DeADT - Living Well With Prostate Cancer
NCT06199986 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2025-06-26
Summary
The goal of this randomized de-implementation trial is to compare two strategies to reduce low-value androgen deprivation therapy (ADT) use for prostate cancer care. The aim of the study is to compare implementation of the two strategies: use of a clinical reminder order check intervention versus a provider script/patient education approach, and their impacts on low-value ADT use after six months. The main goal of both interventions will be to decrease ADT overuse for patients with prostate cancer, but to do this in a way that is acceptable to the clinicians who treat these patients. The interventions will be initiated for providers only across 4 participating facilities. Provider participants will engage with one of the interventions triggered in the electronic health record when their patients are deemed likely to be receiving low-value ADT. Each provider participant receives only one of the interventions. The intervention is triggered for every clinic visit involving a patient deemed to be receiving low-value ADT, so provider participants may receive their assigned intervention multiple times. Researchers will compare provider use of both strategies to determine implementation outcomes and whether one was more effective in reducing low-value ADT use.
Conditions
Interventions
- BEHAVIORAL
-
ADT Order Check Attestation (Or)
Clinical reminder order check in electronic health record
- BEHAVIORAL
-
Provider Script (Sc)
Provider script added to progress note in electronic health record
Sponsors & Collaborators
-
US Department of Veterans Affairs
collaborator FED -
National Cancer Institute (NCI)
collaborator NIH - lead OTHER
Principal Investigators
-
Sameer D Saini, MD · VA Ann Arbor Healthcare System/University of Michigan
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2022-10-04
- Primary Completion
- 2024-04-16
- Completion
- 2024-04-16
Countries
- United States
Study Locations
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