Computer reminders for chlamydia screening in general practice : a randomized controlled trial

Walker, Jennifer, Fairley, Christopher K., Walker, Sandra, Gurrin, Lyle C., Gunn, Jane M., Pirotta, Marie V., Carter, Rob and Hocking, Jane S. 2010, Computer reminders for chlamydia screening in general practice : a randomized controlled trial, Sexually transmitted diseases, vol. 37, no. 7, pp. 445-450, doi: 10.1097/OLQ.0b013e3181cfcb4c.

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Title Computer reminders for chlamydia screening in general practice : a randomized controlled trial
Author(s) Walker, Jennifer
Fairley, Christopher K.
Walker, Sandra
Gurrin, Lyle C.
Gunn, Jane M.
Pirotta, Marie V.
Carter, RobORCID iD for Carter, Rob
Hocking, Jane S.
Journal name Sexually transmitted diseases
Volume number 37
Issue number 7
Start page 445
End page 450
Total pages 6
Publisher Lippincott Williams & Wilkins
Place of publication Philadelphia, Pa.
Publication date 2010-07
ISSN 0148-5717
Keyword(s) chlamydia
family practice
guideline adherence
mass screening
medical records systems
reminder systems
Summary Background: Chlamydia notifications are increasing in Australia, and the use of a computer alert prompting general practitioners to test young women is a potential way to increase opportunistic chlamydia testing. The aim of this trial was to determine the effectiveness of a computer alert in general practice on chlamydia testing in young women.

Methods: In 2006, clinics (n = 68) in Melbourne, Australia were cluster randomized into 2 groups: the intervention group received a computerized alert advising the general practitioner to discuss chlamydia testing with their patient which popped up when the medical record of a 16- to 24-year-old woman was opened; the control group received no alert. The outcome was whether or not that patient received a chlamydia test at the level of a single consultation with an eligible patient. A mixed effects logistic regression model adjusting for clustering was used to assess the impact of the alert on the proportion of women tested for chlamydia during the trial period.

Results: Testing increased from 8.3% (95% confidence interval (CI): 6.8, 9.8) to 12.2% (95% CI: 9.1, 15.3) (P < 0.01) in the intervention group, and from 8.8% (95% CI: 6.8, 10.7) to 10.6% (95% CI: 8.5, 12.7) (P < 0.01) in the control group. Overall, the intervention group had a 27% (OR = 1.3; 95% CI: 1.1, 1.4) greater increase in testing.

Conclusion: The results of this study suggest that alerts alone may not be sufficient to get chlamydia testing levels up sufficiently high enough to have an impact on the burden of chlamydia in the population but that they could be included as part of a more complex intervention.
Language eng
DOI 10.1097/OLQ.0b013e3181cfcb4c
Field of Research 140208 Health Economics
Socio Economic Objective 920109 Infectious Diseases
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2010, American Sexually Transmitted Diseases Association
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Document type: Journal Article
Collections: Faculty of Health
Population Health
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