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Grand Rounds September 22, 2023: Integrating Community Health Workers into Team-Based, Early Childhood Preventative Care (Tumaini Rucker Coker, MD, MBA)

Rethinking Clinical Trials

The intervention was quite strong with Latino families but did not have the power to understand what it looks like with Black families. Discussion Themes -What did stakeholder engagement change in the process? Discussion Themes -What did stakeholder engagement change in the process? Learn more Read more about PARENT in JAMA.

Trials 269
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Grand Rounds February 9, 2024: Pragmatic Recruitment of Underrepresented Groups – Experience From the Diuretic Comparison Project (Cynthia Hau, MPH)

Rethinking Clinical Trials

How long did the start up for the trial take? We did the study at 72 medical centers and encountered 72 different themes within the EHR. Centers did not engage in the same way or even the same way as their nearest neighbor. When people who are external to the VA view it as one homogeneous system, that is not the case.

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Grand Rounds August 25, 2023: Pragmatic Trial of an EHR Application to Display Real-time PRO Data: Successes and Challenges (Gabriela Schmajuk, MD, MS)

Rethinking Clinical Trials

The trial team also did a qualitative analysis with the clinicians and analyzed according to the technology acceptance model. Building in EPIC as we did several years ago, we would not have been able to get the customization that we wanted for the dashboard. Was patient recall about past visits accurate several months later?

Trials 141
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Grand Rounds March 1, 2024: Effect of an Intensive Food-As-Medicine Program on Health and Health Care Use: Evidence from a Randomized Clinical Trial (Joseph Doyle, PhD)

Rethinking Clinical Trials

There were no significant drops in cholesterol, triglycerides, or fasting glucose and weight did not lower. The study did find substantial effects on diet and healthcare engagement. The control group followed similarly. There was not a statistically significant difference between the 2 groups at 12 months. Learn more Read more in JAMA.

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Grand Rounds February 2, 2024: Strategies for Improving Public Understanding of FDA and the Products It Regulates…Why Should We Care, and What Might We Do? (Susan C. Winckler, RPh, Esq)

Rethinking Clinical Trials

In all of our conversations, someone would say, in an effort to be confident, we did that wrong in the pandemic. – Did you consider examples of organizations in government and the private sector that may do a particularly good job of this? How do people want to hear that science is a moving target?

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Grand Rounds November 18, 2022: The FIRST-ABC Pragmatic Trials of Non-Invasive Respiratory Support In Children (Padmanabhan Ramnarayan, MBBS, MD, FRCPCH, FFICM)

Rethinking Clinical Trials

Did you find there are clusters of clinicians that consistently found that they were unwilling to randomize someone? We did not see specific site patterns, but we did see some cohort patterns. – What challenges did you face due to COVID-19? Read more about the study in JAMA. Discussion Themes.

Trials 130
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Grand Rounds January 12, 2024: Design and Implementation of a Weighted Lottery to Equitably Allocate Scarce Covid-19 Resources (Erin K. McCreary, PharmD, BCIDP)

Rethinking Clinical Trials

UPMC did not allow patients to receive experimental COVID-19 therapies outside of the context of a clinical trial and used the REMAP-CAP platform, a global pragmatic adaptive trial platform, in all clinic sites. Many patients did not answer the phone. Only about 40% of our patients are enrolled in My UPMC.