EHR nudges: Development and testing of a behavioral economics electronic health record module
EHR 推动:行为经济学电子健康记录模块的开发和测试
基本信息
- 批准号:9419088
- 负责人:
- 金额:$ 21.58万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-09-30 至 2019-08-31
- 项目状态:已结题
- 来源:
- 关键词:Academic DetailingAdherenceAmericanAntibioticsAreaBehaviorBypassCaringClinicClinicalClinical Decision Support SystemsCommunicationCustomDataDecision MakingDevelopmentDiabetes MellitusDocumentationEconomicsEducational InterventionElderlyElectronic Health RecordFoundationsGeriatricsGoalsGuidelinesHealthcareHumanInternal MedicineInterventionInvestmentsLow PrevalenceMeasuresMedical centerModificationOutpatientsPerformancePharmacologyPhasePilot ProjectsPrimary Health CareProcessProviderPsychologyQuality of CareRandomized Controlled TrialsResearchResistanceRiskSafetySiteSocietiesTechnologyTestingUnconscious StateVariantarmbasebehavioral economicsburden of illnesscare deliveryclinical careclinical decision-makingclinical practicecognitive loadcostdesigndiabetes managementeffective interventionexperiencefallsglycemic controlimprovedimproved outcomeinnovationinsightmultidisciplinarynovelprogramssupport toolstoolusabilityuser centered design
项目摘要
Project Summary
This study aims to leverage the power of behavioral economics with electronic health record technology to
promote appropriate diabetes care for older adults. Despite a variety of efforts, inappropriate care persists.
The ABIM Foundation’s Choosing Wisely Campaign identifies focus areas for improvement; one of ten
Choosing Wisely initiatives chosen by the American Geriatrics Society promotes less aggressive glycemic
targets and limited pharmacologic therapy for older adults with diabetes. Changing provider behavior,
however, is challenging, and existing information-based approaches fall short. Novel concepts from behavioral
economics, a field that blends insights from economics and psychology to recognize that humans make
predictable decision errors, have shown promise in a variety of healthcare settings. Incorporating such
approaches within the electronic health record (EHR) will allow seamless integration into clinical workflow with
minimal additional cognitive burden, and provide a mechanism for widespread scaling of effective
interventions. We propose to develop a behavioral economics-based EHR module to promote appropriate
clinical care of older adults with diabetes. Specific aims include: 1) To develop a scalable, EHR customization
toolkit that leverages behavioral economic insights (the BE-EHR module) to promote appropriate diabetes care
in older adults based on the American Geriatric Society’s Choosing Wisely guideline. We will implement a
user-centered design process to incorporate behavioral economic approaches into existing clinical decision
support tools and clinical workflows to design, iteratively refine, and usability test the new module. 2) To pilot
test the new BE-EHR module’s feasibility and acceptability and generate preliminary estimates of clinician
compliance with the Choosing Wisely guideline. We will conduct a 6-month, single-arm pilot study of the BE-
EHR module in 4 outpatient primary care and/or geriatrics clinics to measure utilization and feasibility, and to
estimate its impact on appropriate care delivery. 3) To test the ability of the BE-EHR module to reduce
inappropriate diabetes treatment among older adults. We will conduct an 18-month, rigorous, pragmatic,
cluster-randomized, controlled trial in 70 sites within the NYU Langone Medical Center ambulatory network to
determine the BE-EHR module’s impact on appropriate diabetes care among older adults. This proposal
combines a unique, experienced multi-disciplinary team with a ground-breaking approach to improve the care
of older Americans with diabetes.
项目总结
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Devin M Mann其他文献
Proceedings of the Twenty-Second International Joint Conference on Artificial Intelligence A Flat Histogram Method for Computing the Density of States of Combinatorial Problems ∗
第二十二届国际人工智能联合会议论文集计算组合问题状态密度的平面直方图方法*
- DOI:
- 发表时间:
- 期刊:
- 影响因子:0
- 作者:
Lisa L. Groom;Antoinette M Schoenthaler;Devin M Mann;Abraham A Brody - 通讯作者:
Abraham A Brody
Laypeople’s Use of and Attitudes Toward Large Language Models and Search Engines for Health Queries: Survey Study
外行人士对大型语言模型和搜索引擎在健康查询中的使用和态度:调查研究
- DOI:
10.2196/64290 - 发表时间:
2025-01-01 - 期刊:
- 影响因子:6.000
- 作者:
Tamir Mendel;Nina Singh;Devin M Mann;Batia Wiesenfeld;Oded Nov - 通讯作者:
Oded Nov
Construction of the Digital Health Equity-Focused Implementation Research Conceptual Model - Bridging the Divide Between Equity-focused Digital Health and Implementation Research
构建以数字健康股权为中心的实施研究概念模型 - 弥合以股权为中心的数字健康与实施研究之间的鸿沟
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:0
- 作者:
Lisa L. Groom;Antoinette M Schoenthaler;Devin M Mann;Abraham A Brody - 通讯作者:
Abraham A Brody
Devin M Mann的其他文献
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{{ truncateString('Devin M Mann', 18)}}的其他基金
iMatter2: An AI-driven approach to supercharge a novel digital patient-reported outcomes tool for diabetes management
iMatter2:一种人工智能驱动的方法,可增强用于糖尿病管理的新型数字患者报告结果工具
- 批准号:
10736631 - 财政年份:2023
- 资助金额:
$ 21.58万 - 项目类别:
Partners IN CONTROL: Using Remote MonitorINg teChnology with cOmmuNity healTh woRkers to support hypertensiOn management for Latinx patients
控制合作伙伴:与社区卫生工作者一起使用远程监测技术来支持拉丁裔患者的高血压管理
- 批准号:
10669469 - 财政年份:2023
- 资助金额:
$ 21.58万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
9815834 - 财政年份:2019
- 资助金额:
$ 21.58万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10217118 - 财政年份:2019
- 资助金额:
$ 21.58万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10656237 - 财政年份:2019
- 资助金额:
$ 21.58万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10433897 - 财政年份:2019
- 资助金额:
$ 21.58万 - 项目类别:
Amplifying provider impact on patient engagement with an EHR- integrated digital diabetes prevention program
通过 EHR 集成数字糖尿病预防计划,扩大医疗服务提供者对患者参与度的影响
- 批准号:
10006821 - 财政年份:2019
- 资助金额:
$ 21.58万 - 项目类别:
i-Matter: Investigating an mHealth texting tool for embedding patient-reported data into diabetes management
i-Matter:研究用于将患者报告数据嵌入糖尿病管理的移动医疗短信工具
- 批准号:
10431814 - 财政年份:2018
- 资助金额:
$ 21.58万 - 项目类别:
i-Matter: Investigating an mHealth texting tool for embedding patient-reported data into diabetes management
i-Matter:研究用于将患者报告数据嵌入糖尿病管理的移动医疗短信工具
- 批准号:
10199047 - 财政年份:2018
- 资助金额:
$ 21.58万 - 项目类别:
EHR nudges: Development and testing of a behavioral economics electronic health record module
EHR 推动:行为经济学电子健康记录模块的开发和测试
- 批准号:
9566830 - 财政年份:2017
- 资助金额:
$ 21.58万 - 项目类别:
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