A Randomized Trial of Behavioral Economic Approaches to Reduce Unnecessary Opioid Prescribing
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 452
- 试验地点
- 1
- 主要终点
- Change in the mean number of pills per opioid prescription
研究概览
简要总结
In this study, the investigators will evaluate the effect of a health system initiative aiming to change clinician opioid prescribing behaviors using two behavioral economic interventions - individual audit feedback and peer comparison feedback of clinicians.
详细描述
Opioid-related abuse and overdose represent a growing national epidemic in the United States. Clinician practice patterns play an important role: opioid prescriptions impact the likelihood that patients will misuse or become dependent on these medications, with longer prescriptions leading to greater sustained use. In this study, we will evaluate a Sutter Health System quality improvement initiative using monthly individual audit feedback and/or monthly peer comparison feedback to clinicians to change opioid prescribing patterns. In partnership with Sutter Health System, this will be conducted using randomization to evaluate its effect. We will also conduct a process evaluation to understand factors associated with better or worse performance at the clinician level.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Health Services Research
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Clinicians
- •Practiced primarily at participating emergency department or urgent care center
- •Presented to a participating emergency department or urgent care center during the study period
- •Discharged to home from the visit
排除标准
- •Clinicians
- •Saw less than 100 patients in the prior year
- •Practiced primarily at another site that is not in the main trial
- •Did not practice at Sutter Health in the prior 90 days
- •Currently pregnant
研究组 & 干预措施
Control
No intervention
Individual Audit
Clinicians will receive individual audit feedback informing them of their performance.
干预措施: Individual audit feedback (Behavioral)
Peer Comparison
Clinicians will receive peer comparison feedback informing them of how their performance compares to their peers.
干预措施: Peer comparison feedback (Behavioral)
Individual Audit and Peer Comparison
Clinicians will receive individual audit feedback informing them of their performance and peer comparison feedback informing them of how their performance compares to their peers.
干预措施: Individual audit feedback (Behavioral)
Individual Audit and Peer Comparison
Clinicians will receive individual audit feedback informing them of their performance and peer comparison feedback informing them of how their performance compares to their peers.
干预措施: Peer comparison feedback (Behavioral)
结局指标
主要结局
Change in the mean number of pills per opioid prescription
时间窗: Six months
The primary outcome is the change in the mean number of pills prescribed per opioid prescription from baseline to the intervention period.
次要结局
- Change in proportion of patient visits with an opioid prescription(Six months)