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Natural Experiment: "Gentle Nudge" Intervention, Eliminating Phone Call Requirement

NCT03381885 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 20000

Last updated 2017-12-22

No results posted yet for this study

Summary

Back pain costs the U.S. over $100 billion annually, and much of this spending is wasteful due to the overuse of advanced diagnostic imaging. Despite prominent clinical guidelines and the nationally recognized Choosing Wisely campaign discouraging use of costly and low value imaging, magnetic resonance imaging (MRI) and computed tomography (CT) studies remain frequently overused. Real-time electronic clinical decision support (CDS) at the point of care has been increasingly emphasized as an important strategy to improve the value of back pain management; however, studies suggest that CDS at best only modestly influences practice patterns. The aim is to implement a behavioral economic-based intervention in the ED to promote the use of CDS system.

Conditions

  • Back Pain
  • X-rays
  • MRI
  • CT Scan
  • Clinical Decision Support Tool

Interventions

BEHAVIORAL

Gentle Nudge

Clinicians ordering medium or high scoring imaging studies could bypass the usual mandatory phone call to radiology.

BEHAVIORAL

Usual Standard Procedure

Clinicians ordering imaging studies required mandatory phone to radiology

Sponsors & Collaborators

  • LAC+USC Medical Center

    collaborator OTHER

  • Los Angeles Department of Health Services

    collaborator UNKNOWN

  • American Board of Internal Medicine

    collaborator OTHER

  • University of California, Los Angeles

    lead OTHER

Study Design

Allocation
NON_RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE
Model
PARALLEL

Eligibility

Min Age
18 Years
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2015-02-28
Primary Completion
2016-01-31
Completion
2016-02-29

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Entities

Diseases
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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT03381885 on ClinicalTrials.gov