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

Feldstein 2006.

Methods Type of targeted behaviour: increase in test ordering (BMD test) + prescribing
Study design: RCT
Country: USA
Participants Setting: primary care
15 practices, 159 providers, 327 patients
Condition: women aged 50 to 89 who had suffered a fracture (any type) and therefore high likelihood of osteoporosis
Interventions 1. Professional intervention (reminders: electronic medical record message about patient’s risk of osteoporosis + distribution of education materials)
2. Professional intervention (reminders + distribution of education materials) + patient mediated (education materials)
3. Standard practice control group
Outcomes Professional practice: proportion of study population who received medication for osteoporosis or a BMD test within 6 months after the intervention
Patient level: regular physical activity; total caloric expenditure; total calcium intake; patient satisfaction
Notes Justification for intervention type: previous studies showing electronic medical records effective in other clinical conditions
Intervention fidelity: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Low risk From report: “A computer random‐number generator seeded by date and time once at the start of the study generated the random sequence”
Allocation concealment? Unclear risk From report: “The study statistician randomized and assigned participants to the study groups”, but not specified if study statistician involved in recruitment process
Blinding? 
 All outcomes Low risk From report: “The study analyst assessing the outcomes was blinded to the treatment groups”
Incomplete outcome data addressed? 
 All outcomes Low risk  
Free of selective reporting? Unclear risk Insufficient information provided
Free of other bias? High risk No protection against contamination.