TY - JOUR
KW - Adult
KW - Clinical Trials as Topic
KW - Cross-Sectional Studies
KW - Female
KW - Humans
KW - Male
KW - Medical Records Systems, Computerized
KW - Middle Aged
KW - Panic Disorder/therapy
KW - Patient Selection
KW - Primary Health Care
KW - Reminder Systems
AU - B. L. Rollman
AU - G. S. Fischer
AU - F. Zhu
AU - B. H. Belnap
A1 - 
AB - BACKGROUND: Recruiting patients into clinical research protocols is challenging. Electronic medical record (EMR) systems capable of prompting clinicians may facilitate enrollment. OBJECTIVE: To compare an EMR-based clinician prompt versus a wait-room-based case-finding strategy at enrolling patients into a clinical trial. DESIGN: Cross-sectional comparison of recruitment data from two trials to treat anxiety disorders in primary care. Both studies utilized similar enrollment criteria, intervention strategies, and the same four practice sites and EMR system. PARTICIPANTS: Patients referred by their (primary care physicians) PCPs in response to an EMR prompt (recruited 1/2005-10/2006), and patients enrolled by research assistants stationed in practice waiting rooms (7/2000-4/2002). MEASUREMENTS: Referral counts, patients' baseline sociodemographic and clinical characteristics. RESULTS: Over a 22-month period, EMR-prompted PCPs referred 794 patients and 176 (22%) met study inclusion criteria and enrolled, compared to 8,095 patients approached by wait room-based recruiters of whom 193 (2.4%) enrolled. Subjects enrolled by EMR-prompted PCPs were more likely to be non-white (23% vs 5%; P < 0.001), male (28% vs 18%; P = 0.03), and have higher anxiety levels than those recruited by wait-room recruiters (P < 0.0001). CONCLUSIONS: EMR systems prompting clinicians to refer patients with specific characteristics are an efficient recruitment tool with critical implications for increasing minority participation in clinical research.
BT - Journal of general internal medicine
C5 - HIT & Telehealth
CP - 4
CY - United States
DO - 10.1007/s11606-007-0449-0
IS - 4
JF - Journal of general internal medicine
N2 - BACKGROUND: Recruiting patients into clinical research protocols is challenging. Electronic medical record (EMR) systems capable of prompting clinicians may facilitate enrollment. OBJECTIVE: To compare an EMR-based clinician prompt versus a wait-room-based case-finding strategy at enrolling patients into a clinical trial. DESIGN: Cross-sectional comparison of recruitment data from two trials to treat anxiety disorders in primary care. Both studies utilized similar enrollment criteria, intervention strategies, and the same four practice sites and EMR system. PARTICIPANTS: Patients referred by their (primary care physicians) PCPs in response to an EMR prompt (recruited 1/2005-10/2006), and patients enrolled by research assistants stationed in practice waiting rooms (7/2000-4/2002). MEASUREMENTS: Referral counts, patients' baseline sociodemographic and clinical characteristics. RESULTS: Over a 22-month period, EMR-prompted PCPs referred 794 patients and 176 (22%) met study inclusion criteria and enrolled, compared to 8,095 patients approached by wait room-based recruiters of whom 193 (2.4%) enrolled. Subjects enrolled by EMR-prompted PCPs were more likely to be non-white (23% vs 5%; P < 0.001), male (28% vs 18%; P = 0.03), and have higher anxiety levels than those recruited by wait-room recruiters (P < 0.0001). CONCLUSIONS: EMR systems prompting clinicians to refer patients with specific characteristics are an efficient recruitment tool with critical implications for increasing minority participation in clinical research.
PP - United States
PY - 2008
SN - 1525-1497; 0884-8734
SP - 447
EP - 450
EP - 
T1 - Comparison of electronic physician prompts versus waitroom case-finding on clinical trial enrollment
T2 - Journal of general internal medicine
TI - Comparison of electronic physician prompts versus waitroom case-finding on clinical trial enrollment
U1 - HIT & Telehealth
U3 - 10.1007/s11606-007-0449-0
VL - 23
VO - 1525-1497; 0884-8734
Y1 - 2008
ER -