Can Feedback From a Large Language Model Improve Health Care Quality?
NCT06823765 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 491
Last updated 2026-02-03
Summary
The goal of this study is to learn if computer-assisted advice can help improve patient care in Nigerian health clinics. The main question it aims to answer is: does giving healthcare workers instant computer feedback help them make better decisions about patient care?
Researchers will compare patient care notes written by healthcare workers before and after they receive computer feedback to see if the feedback improves care quality. A doctor who doesn't know if feedback was given will review these notes.
Participants will:
* Be seen by a community healthcare worker who uses the computer feedback system
* Be treated by a fully trained medical doctor
* Get tested for malaria, anemia, or urinary tract infections if they have certain symptoms
Conditions
- All Conditions
Interventions
- OTHER
-
Large Language Model Clinical Decision Support
A Large Language Model (LLM) integrated into the clinic's Electronic Medical Record system provides real-time feedback on patient assessments. Community Health Extension Workers first create a standard SOAP note, submit it to the LLM, and receive detailed feedback and key recommendations. They can then update their assessment based on this feedback. All final treatment decisions are made by Medical Officers who independently evaluate patients.
Sponsors & Collaborators
-
EHA Clinics Nigeria
collaborator UNKNOWN -
World Bank
collaborator OTHER - collaborator OTHER
-
George Washington University
collaborator OTHER -
Yale University
lead OTHER
Principal Investigators
-
Jason Abaluck · Yale University
Study Design
- Allocation
- NA
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-01-30
- Primary Completion
- 2025-10-17
- Completion
- 2025-10-17
Countries
- Nigeria
Study Locations
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