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Peer Comparison Feedback on Opioid Prescribing

Not Applicable
Completed
Conditions
Opioid Use
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

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
Primary Outcome Measures
NameTimeMethod
Normative beliefsPre-post intervention

How much, relative to other emergency providers, do they prescribe opioids?

Number of opioid prescriptions per month3-months pre-intervention to 3-months post intervention

Number of opioid prescriptions written

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Pittsburgh Medical Center Emergency Department

🇺🇸

Pittsburgh, Pennsylvania, United States

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

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