Optimisation and performance of an interactive (CARA) dashboard. A user research protocol

ISRCTN ISRCTN32783644
DOI https://doi.org/10.1186/ISRCTN32783644
Submission date
16/10/2023
Registration date
02/01/2024
Last edited
28/01/2025
Recruitment status
Recruiting
Overall study status
Ongoing
Condition category
Other
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Collaborate, Analyse, Research, Audit (CARA) set out to develop a data-visualisation platform to help general practitioners develop a deeper understanding of their patient population, disease management and prescribing through dashboards. To support the continued use and sustainability of the CARA dashboards, their performance and engagement have to be optimised. User research places people at the centre of the design process and aims to evaluate the needs, behaviours and attitudes of users to inform the design and development of a product. This study aims to explore how different initial key messages impact the level of engagement with a CARA dashboard. The study will provide evidence of the use of traffic web sources to improve and sustain interaction with CARA dashboards.

Who can participate?
Healthcare professionals at general practices in the Republic of Ireland

What does the study involve?
Participating general practices can upload their practice data for analysis and visualisation in CARA dashboards. Practices will be randomised to one of three different initial landing pages: the full dashboard or one of two key messages and subsequent continuation to the full dashboard. The user research explores which landing page is most attractive and encourages engagement which is measured through the number of ‘clicks’, ‘viewings’ and ‘sessions’. Dashboard usage data will be collected through Google Analytics.

What are the possible benefits and risks of participating?
This study will improve our understanding of how GPs engage with the CARA dashboard and if different initial key messages impact the level of engagement in the CARA dashboard. The benefit is a tailored dashboard which will provide GPs with immediate information on their practice and/or prescribing. There are minimal risks involved with taking part in this project.

Where is the study run from?
University College Dublin (Ireland)

When is the study starting and how long is it expected to run for?
January 2023 to May 2026

Who is funding the study?
Research Leader Awards (RL) 2020, Health Research Board (Ireland)

Who is the main contact?
1. Miss Nathaly Garzon, nathaly.garzonorjuela@ucdconnect.ie (Ireland)
2. Prof. Akke Vellinga, akke.vellinga@ucd.ie

Study website

Contact information

Miss Nathaly Garzón-Orjuela
Public, Scientific

University College Dublin
Belfield
Dublin 4
D04 V1W8
Ireland

ORCiD logoORCID ID 0000-0001-6181-8154
Phone +353 (0)892226476
Email nathaly.garzonorjuela@ucdconnect.ie
Prof Akke Vellinga
Principal Investigator

University College Dublin
Belfield
Dublin 4
D04 V1W8
Ireland

ORCiD logoORCID ID 0000-0002-6583-4300
Phone +353 01/7163445
Email akke.vellinga@ucd.ie

Study information

Study designRandomized user research study
Primary study designInterventional
Secondary study designCluster randomised trial
Study setting(s)GP practice
Study typeOther
Study type Participant information sheet
Scientific titleCARA dashboard user research protocol
Study acronymCARA
Study objectivesDo different initial key messages impact the level of engagement with the CARA dashboard?
Ethics approval(s)

Approved 12/05/2023, Human Research Ethics Committee – Sciences (HREC-LS) (University College Dublin, Belfield, Dublin, D04 V1W8, Ireland; +353 1 716 7777; research.ethics@ucd.ie), ref: LS-LR-23-97-Orjuela-Vellinga

Health condition(s) or problem(s) studiedDashboard engagement - Audit
InterventionThis user research will not have a separate information sheet leaflet but will use the general GP agreement of the CARA project. In this user research, practices are NOT allocated to different dashboards. They all receive the same dashboard and have access to identical information. Our aim is to improve design and first impressions. As the information provided is not different, it is important to obtain an independent measure of engagement.

General practices will be invited to join the CARA network through social media and direct mailing through the Irish College of General Practitioners. Registration with the CARA network is open to all general practices. Once registered and after confirming terms and conditions, the general practice receives a link to CARAconnect (to de-identify, extract and upload data) and views their practice data in the CARA dashboards

General practices will be randomised to one of three different initial landing pages (group A, B or C): the full dashboard or one of two key messages. Randomisation will be at the practice level and will be performed using a computer-generated system, which will allocate to either group A, B or C using a 1:1:1 randomisation ratio.

All practices have access to the same dashboards and view identical information but two groups will be shown a key message before they can continue to the full CARA dashboard.
Group A: full CARA dashboard, an online visualisation tool which includes charts of antibiotic prescribing (i.e. red (non-preferred) and green (preferred), antibiotic prescribing for the top ten conditions, duration of antibiotic prescription, antibiotic prescribing over time. Interactive features include the comparison with other practices, generation of audits and demographic information of the patient population
Group B: CARA dashboard with key message 1: comparison of practice green and red antibiotic prescribing compared to the average of all other practices. After access to the CARA dashboard similar to group A.
Group C: CARA dashboard with key message 2: comparison of practice green and red antibiotic prescribing compared to practice data of the same month last year. After, access to the CARA dashboard similar to group A.
Intervention typeBehavioural
Primary outcome measureEngagement measured as the number of ‘clicks’, ‘viewings’ and ‘sessions’ in the CARA dashboard after 1 month of dashboard usage data collected through Google Analytics
Secondary outcome measuresThere are no secondary outcome measures
Overall study start date15/01/2023
Completion date30/05/2026

Eligibility

Participant type(s)Health professional
Age groupAdult
Lower age limit18 Years
Upper age limit65 Years
SexBoth
Target number of participants87 users or practices (29 per group)
Key inclusion criteriaHealth professionals at general practices that confirm the terms and conditions
Key exclusion criteriaNot meeting the participant inclusion criteria
Date of first enrolment01/05/2025
Date of final enrolment30/09/2025

Locations

Countries of recruitment

  • Ireland

Study participating centre

GP practices in the Republic of Ireland
None available
Ireland

Sponsor information

University College Dublin
University/education

School of Public Health, Physiotherapy and Sports Science
Health Sciences Centre
4 Stillorgan Rd
Belfield
Dublin 4
D04 V1W8
Northern Ireland
Ireland

Phone +353 1 716 7777
Email public.health@ucd.ie
Website https://www.ucd.ie/phpss/
ROR logo "ROR" https://ror.org/05m7pjf47

Funders

Funder type

Government

Health Research Board
Government organisation / Local government
Alternative name(s)
Health Research Board, Ireland, An Bord Taighde Sláinte, HRB
Location
Ireland

Results and Publications

Intention to publish date30/03/2026
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryAvailable on request
Publication and dissemination planThe researchers plan to publish the protocol and disseminate their findings widely through academic journals, the study website, and social media.
IPD sharing planThe dataset generated during and/or analysed during the current study will be available upon request from Nathaly Garzon nathaly.garzonorjuela@ucdconnect.ie or Professor Akke Vellinga akke.vellinga@ucd.ie. This dataset is anonymous and the dashboard usage data will be clustered by the three different initial landing pages (1 month of collecting data).

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Participant information sheet 26/10/2023 No Yes
Protocol article 20/05/2024 20/05/2024 Yes No

Editorial Notes

28/01/2025: The following changes were made:
1. The recruitment start date was changed from 01/08/2024 to 01/05/2025.
2. The recruitment end date was changed from 30/01/2025 to 30/09/2025.
3. The overall study end date was changed from 30/05/2025 to 30/05/2026.
4. The intention to publish date was changed from 30/03/2025 to 30/03/2026.
20/05/2024: The following changes were made to the trial record:
1. Publication reference added.
2. The recruitment start date was changed from 05/01/2024 to 01/08/2024.
3. The recruitment end date was changed from 30/06/2024 to 30/01/2025.
4. The overall end date was changed from 30/12/2024 to 30/05/2025.
5. The intention to publish date was changed from 30/10/2024 to 30/03/2025.
6. The plain English summary was updated to reflect these changes.
26/10/2023: Study's existence confirmed by Human Research Ethics Committee – Sciences (HREC-LS).