Primary Care Clinician Commitments to Choosing Wisely®
NCT02247050 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 45
Last updated 2016-05-06
Summary
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.
Conditions
- Health Services Misuse
- Physician's Practice Patterns
- Guideline Adherence
- Unnecessary Procedures
- Health Care Costs
Interventions
- BEHAVIORAL
-
Commitment invitation
Clinicians will be invited to commit to follow 3 Choosing Wisely recommendations. Those that choose to commit will also receive point-of-care commitment reminders, point-of-care Choosing Wisely patient education handouts, and weekly emails with decision support resources.
Sponsors & Collaborators
-
Robert Wood Johnson Foundation
collaborator OTHER -
IHA
collaborator UNKNOWN - lead OTHER
Principal Investigators
-
Jeffrey T. Kullgren, MD, MS, MPH · University of Michigan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- NONE
- Model
- CROSSOVER
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-09-30
- Primary Completion
- 2015-03-31
- Completion
- 2015-06-30
Countries
- United States
Study Locations
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