Curtis 2007.
Methods | Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: cluster RCT Country: USA |
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Participants | Setting: rheumatology and primary care 153 providers, 949 patients Condition: taking oral glucocorticoids (high likelihood of osteoporosis) |
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Interventions | 1. Professional intervention (audit and feedback + distribution of educational materials) 2. Control |
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Outcomes | Professional practice: medication for osteoporosis or a BMD test within 12 months after the intervention Patient level: none |
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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 |
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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 |