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. 2010 Jan 20;2010(1):CD006094. doi: 10.1002/14651858.CD006094.pub2

Curtis 2007.

Methods Type of targeted behaviour: increase in test ordering (BMD test) + prescribing
Study design: cluster RCT
Country: USA
Participants Setting: rheumatology and primary care
153 providers, 949 patients
Condition: taking oral glucocorticoids (high likelihood of osteoporosis)
Interventions 1. Professional intervention (audit and feedback + distribution of educational materials)
2. Control
Outcomes Professional practice: medication for osteoporosis or a BMD test within 12 months after the intervention
Patient level: none
Notes Justification for intervention type: reported that intervention based on “adult learning principles” but no further information provided
Intervention fidelity: percentage of physicians that completed online modules was measured; per protocol analysis showed significant benefit in BMD testing for clinicians who completed all intervention modules
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk From report: “Block randomization was used to balance the number of intervention vs control physicians randomized over time.”
Allocation concealment? Unclear risk Not reported
Blinding? 
 All outcomes Unclear risk Not reported
Incomplete outcome data addressed? 
 All outcomes Low risk No missing outcome data
Free of selective reporting? Unclear risk Insufficient information provided
Free of other bias? Low risk Contamination avoided by practice randomisation