Please select the arm or intervention descriptions that belong to the clinical trial below.
Title: A Randomized Trial to Evaluate an Electronic CKD Clinical Decision Support System (CDSS) in Clinical Care
Brief Summary: The investigators propose a three-arm, pragmatic, cluster-randomized clinical trial based in primary care. Participating Primary Care Providers (PCPs) will be randomized to usual care or one of two intervention arms. The first intervention will evaluate the efficacy of an automated CDSS that utilizes the electronic health record (EHR) to facilitate triple marker test ordering, guideline implementation and BP management, compared with usual care, among patients with previous documentation of eGFRcreat \<60 ml/min/1.73m2. The second intervention goes a step further, and will evaluate whether a CDSS plus a follow-up telephone call from a pharmacist (CDSS PLUS) can improve BP management and patient CKD and NSAID toxicity knowledge among the patients with CKD, compared with CDSS alone. The primary clinical outcome is BP level, with secondary outcomes related to processes of care and patient knowledge.


Options:
A: Arm Label: Decision aid plus YourDiseaseRisk; Type: EXPERIMENTAL; Interventions: Behavioral: Web-based decision aid plus personalized risk assessment | Arm Label: Decision aid alone; Type: EXPERIMENTAL; Interventions: Behavioral: Web-based decision aid alone | Arm Label: III; Type: SHAM_COMPARATOR; Interventions: Behavioral: Generic website | Intervention Type: BEHAVIORAL; Name: Web-based decision aid plus personalized risk assessment; Assigned to Arm(s): Decision aid plus YourDiseaseRisk | Intervention Type: BEHAVIORAL; Name: Web-based decision aid alone; Assigned to Arm(s): Decision aid alone | Intervention Type: BEHAVIORAL; Name: Generic website; Assigned to Arm(s): III
B: Arm Label: Traditional CERSG Arm; Type: ACTIVE_COMPARATOR; Interventions: Behavioral: Community Health Worker Diabetes Education: Print media | Arm Label: Web-Based Materials Arm; Type: EXPERIMENTAL; Interventions: Behavioral: CHW Diabetes Education: tailored web site | Intervention Type: BEHAVIORAL; Name: Community Health Worker Diabetes Education: Print media; Assigned to Arm(s): Traditional CERSG Arm | Intervention Type: BEHAVIORAL; Name: CHW Diabetes Education: tailored web site; Assigned to Arm(s): Web-Based Materials Arm
C: Arm Label: SCC1--high intensity supervision; Type: EXPERIMENTAL; Interventions: Behavioral: safer conception counseling | Arm Label: SCC2-- low intensity supervision; Type: EXPERIMENTAL; Interventions: Behavioral: safer conception counseling | Arm Label: Usual care family planning services; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: BEHAVIORAL; Name: safer conception counseling; Assigned to Arm(s): SCC1--high intensity supervision, SCC2-- low intensity supervision
D: Arm Label: Clinical Decision Support System (CDSS); Type: EXPERIMENTAL; Interventions: Other: Clinical Decision Support System (CDSS) | Arm Label: Clinic Decision Sup System + Pharmacist; Type: EXPERIMENTAL; Interventions: Other: Clinic Decision Sup System + Pharmacist | Arm Label: Usual Care; Type: NO_INTERVENTION; Interventions: N/A | Intervention Type: OTHER; Name: Clinical Decision Support System (CDSS); Assigned to Arm(s): Clinical Decision Support System (CDSS) | Intervention Type: OTHER; Name: Clinic Decision Sup System + Pharmacist; Assigned to Arm(s): Clinic Decision Sup System + Pharmacist

Answer: D