Evidence map›Paper›PMID 30820339›Full record

ArticlePilot and feasibility studies2019

Designing for implementation: user-centered development and pilot testing of a behavioral economic-inspired electronic health record clinical decision support module.

Sara Kuppin Chokshi, Hayley M Belli, Andrea B Troxel, Saul Blecker, Caroline Blaum, Paul Testa, Devin Mann

Abstract read
In one paragraph

Article in Pilot and feasibility studies, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Sara Kuppin ChokshiDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.ORCID 0000-0002-3952-6654
Hayley M BelliDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.
Andrea B TroxelDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.
Saul BleckerDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.
Caroline BlaumDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.
Paul TestaDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.
Devin MannDepartment of Population Health, NYU School of Medicine, 227 E. 30th St., 7th Fl, New York, NY 10016 USA.

Funding

NRSA Training CoreTL1TR001447 · NCATS · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MICOLI, KEITH J. · 2015 to 2025
$5.9M
EHR nudges: Development and testing of a behavioral economics electronic health record moduleR21AG057382 · NIA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI MANN, DEVIN M, TROXEL, ANDREA B · 2017 to 2018
$459k
NCATS NIH HHS TL1 TR001447NIA NIH HHS R21 AG057382
6 · The paper itself

Abstract

backgroundCurrent guidelines recommend less aggressive target hemoglobin A1c (HbA1c) levels based on older age and lower life expectancy for older adults with diabetes. The effectiveness of electronic health record (EHR) clinical decision support (CDS) in promoting guideline adherence is undermined by alert fatigue and poor workflow integration. Integrating behavioral economics (BE) and CDS tools is a novel approach to improving adherence to guidelines while minimizing clinician burden.

methodsWe will apply a systematic, user-centered design approach to incorporate BE "nudges" into a CDS module and will perform user testing in two "vanguard" sites. To accomplish this, we will conduct (1) semi-structured interviews with key informants ( DISCUSSION: We hypothesize that a low burden, user-centered approach to design will yield a BE-driven, CDS module with relatively high utilization by clinicians. The resulting module will establish a platform for exploring the ability of BE concepts embedded within the EHR to affect guideline adherence for other use cases.

Indexed as

Behavioral economicsClinical decision supportDiabetesElectronic health records

Identifiers

PMID30820339
PMCPMC6381676

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.