Guideline Adherence Clinical Trial
Official title:
Primary Care Clinician Commitments to Choosing Wisely®
Verified date | May 2016 |
Source | University of Michigan |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
This pragmatic trial examines the uptake and effects of primary care clinician commitments to follow 3 Choosing Wisely® recommendations. The investigators hypothesize that pre-encounter invitations to clinicians to commit to the recommendations will decrease ordering of: (1) imaging tests for low back pain, (2) antibiotics for acute sinusitis, and (3) imaging tests for headaches. The study is a mixed-methods, stepped wedge cluster randomized trial in which the intervention will be sequentially introduced to 6 clinics in southeastern Michigan in a randomly assigned order.
Status | Completed |
Enrollment | 45 |
Est. completion date | June 2015 |
Est. primary completion date | March 2015 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 21 Years and older |
Eligibility |
Inclusion Criteria: - Primary care clinicians in 6 primary care (family medicine and internal medicine) clinics within the IHA organization of Ann Arbor, Michigan Exclusion Criteria: |
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Health Services Research
Country | Name | City | State |
---|---|---|---|
United States | IHA Ann Arbor Family Medicine | Ann Arbor | Michigan |
United States | IHA Family Medicine - Arbor Park | Ann Arbor | Michigan |
United States | IHA Internal Medicine - Domino's Farms | Ann Arbor | Michigan |
United States | IHA Brighton Family Care | Brighton | Michigan |
United States | IHA Internal Medicine - Cherry Hill | Canton | Michigan |
United States | IHA Reichert Internal Medicine at Towsley | Ypsilanti | Michigan |
Lead Sponsor | Collaborator |
---|---|
University of Michigan | IHA, Robert Wood Johnson Foundation |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Composite rates of ordering 3 potentially low-value services in primary care visits by adult patients | Composite rates of ordering lumbar spine imaging tests in visits for low back pain, ordering antibiotics in visits for acute sinusitis, and ordering head imaging tests in visits for headaches. | Within 10 months of receiving the intervention | No |
Secondary | Composite rates of ordering potential substitute services for 3 potentially low-value services in primary care visits by adult patients | Composite rates of ordering potential substitute services for lumbar spine imaging tests in visits for low back pain, ordering antibiotics in visits for acute sinusitis, and ordering head imaging tests in visits for headaches. | Within 10 months of receiving the intervention | No |
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