Implementing a palm pilot intervention for primary care providers: lessons learned.
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.
Wake Forest University Health Sciences, Division of Public Health Sciences, United States.
Erica L
EL
Rosenberger
David C
DC
Goff
Caroline S
CS
Blackwell
Dustin T
DT
Williams
O Lenore
OL
Crago
Shellie D
SD
Ellis
Alain G
AG
Bertoni
Denise E
DE
Bonds
D034201:Computers, Handheld / Q000706:statistics & numerical data; D019983:Guideline Adherence; D006282:Health Personnel; D006801:Humans; D010865:Pilot Projects; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D011320:Primary Health Care; D011787:Quality of Health Care; D000078329:Workforce