Adaptive Decision Support for Addiction Treatment (ADAPT) Serial Randomized Testing for Usability
Yale University
Summary
This study is stage 2, round 1 of a larger study which refines and optimizes the EMBED clinical decision support (CDS); see NCT03658642 to increase number of ED physicians following standard of care for the administration of buprenorphine to appropriate patients with opioid use disorder.
Description
Investigators will use a Multiphase Optimization Strategy (MOST) framework study with preparation, optimization, and confirmatory phases. In the current stage, optimization phase, stage 2 investigators will conduct serial rapid-cycle randomized testing to inform iterative refinement of the CDS interface and workflow to minimize user errors, task disruption, and abandonment through identification of specific targets for improvement via application of novel CDS outcome measures with the goal of improving CDS usability. Five rounds of A-B testing are planned. The more successful condition will…
Eligibility
- Age range
- 18+ years
- Sex
- All
- Healthy volunteers
- No
Inclusion Criteria: * Emergency department patient * 18 years of age or older * Moderate to severe opioid use disorder Exclusion Criteria: * Under 18 years of age * Pregnant * Currently receiving medication for opioid use disorder
Interventions
- OtherNurse prompt to complete COWS under required documentation
Nurse receives prompt to complete COWS under required documentation
- OtherRefined EMBED CDS
Refined EMBED CDS
Locations (3)
- Yale New Haven Shoreline Medical CenterGuilford, Connecticut
- Yale New Haven Hospital- St. RaphaelNew Haven, Connecticut
- Yale New Haven HospitalNew Haven, Connecticut