Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic

Background: Adoption of healthcare technology in the ambulatory care setting is nearly universal. Clinical decision support system (CDSS)22 CDSS – clinical decision support system. technologies improve patient care through the identification of additional care opportunities. With the movement from p...

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Autores principales:	Courtney E. Gamston, Joshua C. Hollingsworth, Brent I. Fox, Sylvia Rogers, PhD, Mary Elizabeth O'Barr, Kimberly Braxton Lloyd
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Mobile health Decision support systems Clinical Electronic health records Ambulatory care Pharmacy Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/09c70eca5abc4cf0977e3331ed9e549d
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spelling	oai:doaj.org-article:09c70eca5abc4cf0977e3331ed9e549d2021-11-28T04:39:54ZEvaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic2667-276610.1016/j.rcsop.2021.100068https://doaj.org/article/09c70eca5abc4cf0977e3331ed9e549d2021-12-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667276621000688https://doaj.org/toc/2667-2766Background: Adoption of healthcare technology in the ambulatory care setting is nearly universal. Clinical decision support system (CDSS)22 CDSS – clinical decision support system. technologies improve patient care through the identification of additional care opportunities. With the movement from paper-based to electronic clinical intake forms, the opportunity to improve identification of gaps in care utilizing CDSS in the ambulatory care setting exists. Objective: To evaluate the impact of CDSS-enhanced digital intake forms, with- and without aspects of gamification, on the identification of intervention opportunities in an ambulatory care pharmacy setting. Methods: Patients were invited to complete visit intake paperwork via virtual forms as part of a CDSS-enhanced mobile application designed to identify potential interventions based on patient age, sex, disease state(s), and user-provided information. Patients were randomized to receive optional patient-specific health questions 1) with or 2) without elements of gamification. Gamification elements included trivia questions, fun facts, and the chance to win a prize. A retrospective review was used to assess interventions identified for a random sample of patients seen within the same time frame who did not utilize the mobile application. Interventions were compared across groups utilizing ANOVA. t-tests were used for a subgroup analysis. Results: From January to May 2019, 353 potential interventions were identified for 220 study participants. 0.44 (±0.82), 1.8 (±2.0) and 2.1 (±1.8) interventions per participant were identified for the control, virtual forms, and virtual forms + gamification groups, respectively. Significant differences in intervention identification across groups were found using a one-way ANOVA (F = 17.46, p < .001). Post hoc analysis demonstrated a significant difference in interventions identified for those completing 50–100% (n = 32) and those completing less than 50% (n = 18; p < .001) of the optional health questions in the virtual forms + gamification group. Conclusions: Utilization of CDSS-enhanced clinical intake forms increased identification of potential interventions, though gamification did not significantly impact this identification.Courtney E. GamstonJoshua C. HollingsworthBrent I. FoxSylvia Rogers, PhDMary Elizabeth O'BarrKimberly Braxton LloydElsevierarticleMobile healthDecision support systemsClinicalElectronic health recordsAmbulatory carePharmacyPharmacy and materia medicaRS1-441ENExploratory Research in Clinical and Social Pharmacy, Vol 4, Iss , Pp 100068- (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Mobile health Decision support systems Clinical Electronic health records Ambulatory care Pharmacy Pharmacy and materia medica RS1-441
spellingShingle	Mobile health Decision support systems Clinical Electronic health records Ambulatory care Pharmacy Pharmacy and materia medica RS1-441 Courtney E. Gamston Joshua C. Hollingsworth Brent I. Fox Sylvia Rogers, PhD Mary Elizabeth O'Barr Kimberly Braxton Lloyd Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
description	Background: Adoption of healthcare technology in the ambulatory care setting is nearly universal. Clinical decision support system (CDSS)22 CDSS – clinical decision support system. technologies improve patient care through the identification of additional care opportunities. With the movement from paper-based to electronic clinical intake forms, the opportunity to improve identification of gaps in care utilizing CDSS in the ambulatory care setting exists. Objective: To evaluate the impact of CDSS-enhanced digital intake forms, with- and without aspects of gamification, on the identification of intervention opportunities in an ambulatory care pharmacy setting. Methods: Patients were invited to complete visit intake paperwork via virtual forms as part of a CDSS-enhanced mobile application designed to identify potential interventions based on patient age, sex, disease state(s), and user-provided information. Patients were randomized to receive optional patient-specific health questions 1) with or 2) without elements of gamification. Gamification elements included trivia questions, fun facts, and the chance to win a prize. A retrospective review was used to assess interventions identified for a random sample of patients seen within the same time frame who did not utilize the mobile application. Interventions were compared across groups utilizing ANOVA. t-tests were used for a subgroup analysis. Results: From January to May 2019, 353 potential interventions were identified for 220 study participants. 0.44 (±0.82), 1.8 (±2.0) and 2.1 (±1.8) interventions per participant were identified for the control, virtual forms, and virtual forms + gamification groups, respectively. Significant differences in intervention identification across groups were found using a one-way ANOVA (F = 17.46, p < .001). Post hoc analysis demonstrated a significant difference in interventions identified for those completing 50–100% (n = 32) and those completing less than 50% (n = 18; p < .001) of the optional health questions in the virtual forms + gamification group. Conclusions: Utilization of CDSS-enhanced clinical intake forms increased identification of potential interventions, though gamification did not significantly impact this identification.
format	article
author	Courtney E. Gamston Joshua C. Hollingsworth Brent I. Fox Sylvia Rogers, PhD Mary Elizabeth O'Barr Kimberly Braxton Lloyd
author_facet	Courtney E. Gamston Joshua C. Hollingsworth Brent I. Fox Sylvia Rogers, PhD Mary Elizabeth O'Barr Kimberly Braxton Lloyd
author_sort	Courtney E. Gamston
title	Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
title_short	Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
title_full	Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
title_fullStr	Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
title_full_unstemmed	Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
title_sort	evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/09c70eca5abc4cf0977e3331ed9e549d
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Evaluation of the impact of enhanced virtual forms and gamification on intervention identification in a pharmacist-led ambulatory care clinic

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