Study Results
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View full resultsBasic Information
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COMPLETED
NA
137 participants
INTERVENTIONAL
2020-08-04
2022-05-18
Brief Summary
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Detailed Description
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The study aimed to determine whether and how having access to the Chronic Pain OneSheet activity in Epic affects the ordering, prescribing, goal-setting, risk monitoring, and outcome-measuring behavior of participating PCPs in visits with patients with chronic pain conditions. The investigators also assessed whether access to the Chronic Pain OneSheet results in PCPs making chronic pain treatment decisions that are more concordant with the CDC Guideline for Prescribing Opioids for Chronic Pain.
To test this, researchers conducted a two-arm pragmatic randomized controlled trial (RCT), enrolling PCPs across two health systems. The randomization occurred at the PCP level; the analysis occurred at the patient-visit level. The PCPs signed an informed consent form, while the data from patient visits was obtained through a waiver of informed consent. The investigators assessed outcomes by analyzing EHR usage log files and PCP ordering records extracted from the healthcare systems' clinical data warehouses.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
NONE
Study Groups
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OneSheet access
PCPs who receive access to, and training in the Chronic Pain OneSheet, and use it while caring for patients with chronic pain.
Chronic Pain OneSheet
The Chronic Pain OneSheet (OneSheet) is an EHR decision support tool that uses behavioral economics to increase adoption of chronic pain guideline recommendations. OneSheet works by aggregating and structuring information that is already collected, that PCPs often need while caring for patients with chronic pain conditions. By aggregating and structuring this information in a more convenient manner, the goal of OneSheet is to make the information that is important in clinical decision making more readily available, and to reduce the amount of time that PCPs need to spend locating this information.
Normal practice
PCPs who do not receive access to, or training in the Chronic Pain OneSheet, and care for patients with chronic pain as they would normally.
No interventions assigned to this group
Interventions
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Chronic Pain OneSheet
The Chronic Pain OneSheet (OneSheet) is an EHR decision support tool that uses behavioral economics to increase adoption of chronic pain guideline recommendations. OneSheet works by aggregating and structuring information that is already collected, that PCPs often need while caring for patients with chronic pain conditions. By aggregating and structuring this information in a more convenient manner, the goal of OneSheet is to make the information that is important in clinical decision making more readily available, and to reduce the amount of time that PCPs need to spend locating this information.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Can prescribe medication (i.e., Doctor of Medicine (MD), Nurse Practitioner (NP), Physicians Assistant (PA))
* Sees patients at a primary care clinic at one of the two participating hospital systems
Exclusion Criteria
* Does not regularly see patients at a primary care clinic at one of the two participating hospital systems
* Cannot prescribe medication
18 Years
ALL
Yes
Sponsors
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Eskenazi Health
OTHER
Wake Forest University
OTHER
Wake Forest University Health Sciences
OTHER
University of Florida
OTHER
National Institute on Drug Abuse (NIDA)
NIH
Indiana University
OTHER
Responsible Party
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Olena Mazurenko
Principal Investigator
Principal Investigators
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Christopher A Harle, PhD
Role: PRINCIPAL_INVESTIGATOR
Indiana University
Olena Mazurenko, MD, PhD
Role: PRINCIPAL_INVESTIGATOR
Indiana University
Locations
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Indiana University
Indianapolis, Indiana, United States
Wake Forest University
Winston-Salem, North Carolina, United States
Countries
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References
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Mazurenko O, Sanner L, Apathy NC, Mamlin BW, Menachemi N, Adams MCB, Hurley RW, Erazo SF, Harle CA. Evaluation of electronic recruitment efforts of primary care providers as research subjects during the COVID-19 pandemic. BMC Prim Care. 2022 Apr 28;23(1):95. doi: 10.1186/s12875-022-01705-y.
Provided Documents
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Document Type: Study Protocol
Document Type: Statistical Analysis Plan
Document Type: Informed Consent Form
Other Identifiers
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1911922583
Identifier Type: -
Identifier Source: org_study_id
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