Status:
COMPLETED
Effects of Provider Commitments to Choose Wisely
Lead Sponsor:
University of Michigan
Collaborating Sponsors:
Donaghue Medical Research Foundation
Integrated Health Associates
Conditions:
Health Services Misuse
Physician's Practice Patterns
Eligibility:
All Genders
18+ years
Phase:
NA
Brief Summary
Clinicians' decisions to order potentially unnecessary services -- such as those targeted in the Choosing Wisely® campaign -- are often affected by their high-pressure practice environments, which can...
Detailed Description
A mixed-methods stepped wedge cluster randomized trial will be conducted in 8 primary care clinics of IHA, a private multispecialty group practice, and Michigan Medicine, a large academic health syste...
Eligibility Criteria
Inclusion
- Clinician participants will be drawn from the pool of physicians, nurse practitioners, and physician assistants staffing the 8 primary care clinics.
- Patients of all 8 study clinics must meet criteria for one of the three Choosing Wisely® recommendations to be eligible to participate:
- 65 and older with type 2 diabetes
- 65 and older with insomnia and/or anxiety
- male, 75 and older with no history of prostate cancer.
Exclusion
- Patients who have cognitive impairment and/or a serious psychiatric diagnosis will not be eligible to participate in the surveys or interviews.
Key Trial Info
Start Date :
January 26 2018
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
February 28 2019
Estimated Enrollment :
489 Patients enrolled
Trial Details
Trial ID
NCT03411525
Start Date
January 26 2018
End Date
February 28 2019
Last Update
March 7 2019
Active Locations (9)
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1
IHA Family & Internal Medicine - West Arbor
Ann Arbor, Michigan, United States, 48103
2
IHA Internal Medicine - Domino's Farms
Ann Arbor, Michigan, United States, 48105
3
Michigan Medicine Briarwood Medical Group
Ann Arbor, Michigan, United States, 48108
4
Michigan Medicine East Ann Arbor Health and Geriatrics Center
Ann Arbor, Michigan, United States, 48109