| Clinical decision support tools: personal digital assistant versus online dietary supplement databases. | |
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MedLine Citation:
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PMID: 18940918 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Clinical decision support tools (CDSTs) on personal digital assistants (PDAs) and online databases assist healthcare practitioners who make decisions about dietary supplements. OBJECTIVE: To assess and compare the content of PDA dietary supplement databases and their online counterparts used as CDSTs. METHODS: A total of 102 question-and-answer pairs were developed within 10 weighted categories of the most clinically relevant aspects of dietary supplement therapy. PDA versions of AltMedDex, Lexi-Natural, Natural Medicines Comprehensive Database, and Natural Standard and their online counterparts were assessed by scope (percent of correct answers present), completeness (3-point scale), ease of use, and a composite score integrating all 3 criteria. Descriptive statistics and inferential statistics, including a chi(2) test, Scheffé's multiple comparison test, McNemar's test, and the Wilcoxon signed rank test were used to analyze data. RESULTS: The scope scores for PDA databases were: Natural Medicines Comprehensive Database 84.3%, Natural Standard 58.8%, Lexi-Natural 50.0%, and AltMedDex 36.3%, with Natural Medicines Comprehensive Database statistically superior (p < 0.01). Completeness scores were: Natural Medicines Comprehensive Database 78.4%, Natural Standard 51.0%, Lexi-Natural 43.5%, and AltMedDex 29.7%. Lexi-Natural was superior in ease of use (p < 0.01). Composite scores for PDA databases were: Natural Medicines Comprehensive Database 79.3, Natural Standard 53.0, Lexi-Natural 48.0, and AltMedDex 32.5, with Natural Medicines Comprehensive Database superior (p < 0.01). There was no difference between the scope for PDA and online database pairs with Lexi-Natural (50.0% and 53.9%, respectively) or Natural Medicines Comprehensive Database (84.3% and 84.3%, respectively) (p > 0.05), whereas differences existed for AltMedDex (36.3% vs 74.5%, respectively) and Natural Standard (58.8% vs 80.4%, respectively) (p < 0.01). For composite scores, AltMedDex and Natural Standard online were better than their PDA counterparts (p < 0.01). CONCLUSIONS: Natural Medicines Comprehensive Database achieved significantly higher scope, completeness, and composite scores compared with other dietary supplement PDA CDSTs in this study. There was no difference between the PDA and online databases for Lexi-Natural and Natural Medicines Comprehensive Database, whereas online versions of AltMedDex and Natural Standard were significantly better than their PDA counterparts. |
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Authors:
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Kevin A Clauson; Hyla H Polen; Amy S Peak; Wallace A Marsh; Sandra L DiScala |
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Publication Detail:
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Type: Journal Article Date: 2008-10-21 |
Journal Detail:
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Title: The Annals of pharmacotherapy Volume: 42 ISSN: 1542-6270 ISO Abbreviation: Ann Pharmacother Publication Date: 2008 Nov |
Date Detail:
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Created Date: 2008-11-03 Completed Date: 2009-01-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9203131 Medline TA: Ann Pharmacother Country: United States |
Other Details:
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Languages: eng Pagination: 1592-9 Citation Subset: IM |
Affiliation:
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Pharmacy Practice, College of Pharmacy-West Palm Beach, Nova Southeastern University, Palm Beach Gardens, FL 33410, USA. clauson@nova.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Computers, Handheld* Databases, Factual* Decision Making* Decision Support Systems, Clinical / organization & administration Dietary Supplements / standards* Drug Information Services / organization & administration Drug Interactions Humans Internet* Minerals Plant Preparations Vitamins |
| Chemical | |
Reg. No./Substance:
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0/Minerals; 0/Plant Preparations; 0/Vitamins |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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