Add like
Add dislike
Add to saved papers

Implementing a Clinical Decision Support Tool to Improve Physical Activity.

Nursing Research 2024 January 12
BACKGROUND: Currently, only about half of U.S. adults achieve current physical activity guidelines. Routine physical activity is not regularly assessed, nor are patients routinely counseled by their health care provider on achieving recommended levels. The three-question physical activity vital sign (PAVS) was developed to assess physical activity duration and intensity and identify adults not meeting physical activity guidelines. Clinical decision support provided via a best practice advisory in an electronic health record (EHR) system can be triggered as a prompt, reminding health care providers to implement the best practice intervention when appropriate. Remote patient monitoring of physical activity can provide objective data in the EHR.

OBJECTIVES: This study aimed to evaluate the feasibility and clinical utility of embedding the PAVS and a triggered best practice advisor into the EHR in an ambulatory preventive cardiology practice setting to alert providers to patients reporting low physical activity and prompt health care providers to counsel these patients as needed.

METHODS: Three components based in the EHR were integrated for the purpose of this study: patients completed the PAVS through their electronic patient portal prior to an office visit; a best practice advisory was created to prompt providers to counsel patients who reported low levels of physical activity; and remote patient monitoring via Fitbit synced to the EHR provided objective physical activity data. The intervention was pilot-tested in the Epic EHR for 1 year (July 1, 2021-June 30, 2022). Qualitative feedback on the intervention from both providers and patients was obtained at the completion of the study.

RESULTS: Monthly assessments of the use of the PAVS and best practice advisory and remote patient monitoring were completed. Patients' completion of the PAVS varied from 35% to 48% per month. The best practice advisory was signed by providers between 2% and 65% and was acknowledged by 2% to 22% per month. The majority (58%) of patients were able to sync a Fitbit device to their EHR for remote monitoring.

DISCUSSION: Although uptake of each component needs improvement, this pilot demonstrated the feasibility of incorporating a PA promotion intervention into the EHR. Qualitative feedback provided guidance for future implementation.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

Related Resources

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app