Feldstein 2006.
Methods | Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: RCT Country: USA |
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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 |
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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 |
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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 |
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Notes | Justification for intervention type: previous studies showing electronic medical records effective in other clinical conditions Intervention fidelity: not reported |
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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. |