Patient-centered clinical decision support for recommended screenings in primary care
Feasibility Study of a Patient-centered Clinical Decision Support System for Recommended Screenings in Primary Care
This project will test a patient-centered computer tool that helps adults aged 18–74 and their primary care doctors identify which preventive screenings are recommended and support shared decision-making.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 210 (estimated) |
| Ages | 18 Years to 74 Years |
| Sex | All |
| Sponsor | Hospices Civils de Lyon Academic / other |
| Locations | 20 sites (Belley and 19 other locations) |
| Trial ID | NCT07270926 on ClinicalTrials.gov |
What this trial studies
This feasibility project tests a Medical Decision Support System (MDSS) that matches individual patient characteristics to French National Authority for Health (HAS) screening recommendations and presents personalized screening suggestions in primary care. The protocol combines a quantitative ADER-F assessment with individual semi‑directed interviews of patients and semi‑directed interviews or focus groups with primary care professionals to evaluate usability and acceptability. The MDSS is designed to help clinicians identify eligible patients, inform them about screening options, and support shared decision-making that incorporates patients' values and preferences. The study is conducted at several primary care sites in the Lyon area to observe real-world implementation barriers, including limited consultation time and infrequent patient contact.
Who should consider this trial
Good fit: Adults aged 18–74 who attend participating general practices, can read and speak French, and provide written consent are eligible to participate.
Not a fit: People under legal protection, with psychiatric disorders impairing judgment, who are pregnant or breastfeeding, not covered by social security, or otherwise excluded from the protocol will not be included and therefore are unlikely to benefit from this project.
Why it matters
Potential benefit: If successful, the MDSS could increase the number of patients who receive the right preventive screenings on time and improve shared decision-making between patients and their primary care clinicians.
How similar studies have performed: Other clinical decision support tools have shown mixed but sometimes positive effects on preventive care delivery, while truly patient-centered MDSS deployments in routine primary care remain relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age ≥ 18 years and ≤74 years, * Consultant to general practitioner, * Without communication barriers in French, able to read and write * Have signed the written consent form to participate in the study Exclusion Criteria: * Under legal protection (guardianship, curatorship, safeguard of justice or deprived of liberty) * with a psychiatric pathology or disorder with impaired judgment, as determined by the GP * Pregnant or breast-feeding * Not affiliated to a social security scheme or not benefiting from a similar scheme * Participating in another clinical study that may interfere with the ADER-F study-
Where this trial is running
Belley and 19 other locations
- Cabinet médical — Belley, France (Recruiting)
- Cabinet médical — Beynost, France (Recruiting)
- CSCP - Centre de Santé Communautaire et Planétaire — Bron, France (Not_yet_recruiting)
- CSCP - Centre de Santé Communautaire et Planétaire — Bron, France (Not_yet_recruiting)
- CSCP - Centre de Santé Communautaire et Planétaire — Bron, France (Not_yet_recruiting)
- CSCP - Centre de Santé Communautaire et Planétaire — Bron, France (Not_yet_recruiting)
- Cabinet médical — Craponne, France (Not_yet_recruiting)
- Msp — Crêches-sur-Saône, France (Recruiting)
- Maison de santé Gleizé Epinay — Gleizé, France (Recruiting)
- Groupe Médical Claude Bernard — LArbresle, France (Recruiting)
- Groupe Médical Claude Bernard — LArbresle, France (Recruiting)
- Cabinet médical — Lyon, France (Not_yet_recruiting)
- Maison de Santé Beauvisage — Lyon, France (Recruiting)
- Maison de Santé Beauvisage — Lyon, France (Not_yet_recruiting)
- Maison de Santé Beauvisage — Lyon, France (Recruiting)
- Maison de Santé Beauvisage — Lyon, France (Not_yet_recruiting)
- Cabinet médcial — Saint-Pierre-la-Palud, France (Recruiting)
- MSP du Tissage — Tignieu, France (Recruiting)
- Cabinet médical — Villeurbanne, France (Recruiting)
- Maison de Santé Clos Caroline — Villeurbanne, France (Recruiting)
Study contacts
- Study coordinator: Laurent LETRILLIART
- Email: laurent.letrilliart@univ-lyon1.fr
- Phone: (33) 478 777 286
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.