Behavioral Economics Applications to Geriatrics Leveraging EHRs R33 Trial
NCT ID: NCT04289753
Last Updated: 2023-08-16
Study Results
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View full resultsBasic Information
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COMPLETED
NA
37134 participants
INTERVENTIONAL
2020-09-01
2022-09-30
Brief Summary
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Detailed Description
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Clinical decision support nudges, informed by behavioral economics and social psychology and delivered via electronic health records (EHRs), are promising strategies to reduce the misuse of services. Behavioral economics-informed interventions influence conscious and unconscious drivers of decision making, are low cost, and can be incorporated into existing systems.
This randomized controlled trial will evaluate the effects of three clinical decision support nudges on three clinical quality measures, indicators of patient safety, and clinician attitudes.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
SINGLE
Study Groups
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Brief clinician education
Clinicians attributed to clinics in the brief clinician education arm will receive invitation to view an online educational module and be recruited to complete an online survey at baseline and 18 months.
Brief clinician education
Clinicians will be invited to view brief education material.
Clinical decision support nudges and brief clinician education
Clinicians attributed to clinics randomized to the clinical decision support nudges and brief clinician decision support arm will receive clinical decision support within the EHR when conditions meet alert triggering criteria. These clinicians will also receive invitation to view an online educational module and be recruited to complete an online survey at baseline and 18 months.
EHR clinical decision support nudges
Clinical decision support nudges delivered within the EHR when conditions meet alert triggering criteria.
Brief clinician education
Clinicians will be invited to view brief education material.
Interventions
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EHR clinical decision support nudges
Clinical decision support nudges delivered within the EHR when conditions meet alert triggering criteria.
Brief clinician education
Clinicians will be invited to view brief education material.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Clinicians who participated in pilot study of these interventions
* Clinician study investigators
18 Years
ALL
No
Sponsors
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University of Southern California
OTHER
University of California, Los Angeles
OTHER
National Institute on Aging (NIA)
NIH
Northwestern University
OTHER
Responsible Party
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Stephen Persell, MD, MPH
Professor of Medicine
Principal Investigators
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Stephen D. Persell, MD, MPH
Role: PRINCIPAL_INVESTIGATOR
Northwestern University
Locations
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Northwestern Medicine
Chicago, Illinois, United States
Countries
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References
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Persell SD, Petito LC, Lee JY, Meeker D, Doctor JN, Goldstein NJ, Fox CR, Rowe TA, Linder JA, Chmiel R, Peprah YA, Brown T. Reducing Care Overuse in Older Patients Using Professional Norms and Accountability : A Cluster Randomized Controlled Trial. Ann Intern Med. 2024 Mar;177(3):324-334. doi: 10.7326/M23-2183. Epub 2024 Feb 6.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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STU00210358
Identifier Type: -
Identifier Source: org_study_id
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