Improving Engagement With a Process Measure Dashboard Through Precision Feedback

Behavior Clinical Trial

Official title:

Improving Engagement With a Process Measure Dashboard Through Precision Feedback

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06465667
• Other study ID #: HUM00248876
• Status: Not yet recruiting
• Phase: N/A
• Start date: July 2024
• Est. completion date: October 2025

Study information

• Verified date: June 2024
• Source: University of Michigan
• Contact: Jerison Ross
• Phone: 734-232-4906
• Email: jerisoro[@]umich.edu
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The study seeks to assess the impact of e-mailing specific, targeted, practice-pattern based information ("precision feedback") on provider engagement with a dashboard for a quality process measure (showing stent omission after pre-stented ureteroscopy), compared with generic information ("one size fits most" feedback).

Description:

The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a state-wide, physician-led quality improvement collaborative comprised of over 40 urology practices representing varied practice sites within Michigan and nationally, designed to evaluate and improve the quality of urologic care.

A recently identified area for quality improvement within MUSIC is avoidance of placing ureteral stents following uncomplicated ureteroscopy and lithotripsy for kidney stones. Such unnecessary stents do not measurably increase post-operative safety, but rather have been shown to contribute to unnecessary emergency department visits. This process measure (stent omission after uncomplicated ureteroscopy) is the subject matter for the dashboard and will serve as the focus of precision feedback.

The study team hypothesizes that a behavior change intervention bundle consisting of "precision feedback" along with communication strategies to simplify access to feedback will increase dashboard engagement (measured via click-through rate and dashboard logins) compared with standard "one size fits most" e-mail messages. Knowledge gained from this study will inform the development of other precision feedback programs within our urology quality improvement collaborative (MUSIC), and provide a framework for rapid, pragmatic trials for small to mid-sized collaborative quality initiatives nationally.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 100
• Est. completion date: October 2025
• Est. primary completion date: October 2025
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

-Urologists participating in MUSIC that were in the top one hundred individuals in annual case volume from 2023 for "pre-stented ureteroscopy", the case for which the dashboard contents are most relevant.

Exclusion Criteria:

• Urologists that are not in the top one hundred individuals in annual "pre-stented ureteroscopy" case volume, urologists in the study team, or that opt out from the study at the individual or site level.

Related Conditions & MeSH terms

• Behavior

Intervention

Behavioral:
• Dashboard
The Dashboard intervention, representing current standard of care, will consist of a standard e-mail message with a link to the dashboard and text explanation. No performance data will be included in the e-mail, and links will not be monitored for clickthrough with repeat e-mail.
• Precision Feedback Push
The experimental intervention, precision feedback e-mail messaging, will consist of an e-mail with a link to the dashboard along with tailored information about a participant's performance in the quality process measure of interest. For example, e-mail subject lines may read "You have room for improvement in stent omission," accompanied by a visual display in the body of the e-mail showing a participant's performance relative to a top performing peer. The behavior change intervention delivery component will also involve modifications to existing procedures. Namely, performance feedback will be reported directly in the e-mail as either plain text, or an embedded or attached image with graphed data.

Locations

Country	Name	City	State
United States	University of Michigan	Ann Arbor	Michigan

Sponsors (1)

Lead Sponsor	Collaborator
University of Michigan

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Clickthrough rate to the online dashboard	Clickthrough is defined as a link ever being clicked in the three months following e-mail send date, at which point in time a new e-mail will be sent. Clickthrough rate will be calculated as the number of clickthroughs divided by number of links sent (i.e., opportunities for clickthrough).	Every 3 months up to 15 months
Secondary	Total number of dashboard visits	Dashboard visits captured by Google Analytics.	15 months
Secondary	Cumulative time (minutes) spent on the dashboard	Time spent will be captured by Google Analytics.	15 months
Secondary	Urologist opt-out rate		15 months
Secondary	Helpful/not helpful rate	There will be one question if the intervention was helpful or not.	15 months
Secondary	Stent rate for pre-stented ureteroscopy		15 months
Secondary	E-mail open rate	E-mail open rate will be measured as number of e-mail opens divided by number of e-mails sent.	Every 3 months up to 15 months