Improving Care of Osteoporosis: Multi-Modal Intervention to Increase Testing and Treatment (ICOMMIITT)

Not Applicable

Completed

• Conditions: Osteoporosis
• Interventions: Behavioral: Physician web modules; Behavioral: Patient educational DVD and brochure; Behavioral: System

• Registration Number: NCT00788632
• Lead Sponsor: University of Alabama at Birmingham

Brief Summary

The purpose of this study is to rigorously test the incremental impact of simple, generalizable interventions to improve healthcare among older women at high risk for osteoporosis. Building on the experience of our University of Alabama at Birmingham (UAB) interdisciplinary team we have designed an innovative, scientifically rigorous, and highly feasible implementation research project in partnership with two Kaiser Permanente (KP) research centers. Kaiser Permanente, one of the Nation's largest Healthcare Organizations, uses an integrated electronic medical record (EMR), with full capture of pharmacy, clinical (including BMD results), and claims data, and cares for a racially/ethnically, socio-economically, and geographically diverse population. To address innovative questions in implementation research, we will perform a multi-modal group randomized trial involving over 18,000 patients seen by over 330 primary care providers (PCPs) at 25 KP facilities in the Northwest and Southeast. If proven effective, our system-centered and patient-centered approach will advance the state of implementation science and be applicable to evidence implementation in other musculoskeletal disorders and to other health care settings.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2008-11-07
• Study First Submitted QC: 2008-11-10
• Study First Posted: 2008-11-11
• Study Start: 2010-05
• Primary Completion: 2011-12
• Study Completion: 2012-10
• Status Verified: 2013-03
• Last Update Submitted: 2013-03-20
• Last Update Posted: 2013-03-22

Recruitment & Eligibility

• Status: COMPLETED
• Sex: Female
• Target Recruitment: 12128

Inclusion Criteria

• female
• age 65 or older

Exclusion Criteria

• prior osteoporosis testing (BMD)
• prior osteoporosis treatment

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
physician education	Physician web modules	Physician web modules
educational materials	Patient educational DVD and brochure	Patient educational DVD and brochure
System intervention	System	Self-referral letter with toll-free number provided

Primary Outcome Measures

Name	Time	Method
Bone Mineral Density (BMD) testing	12 months

Secondary Outcome Measures

Name	Time	Method
Osteoporosis prescription medications	12 months
Patient-Physician communication regarding osteoporosis treatment and testing	12 months

Trial Locations

Locations (2)

Kaiser Permanente Southeast; 🇺🇸 Atlanta, Georgia, United States

Kasier Permanente Northwest; 🇺🇸 Portland, Oregon, United States