Evaluation of general practice computer templates - Lessons from a pilot randomised controlled trial

We conducted a pilot randomised trial of computerised templates for the man agement of asthma and diabetes in general practice in six general practices in North London. Uptake of the guidelines by general practitioners and pra ctice nurses was assessed using qualitative (semi-structured interviews des igned to assess the users' views) and quantitative (change in use of the te mplate during the study period) outcome measures. The practice nurses used the templates frequently but general practitioners rarely used them. Severa l reasons were offered for non-use of the templates, such as the length of the template and non-involvement in the care of asthma or diabetes. Despite this, however, health professionals were favourably disposed to the use of templates for general clinical care. Pilot investigations of computerised templates are best achieved by observational or quasi-experimental methods rather than a randomised controlled trial. The use of both qualitative and quantitative methods in this study allowed exploration of the barriers to u se of computers.