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Implementing a palm pilot intervention for primary care providers: lessons learned

Overview
Title:
Implementing a palm pilot intervention for primary care providers: lessons learned
Authors:
Rosenberg EL, Goff DC Jr., Blackwell CS, Williams DT, Crago L, Ellis SD, Bertoni AG, Bonds DE
Journal:
Contemp Clin Trials
Publication date:
2009
Volume:
30
Issue:
4
First page:
321
Last page:
325
ISSN:
1551-7144
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/19348963
Publication type:
Journal
Abstract
The Personal Digital Assistance for Guideline Adherence (GLAD Heart) study was designed to test a strategy to improve quality of care through increased adherence to ATPIII cholesterol guidelines. This paper describes the overall study design including the multi-faceted intervention and outcome measures. Sixty-one primary care practices in NC were recruited and randomized to either a personal digital assistant-based cholesterol management intervention or an intervention similar in intensity and frequency of contact but focused on a hypertension clinical practice guideline. Installation and implementation of the technology intervention was challenging. Over the course of the study, there were 74 technical issues requiring assistance for the palm pilot from 23 participating practices. The GLAD Heart project was completed successfully with some impact on cholesterol management. Technology has the potential to improve the quality of care provided in the healthcare setting. However, potentially expensive interventions such as that conducted in GLAD Heart should undergo rigorous testing to assure their efficacy before widespread adoption.
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Implementing a palm pilot intervention for primary care providers: lessons learned Rosenberg EL, Goff DC Jr., Blackwell CS, Williams DT, Crago L, Ellis SD et al. Contemp Clin Trials 2009; 30(4):321-325.

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