James Presentation - Holbrook et al

CATCH-IT Journal Club Holbrook et al. Individualized electronic decision support and reminders to improve diabetes care in the community: COMPETE II randomized trial. CMAJ. 2009 Jul 7;181(1-2):37-44 James Mullen October 19th, 2009 HAD 5726

Outline ,[object Object],[object Object],[object Object],[object Object]

The Paper ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Study investigators ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Principle author ,[object Object],Holbrook AM, Thabane L, Shcherbatykh IY, O'Reilly D. E-health interventions as complex interventions: improving the quality of methods of assessment . AMIA.Annu.Symp.Proc. 2006:952. Mollon B, Chong J,Jr, Holbrook AM, Sung M, Thabane L, Foster G. Features predicting the success of computerized decision support for prescribing: a systematic review of randomized controlled trials. BMC Med.Inform.Decis.Mak. 2009 Feb 11;9:11. Mollon B, Holbrook AM, Keshavjee K, Troyan S, Gaebel K, Thabane L, et al. Automated telephone reminder messages can assist electronic diabetes care. J.Telemed.Telecare 2008;14(1):32-36. Shcherbatykh I, Holbrook A, Thabane L, Dolovich L, COMPETE III investigators. Methodologic issues in health informatics trials: the complexities of complex interventions. J.Am.Med.Inform.Assoc. 2008 Sep-Oct;15(5):575-580.

Patients ,[object Object],[object Object],[object Object],[object Object],n = 1610 n = 511 n = 258 n = 253 Total patients identified Total patients eligible Control Intervention

Intervention ,[object Object],[object Object],[object Object]

Intervention COMPETE II EMR Telephone 5 different types of EMRs

Patient Screen *http://www.cmaj.ca/cgi/data/cmaj.081272/DC2/2

Physician Screen *http://www.cmaj.ca/cgi/data/cmaj.081272/DC2/1

Intervention ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Context ,[object Object],[object Object],[object Object]

Context ,[object Object],[object Object],*http://www.hc-sc.gc.ca/hcs-sss/pubs/chipp-ppics/2003-compete/final-eng.php

Methods ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Timelines ,[object Object],[object Object]

Scores ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Analysis ,[object Object],[object Object],[object Object]

Process Outcomes ,[object Object],[object Object]

Clinical Outcomes ,[object Object],[object Object]

Other Outcomes ,[object Object],[object Object],[object Object]

Interpretations ,[object Object]

Hypothesis validated? ,[object Object],[object Object]

What can: ,[object Object],[object Object],[object Object],[object Object]

What others are saying ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],*Grant RW, Middleton B. Improving primary care for patients with complex chronic disease: can health information technology play a role? CMAJ. 2009 Jul 7;181(1-2):37-44.

What others are saying ,[object Object],[object Object],[object Object],*Grant RW, Middleton B. Improving primary care for patients with complex chronic disease: can health information technology play a role? CMAJ. 2009 Jul 7;181(1-2):37-44.

Class comments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Questions ,[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object]

Questions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

James Presentation - Holbrook et al

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