Improving Engagement With a Process Measure Dashboard Through Precision Feedback
- Conditions
- Behavior
- Interventions
- Behavioral: DashboardBehavioral: Precision Feedback Push
- Registration Number
- NCT06465667
- Lead Sponsor
- University of Michigan
- Brief Summary
The study seeks to assess the impact of e-mailing specific, targeted, practice-pattern based information ("precision feedback") on provider engagement with a dashboard for a quality process measure (showing stent omission after pre-stented ureteroscopy), compared with generic information ("one size fits most" feedback).
- Detailed Description
The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a state-wide, physician-led quality improvement collaborative comprised of over 40 urology practices representing varied practice sites within Michigan and nationally, designed to evaluate and improve the quality of urologic care.
A recently identified area for quality improvement within MUSIC is avoidance of placing ureteral stents following uncomplicated ureteroscopy and lithotripsy for kidney stones. Such unnecessary stents do not measurably increase post-operative safety, but rather have been shown to contribute to unnecessary emergency department visits. This process measure (stent omission after uncomplicated ureteroscopy) is the subject matter for the dashboard and will serve as the focus of precision feedback.
The study team hypothesizes that a behavior change intervention bundle consisting of "precision feedback" along with communication strategies to simplify access to feedback will increase dashboard engagement (measured via click-through rate and dashboard logins) compared with standard "one size fits most" e-mail messages. Knowledge gained from this study will inform the development of other precision feedback programs within our urology quality improvement collaborative (MUSIC), and provide a framework for rapid, pragmatic trials for small to mid-sized collaborative quality initiatives nationally.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 100
-Urologists participating in MUSIC that were in the top one hundred individuals in annual case volume from 2023 for "pre-stented ureteroscopy", the case for which the dashboard contents are most relevant.
- Urologists that are not in the top one hundred individuals in annual "pre-stented ureteroscopy" case volume, urologists in the study team, or that opt out from the study at the individual or site level.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months) Precision Feedback Push Months 0-12 dashboard only, months 12-15 months dashboard with Precision feedback. Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months) Precision Feedback Push Months 0-3 dashboard only, months 3-15 months dashboard with Precision feedback. Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months) Dashboard Months 0-9 dashboard only, months 9-15 months dashboard with Precision feedback. Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months) Dashboard Months 0-3 dashboard only, months 3-15 months dashboard with Precision feedback. Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months) Dashboard Months 0-6 dashboard only, months 6-15 months dashboard with Precision feedback. Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months) Precision Feedback Push Months 0-6 dashboard only, months 6-15 months dashboard with Precision feedback. Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months) Precision Feedback Push Months 0-9 dashboard only, months 9-15 months dashboard with Precision feedback. Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months) Dashboard Months 0-12 dashboard only, months 12-15 months dashboard with Precision feedback.
- Primary Outcome Measures
Name Time Method Clickthrough rate to the online dashboard Every 3 months up to 15 months Clickthrough is defined as a link ever being clicked in the three months following e-mail send date, at which point in time a new e-mail will be sent. Clickthrough rate will be calculated as the number of clickthroughs divided by number of links sent (i.e., opportunities for clickthrough).
- Secondary Outcome Measures
Name Time Method Total number of dashboard visits 15 months Dashboard visits captured by Google Analytics.
Helpful/not helpful rate 15 months There will be one question if the intervention was helpful or not.
Stent rate for pre-stented ureteroscopy 15 months Cumulative time (minutes) spent on the dashboard 15 months Time spent will be captured by Google Analytics.
Urologist opt-out rate 15 months E-mail open rate Every 3 months up to 15 months E-mail open rate will be measured as number of e-mail opens divided by number of e-mails sent.
Trial Locations
- Locations (1)
University of Michigan
🇺🇸Ann Arbor, Michigan, United States