Evaluation of Therapeutic Initiative's Cystitis Portrait and Therapeutics Letter
NCT05817253 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5073
Last updated 2023-04-18
Summary
The goal of this randomized trial is to test the impact of mailing personalized prescribing Portraits (an audit and feedback tool) and Therapeutics Letters (a reference document) to physicians on first-line prescribing to patients with uncomplicated urinary tract infection (UTI) .
The main question this study aims to answer is:
• To what extent can personal prescribing feedback Portraits and Therapeutics Letters have an effect on how physicians prescribe antibiotics for uncomplicated UTI?
Approximately 5,000 British Columbian Family Practitioners (FP's) have been randomly divided into three groups, and each group received the Portrait at different times. To help ascertain the possible impact of Portraits, pooled data on first-line prescribing for uncomplicated UTI by FP's who received the Portrait at an early time point (September 23, 2021) will be compared to that of those who received a Portrait at a delayed time point (March 28, 2022). Researchers will compare prescribing data from these groups to see if the prescribing Portraits have had a differential impact on prescribing of antibiotics for uncomplicated UTI.
Conditions
- Clinical Audit
- Quality Improvement
Interventions
- BEHAVIORAL
-
Portrait
In the context of audit and feedback interventions, Portrait is document produced by the physician organization 'Therapeutics Initiative' that provides personalized prescribing feedback for BC family physicians (FPs). Portraits are used as a practice resource tool for reflection on prescribing patterns. Each Portrait topic provides data of individual physician's prescribing practice, alongside the mean and median levels of their peers (other BC physicians), a succinct review of the best-available evidence on the topic, and recommendations for future action.
- BEHAVIORAL
-
Therapeutics Letter
The Therapeutics Letter is a standalone publication that details identified problematic therapeutic issues in a brief, simple and practical manner. Therapeutics letters include a systematic literature review on a clinical topic, and help provide reference for the data presented in the Portraits.
Sponsors & Collaborators
-
Ministry of Health, British Columbia
collaborator OTHER_GOV -
University of British Columbia
lead OTHER
Principal Investigators
-
Colin Dormuth, PhD · University of British Columbia
Study Design
- Allocation
- RANDOMIZED
- Purpose
- HEALTH_SERVICES_RESEARCH
- Masking
- SINGLE
- Model
- SEQUENTIAL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-09-23
- Primary Completion
- 2022-09-28
- Completion
- 2022-09-28
Countries
- Canada
Study Locations
More Related Trials
-
Evaluating UTI Diagnosis in Nursing Homes
NCT04815369 ·Status: WITHDRAWN
-
Diagnosis and Treatment of Urinary Tract Infection Using DNA Polymerase Chain Reaction Versus Urine Culture
NCT06808451 ·Status: RECRUITING ·Phase: NA
-
Radiation Induced Cystitis Treated With Hyperbaric Oxygen - A Randomized Controlled Trial
NCT01659723 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Clinical Utility of a PCR Compared to Culture and Sensitivity Testing for the Management of cUTI in Adults.
NCT06996301 ·Status: COMPLETED ·Phase: NA
-
Assessment of UTI Symptoms and Quality of Life According to Antibiotics Treatment in Acute Uncomplicated Cystitis
NCT01631955 ·Status: COMPLETED
-
Clinical Trial of L. Reuteri in Urinary Tract Infections in Non Pregnant Women
NCT03019172 ·Status: COMPLETED ·Phase: NA
-
Cranberry Extract and Urinary Infection Prevention: a Clinical Trial
NCT02572895 ·Status: UNKNOWN ·Phase: PHASE1
-
Immediate vs. Conditional Use of Antibiotics in Uncomplicated Urinary Tract Infection (UTI) - ICUTI
NCT01488955 ·Status: COMPLETED ·Phase: PHASE4
-
Management of Urinary Tract Infections in Primary Care Facilities.
NCT01132131 ·Status: COMPLETED ·Phase: PHASE4
-
Dispensing of Antibiotics in Pharmacies for Cystitis According to a Delegation Protocol, Impact of a Decision Support Tool. PHARIBO: PHarmacy and Resolved Antibiotherapy for Urinary Tract Infections
NCT07118748 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Profiles of Urinary Tract Infections in General Practice
NCT05847036 ·Status: RECRUITING
-
EHR-integrated rUTI Texting Platform
NCT06035601 ·Status: COMPLETED ·Phase: NA
-
Efficacy and Safety of Nitrofurantoin in the Treatment of Uncomplicated Urinary Tract Infections in Adults
NCT01092351 ·Status: COMPLETED ·Phase: PHASE4
-
Prevention of Cystitis.
NCT03744338 ·Status: COMPLETED
-
Cranberry on Urinary Tract Infections
NCT01881165 ·Status: WITHDRAWN ·Phase: PHASE4
-
Factorial Trial of Antimicrobial Therapy and/or Catheter Change for Catheter Urinary Tract Infections.
NCT00795470 ·Status: WITHDRAWN ·Phase: PHASE3
-
Diagnosis, Antibiotic Prescribing Practices and Outcomes of cUTI in an Outpatient Setting
NCT05091931 ·Status: COMPLETED
-
Phase II Proof of Concept Study in Uncomplicated UTI
NCT03129295 ·Status: UNKNOWN ·Phase: PHASE2
-
Effect of Adjuvant Treatment With Compound Cranberry Extract Tablets in Acute Bacterial Cystitis.
NCT00305071 ·Status: UNKNOWN ·Phase: PHASE2
-
A Trial of a Modified Cystoscopy Method to Reduce Pain Perception
NCT03257293 ·Status: COMPLETED ·Phase: NA
-
Restricted Reporting for Positive Urine Cultures
NCT02797613 ·Status: COMPLETED ·Phase: NA
-
Symptomatic Therapy of Uncomplicated Lower Urinary Tract Infections in the Ambulatory Setting.
NCT01039545 ·Status: TERMINATED ·Phase: PHASE4
-
Improving Antibiotic Prescribing for Urinary Tract Infections in Frail Elderly
NCT03970356 ·Status: COMPLETED ·Phase: NA
-
Nutraceutical Efficacy for rUTI
NCT03395288 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
Diagnostic Tools in Patients With a Suspected Urinary Tract Infection in Primary Care
NCT02249273 ·Status: COMPLETED