PRescribing INterventions for Chronic Pain Via the Electronic Health Record Study - Primary Care Providers
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- University of Minnesota
- Enrollment
- 472
- Locations
- 1
- Primary Endpoint
- Frequency of PDMP Checks
Study Overview
Brief Summary
The objective of this research is to assess the effects of electronic health record (EHR)-based decision support tools on primary care provider (PCP) decision-making around pain treatment and opioid prescribing. The decision support tools are informed by principles of "behavioral economics," whereby clinicians are "nudged," though never forced, towards guideline-concordant care.
Detailed Description
To test the effects of these decision support tools for improving the quality of care for pain treatment, the investigators will implement a pragmatic clinic-randomized trial across the primary care clinics of Fairview Medical Group and University of Minnesota Physicians.
The study has two parallel components. The decision support tools to be tested will differ somewhat depending on whether a given patient is opioid-naïve, or whether a given patient is a current opioid-user. Four sets of analyses will be conducted separately: one for the opioid-naïve group using EHR data, one for the current opioid-user group using EHR data, one at the PCP-level using web survey data, and one at the PCP-level using MN Prescription Drug Monitoring Program (PDMP) data.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •- All primary care providers from all of the Fairview and University of Minnesota Physicians study clinics
Exclusion Criteria
- •- Primary care providers who work less than 20% full time equivalent (FTE)
Arms & Interventions
Care as Usual
Clinics assigned to this arm will continue to care for the patients as usual in regards to opioid prescribing.
Choice Architecture Nudge
Clinics in this arm will receive the choice architecture nudge intervention.
Intervention: Choice Architecture Nudge (Behavioral)
PMP Integration & Nudge
Clinics in this arm will receive the Prescription Drug Monitoring (PMP) Integration & Nudge intervention.
Intervention: PMP Integration & Nudge (Behavioral)
Choice Architecture Nudge + PMP Integration & Nudge
Clinics in this arm will receive both the choice architecture nudge and prescription drug monitoring (PMP) integration & nudge interventions.
Intervention: Choice Architecture Nudge (Behavioral)
Choice Architecture Nudge + PMP Integration & Nudge
Clinics in this arm will receive both the choice architecture nudge and prescription drug monitoring (PMP) integration & nudge interventions.
Intervention: PMP Integration & Nudge (Behavioral)
Outcomes
Primary Outcomes
Frequency of PDMP Checks
Time Frame: 12 months
Outcome is reported as the mean number of times an individual Primary Care Provider checks the Prescription Drug Monitoring Program per month.
Secondary Outcomes
- PCP Satisfaction #2(12 months)
- PCP Satisfaction #1(12 months)
- PCP Satisfaction #5(12 months)
- PCP Satisfaction #6(12 months)
- PCP Satisfaction #7(12 months)
- PCP Satisfaction #3(12 months)
- PCP Satisfaction #4(12 months)