Evaluation of Alerts in Promoting Bone Densitometry Scans

NCT04955652 | Withdrawn

• 1 other identifier: 2020-0996
• Study Type: interventional
• Target: N/A
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of this study is to assess, prospectively, the effect of provider-facing alerts for bone densitometry scans with and without a single-click best practice alert (BPA) on scan orders and completions. The investigators hypothesize that the remaining alerts left in place (via health maintenance topics and an actionable item in the electronic health record sidebar) will be as effective without the BPA compared to the alerts with a BPA.

Conditions

Bone Diseases; Communication

Keywords

Bone Diseases; Alerts; Densitometry; Dual Energy X-ray Absorptiometry Scan

Outcome Measures

Primary Outcomes (1)

• Bone Densitometry Scan Order Placed

  Binary variable indicating whether or not the order was placed

  6 months or as long as it takes to reach N=4,200, whichever occurs first

Secondary Outcomes (1)

• Bone Densitometry Scan Completed

  6 months or as long as it takes to reach N=4,200, whichever occurs first

Other Outcomes (7)

• Bone Densitometry Scan Completion Time

  6 months or as long as it takes to reach N=4,200, whichever occurs first

• Number of Unique Alerts

  6 months or as long as it takes to reach N=4,200, whichever occurs first

• Number of Alerts Fired

  6 months or as long as it takes to reach N=4,200, whichever occurs first

Study Arms (2)

Standard of Care

ACTIVE COMPARATOR

A health maintenance topic, actionable sidebar item, and a single-click best practice alert are presented.

Behavioral: Health Maintenance Topic; Behavioral: Actionable Sidebar Item; Behavioral: Best Practice Alert

Silent Best Practice Alert

EXPERIMENTAL

A health maintenance topic and an actionable sidebar item are presented. The best practice alert is set to be silent and will not appear in the patient's chart.

Behavioral: Health Maintenance Topic; Behavioral: Actionable Sidebar Item

Interventions

Health Maintenance Topic BEHAVIORAL

Alert

Also known as: HMT

Silent Best Practice Alert; Standard of Care

Actionable Sidebar Item BEHAVIORAL

Alert

Also known as: Storyboard

Silent Best Practice Alert; Standard of Care

Best Practice Alert BEHAVIORAL

Alert

Also known as: BPA

Standard of Care

Eligibility Criteria

• Age: 18 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• In primary care
• Records indicate patient is due for a bone densitometry scan (generally, a high-risk patient that requires this scan or age 65 and older)

You may not qualify if:

• Encounters at clinics/sites where the randomization build cannot easily be deployed

Sponsors & Collaborators

• Geisinger Clinic: lead

MeSH Terms

Conditions

Bone Diseases; Communication

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Behavior

Study Officials

• Amir Goren, PhD

  Program Director, Behavioral Insights Team

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, CARE PROVIDER
• Masking Details: The participants and providers will not know that alerts were randomized. Participants will not know the arm to which they were assigned. Providers might notice that a given participant did or did not receive a certain alert, but this is expected to be unlikely, given the volume of alerts to which providers are exposed constantly.
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Program Director, Behavioral Insights Team

Model Details: 1 x 2 factorial design, with randomization happening at the patient level

Study Record Dates

• First Submitted: June 22, 2021
• First Posted: July 9, 2021
• Study Start: March 1, 2022
• Primary Completion: December 1, 2022
• Study Completion: December 1, 2022
• Last Updated: March 31, 2022

Record last verified: 2022-03

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, ANALYTIC CODE
• Time Frame: The data will become available after publication of study results in a scientific journal and will be available as long as the Open Science Framework hosts the data.
• Access Criteria: The data on the Open Science Framework will be open to anyone requesting that information.