Improving Compliance With Medical Testing Guidelines
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 218
- 试验地点
- 2
- 主要终点
- Effect of educational intervention on providers' recommendations
研究概览
简要总结
The study hypothesis is that clearer visual presentation of guideline recommendations and educational outreach, or academic detailing, can improve guideline compliance. However, it will investigate other aspects of screening-related decision-making, such as provider and patient beliefs about screening, provider-patient communication and patient's willingness to forgo expected testing. The research question is whether educational interventions can decrease non-compliance with screening guidelines for 5 common cancers.
详细描述
This study is a cluster randomized trial that compares the immediate post-encounter impressions of 12 physicians and 18 of their patients about the discussion of screening for breast, cervical, colorectal, lung and prostate cancer as well as their beliefs about screening efficacy and patient reports of the screening experience. The interventions are educational materials and academic detailing (educational outreach) for providers. The investigators are particularly interested in contrasting the patient and provider recollections, the differential impact on underuse and overuse compliance and whether patient behaviors are consistent with their stated screening plans.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Factorial
- 主要目的
- Screening
- 盲法
- None
入排标准
- 年龄范围
- 30 Years 至 89 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Patients: healthy men and women ages 30-89 seeing their primary care provider for routine visit
- •Providers: non-pediatric primary care physicians from Mount Sinai Beth Israel or St. Luke's-Roosevelt associated practices
排除标准
- •Patient life expectancy of less than 1 year in primary care provider's judgment
- •Inability to read and understand English
- •Transgender status
研究组 & 干预措施
Standard Support Outreach
Providers receive standard written screening recommendations and do not receive academic detailing (educational outreach)
干预措施: Standard support (Other)
Standard Support Outreach
Providers receive standard written screening recommendations and do not receive academic detailing (educational outreach)
干预措施: No academic detailing (Other)
Standard materials and academic detailing
Providers receive standard written screening recommendations and receive academic detailing (educational outreach)
干预措施: Academic detailing (Other)
Standard materials and academic detailing
Providers receive standard written screening recommendations and receive academic detailing (educational outreach)
干预措施: Standard support (Other)
Color-coded materials and no academic detailing
Providers receive color-coded written screening recommendations and do not receive academic detailing (educational outreach)
干预措施: Color-coded materials (Other)
Color-coded materials and no academic detailing
Providers receive color-coded written screening recommendations and do not receive academic detailing (educational outreach)
干预措施: No academic detailing (Other)
Color-coded materials and academic detailing
Providers receive color-coded written screening recommendations and receive academic detailing (educational outreach)
干预措施: Color-coded materials (Other)
Color-coded materials and academic detailing
Providers receive color-coded written screening recommendations and receive academic detailing (educational outreach)
干预措施: Academic detailing (Other)
结局指标
主要结局
Effect of educational intervention on providers' recommendations
时间窗: 12 months
Incidence of guidance compliance
次要结局
- Patient compliance(12 months)
- Patients' belief in the value of screening(12 months)