Peer Comparison Feedback on Opioid Prescribing

Not Applicable

Completed

• Conditions: Opioid Use
• Interventions: Behavioral: Peer Normative Comparison Feedback; Behavioral: Personal Feedback

• Registration Number: NCT03183882
• Lead Sponsor: University of Pittsburgh

Brief Summary

We aim to determine if descriptive normative feedback of peer prescribing reduces opioid analgesic prescribing by emergency medicine providers

Detailed Description

State-based Prescription Drug Monitoring Programs (PDMPs) are being implemented to reduce prescription drug abuse and diversion. On August 24, 2016, Pennsylvania initiated its mandated PDMP. In prior research, we found that ED providers reduced opioid prescribing by 17% immediately after PDMP went live. Still, there is variability between providers in the frequency of opioid prescribing even after PDMP initiation. Changing clinician prescribing behavior is difficult, but recent research has shown that using peer comparisons can assist behavior change (Meeker D et al., JAMA, 2016). In this study, we will randomize a convenience sample of ED providers to receive either their opioid prescribing history data with peer comparative data or without peer comparative data. We will examine the effect on immediate perceived norms as well as impact on opioid prescribing in the subsequent 3 months. Results could inform behavioral feedback to alter clinician prescribing behaviors

Study Timeline

• Study First Submitted: 2017-06-08
• Study First Submitted QC: 2017-06-08
• Study First Posted: 2017-06-12
• Study Start: 2017-08-07
• Primary Completion: 2017-09-28
• Study Completion: 2017-09-28
• Status Verified: 2017-11
• Last Update Submitted: 2017-11-30
• Last Update Posted: 2017-12-02

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 49

Inclusion Criteria

• Emergency medicine provider
• Writes 10 or more opioid prescriptions per month (on average)

Exclusion Criteria

• none

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Normative Peer Comparison	Peer Normative Comparison Feedback	One-time summary report of 14-month individual history of opioid prescribing WITH comparisons to (a) other providers at their site and (2) other providers at 15 ED sites with similar prescribing
Control Feedback	Personal Feedback	One-time summary report of their individual history of opioid prescribing

Primary Outcome Measures

Name	Time	Method
Normative beliefs	Pre-post intervention	How much, relative to other emergency providers, do they prescribe opioids?
Number of opioid prescriptions per month	3-months pre-intervention to 3-months post intervention	Number of opioid prescriptions written

Trial Locations

Locations (1)

University of Pittsburgh Medical Center Emergency Department; 🇺🇸 Pittsburgh, Pennsylvania, United States