health

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An Observational Study to Adapt a Digital Diabetes Prevention Program (dDPP) and Incorporate it Into the Clinical Workflows.

RegistryNCT04049500
StatusWithdrawn - study was never started
Study typeObservational
SponsorNYU Langone Health (Other); collaborators: National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
ConditionsPhysician-Patient Relations, Nurse-Patient Relations
InterventionsDigital Diabetes Prevention Program (dDPP) (Other)
Datesstart 2021-09-01 (estimated), primary completion 2026-09-01 (estimated), completion 2026-09-01 (estimated), first posted 2019-08-08, last updated 2021-10-21

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-Summary

This observational study will seek to adapt a digital diabetes prevention program (dDPP) tool suite into clinical workflows. This tool pushes key dDPP data elements (e.g. weight and daily step count) directly into EHR workflows of primary care to enhance patient engagement. It seeks to determine the impact of combining adapted visualizations and summaries of key dDPP data elements directly into the EHR with automated notifications and messaging designed to enhance patient engagement in the dDPP. The study will involve provider workflow analysis based on observation and facilitated group tool adaptation sessions.

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+Detailed description

Primary objective: to examine the impact of the dDPP tool suite on the EHR and clinical workflows, and identify optimization opportunities.

Secondary objective: to assess the "usability" of the proposed dDPP tool suite in clinical practice.

+Arms and interventions

ArmTypeInterventionsDescription
CliniciansOther: Digital Diabetes Prevention Program (dDPP)Five practices will be selected from NYULH ambulatory practice sites to represent the spectrum of provider settings within the system. These sites will be the clinical partners for the adaptation of the dDPP tool suite
  • Digital Diabetes Prevention Program (dDPP) (Other): dDPP tool suite to integrate with the EHR and clinical workflows

+Outcome measures

Primary outcomes

  • Usability will be assessed using a 5-point Likert scale [12 Months]: 5 point likert scale is measured on a 5 point scale, 1 being "very unsatisfied" and 5 being "very satisfied." Higher scores mean more usability

+Eligibility

Sex: All, ages: 18 Years to 100 Years, accepts healthy volunteers

Inclusion Criteria:

* Physicians
* Nurses
* Practice assistants
* Health coaches
* Population health managers
* Patient navigators

Exclusion Criteria:

* Practices will be ineligible for participation if they treat fewer than 100 adults with prediabetes.

+Publications

  • Results publication: Rodriguez DV, Lawrence K, Gonzalez J, Brandfield-Harvey B, Xu L, Tasneem S, Levine DL, Mann D. Leveraging Generative AI Tools to Support the Development of Digital Solutions in Health Care Research: Case Study. JMIR Hum Factors. 2024 Mar 6;11:e52885. doi: 10.2196/52885. PMID 38446539
  • Results publication: Lawrence K, Rodriguez DV, Feldthouse DM, Shelley D, Yu JL, Belli HM, Gonzalez J, Tasneem S, Fontaine J, Groom LL, Luu S, Wu Y, McTigue KM, Rockette-Wagner B, Mann DM. Effectiveness of an Integrated Engagement Support System to Facilitate Patient Use of Digital Diabetes Prevention Programs: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2021 Feb 9;10(2):e26750. doi: 10.2196/26750. PMID 33560240

+Investigators

My Notes