NCT03771482

Brief Summary

This study aims to evaluate the impact of spaced education, delivered via a smartphone application, on provider prescribing patterns.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
369

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Dec 2019

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 7, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

December 11, 2018

Completed
1.1 years until next milestone

Study Start

First participant enrolled

December 30, 2019

Completed
6 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2020

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

June 15, 2020

Completed
Last Updated

October 14, 2020

Status Verified

October 1, 2020

Enrollment Period

6 months

First QC Date

December 7, 2018

Last Update Submit

October 13, 2020

Conditions

Education

Outcome Measures

Primary Outcomes (2)

  • Median morphine milligram equivalents (MME) per opioid prescription

    By extracting prescribing data for opioids from the electronic health records

    8 months

  • Percentage of orders for balanced intravenous (IV) fluid solutions (i.e. not normal saline)

    By extracting prescribing data for intravenous fluids from the electronic health records

    8 months

Secondary Outcomes (9)

  • Chloride levels in patients receiving intravenous fluid orders from a provider enrolled in the study

    8 months

  • Potassium levels in patients receiving intravenous fluid orders from a provider enrolled in the study

    8 months

  • Major Adverse Kidney Events by 30 days (MAKE 30) in patients receiving intravenous fluid orders from a provider enrolled in the study

    30 days

  • Length of stay for patients receiving an intravenous fluid order or an opioid prescription from a provider enrolled in the study.

    8 months

  • Length of stay in the intensive care unit (ICU) for patients receiving an intravenous fluid order or an opioid prescription from a provider enrolled in the study

    8 months

  • +4 more secondary outcomes

Study Arms (2)

Opioid module first then fluid

ACTIVE COMPARATOR

The providers in this arm will first receive daily information and questions related to opioid use for eight weeks and then daily information and questions related to intravenous fluid prescribing for five weeks.

Behavioral: Quiztime modules

Fluid module first then opioid

ACTIVE COMPARATOR

The providers in this arm will first receive daily information and questions related to intravenous fluid prescribing for five weeks and then daily information and questions related to opioid use for eight weeks.

Behavioral: Quiztime modules

Interventions

Quiztime modulesBEHAVIORAL

Text Messaging or Email system

Fluid module first then opioidOpioid module first then fluid

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • All inpatient prescribing providers

You may not qualify if:

  • none

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Vanderbilt University Medical Center

Nashville, Tennessee, 37232, United States

Location

Related Publications (2)

  • McEvoy MD, Dear ML, Buie R, Edwards DA, Barrett TW, Allen B, Robertson AC, Fowler LC, Hennessy C, Miller BM, Garvey KV, Bland RP 3rd, Fleming GM, Moore D, Rice TW, Bernard GR, Lindsell CJ; Vanderbilt Learning Healthcare System Platform Investigators and the Vanderbilt Committee on Opioid Monitoring and Stewardship. Effect of Smartphone App-Based Education on Clinician Prescribing Habits in a Learning Health Care System: A Randomized Cluster Crossover Trial. JAMA Netw Open. 2022 Jul 1;5(7):e2223099. doi: 10.1001/jamanetworkopen.2022.23099.

    PMID: 35881398DERIVED

  • McEvoy MD, Dear ML, Buie R, Fowler LC, Miller B, Fleming GM, Moore D, Rice TW, Bernard GR, Lindsell CJ; Vanderbilt Learning Healthcare System Investigators. Embedding Learning in a Learning Health Care System to Improve Clinical Practice. Acad Med. 2021 Sep 1;96(9):1311-1314. doi: 10.1097/ACM.0000000000003969.

    PMID: 33570841DERIVED

Study Officials

  • Matthew McEvoy, MD

    Vanderbilt University Medical Center

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
CROSSOVER
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Anesthesiology

Study Record Dates

First Submitted

December 7, 2018

First Posted

December 11, 2018

Study Start

December 30, 2019

Primary Completion

June 15, 2020

Study Completion

June 15, 2020

Last Updated

October 14, 2020

Record last verified: 2020-10

Data Sharing

IPD Sharing
Will share

Data dictionaries and individual participant data that underlie the results reported after de-identification will be available.

Shared Documents
STUDY PROTOCOL, SAP, ANALYTIC CODE
Time Frame
3 months after publication for 5 years
Access Criteria
Researchers who provide a methodologically sound proposal that has been approved by the Vanderbilt Institutional Review Board and the study executive committee.

Locations

US(1)