Heart failure & cardiomyopathies
Design and pilot implementation for the BETTER CARE-HF trial: A pragmatic cluster-randomized controlled trial comparing two targeted approaches to ambulatory clinical decision support for cardiologists
Authors' conclusion
To our knowledge, no study has directly compared the efficacy of these two different types of electronic CDS interventions.
Study context
- Population
- Cardiologists of patients with HFrEF without contraindication to mineralocorticoid receptor antagonist (MRA) therapypilot
- Participants
- 596 cardiologists
- Comparison
- Visit-time alert vs automated electronic message vs usual care
- Primary endpoint
- MRA prescribing
Methodological detailsClinical decision support (CDS) tools designed using an established CDS framework and semistructured interviews with cardiologists
- CDS tools designed using an established CDS framework and semistructured interviews with cardiologists
Primary result
As reported in the abstract
Pilot-based modification of CDS tools
- Message modified to reduce number of patients listed, include future visits and list date of next visit
- Alert modified to improve noticeability, reduce extraneous guideline information and include key contraindication information
Original publication
Design and pilot implementation for the BETTER CARE-HF trial: A pragmatic cluster-randomized controlled trial comparing two targeted approaches to ambulatory clinical decision support for cardiologists. Am Heart J. Published 11 January 2023. doi:10.
Summarised from the published abstract; every number is checked against it