What Influences Physicians' Decisions - Statistics or Stories?

NCT02048982 | Withdrawn

• 1 other identifier: Bishop_stats_stories
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to test whether physicians change their use of non-recommended tests, procedures, or medications more in response to evidence based-guidelines, price information, or an individual patient's story.

Conditions

Prescribing Tendencies

Keywords

physician prescribing; behavioral economics; primary care practice

Outcome Measures

Primary Outcomes (2)

• Percentage of blood chemistry tests among visits by adult patients under 65

  Within 1 week of receiving the intervention

• Percentage of blood chemistry tests among visits by adult patients under 65

  Within 1 month of receiving the scenario

Secondary Outcomes (1)

• Physicians' attitudes and perceived practice immediately after reading the scenario

  Immediate (up to 5 min)

Study Arms (4)

Guideline and Cost

EXPERIMENTAL

The Choosing Wisely guideline and the cost of the test at our institution: $60.35 for a basic metabolic panel.

Behavioral: Guideline; Behavioral: Cost

Guideline

PLACEBO COMPARATOR

The Choosing Wisely guideline: "Don't perform blood chemistry panels in asymptomatic, healthy adults."

Behavioral: Guideline

Guideline and Victim

ACTIVE COMPARATOR

The Choosing Wisely Guideline and a clinical scenario with a patient as an identifiable victim who suffered harm from having an unnecessary test done

Behavioral: Guideline; Behavioral: Victim

Guideline, Cost, and Victim

EXPERIMENTAL

The Choosing Wisely guideline and a clinical scenario with a physician as an identifiable victim who suffered harm when he ordered an unnecessary test.

Behavioral: Guideline; Behavioral: Cost; Behavioral: Victim

Interventions

Guideline BEHAVIORAL

Physicians will receive information on the Choosing Wisely Guideline

Guideline; Guideline and Cost; Guideline and Victim; Guideline, Cost, and Victim

Cost BEHAVIORAL

Physicians will receive cost information.

Guideline and Cost; Guideline, Cost, and Victim

Victim BEHAVIORAL

Physicians will receive information on an identifiable victim.

Guideline and Victim; Guideline, Cost, and Victim

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Primary care physicians in the Weill Cornell Physicians Organization

You may not qualify if:

• None

Sponsors & Collaborators

• Weill Medical College of Cornell University: lead
• Duke University: collaborator

Study Sites (1)

Weill Cornell Medical College

New York, New York, 10065, United States

Location

MeSH Terms

Interventions

Guidelines as Topic; Costs and Cost Analysis

Intervention Hierarchy (Ancestors)

Quality Assurance, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation; Economics; Health Care Economics and Organizations

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 27, 2014
• First Posted: January 29, 2014
• Study Start: February 1, 2014
• Primary Completion: September 1, 2015
• Study Completion: December 1, 2015
• Last Updated: September 12, 2018

Record last verified: 2018-09

Locations

US (1)