Gardner 2005.
Methods | Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: RCT Country: USA |
|
Participants | Setting: intervention provided to patients in hospital, imaging outcome measured against primary care provider 80 patients Condition: hip fracture in elderly (>65 age) and high likelihood of osteoporosis |
|
Interventions | 1. Patient mediated (education materials + 15 minute talk) + list of questions to take to primary care physician 2. Control: unrelated patient education |
|
Outcomes | Professional practice: proportion of patients who had BMD test performed within 6 months; bisphosphonate therapy prescribed Patient level: none |
|
Notes | Justification for intervention type: not reported Intervention fidelity: not reported |
|
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | From report: “The patients were randomly enrolled into two groups by means of sealed envelopes, which were divided equally into ‘control group’ and ‘study group’ designations” |
Allocation concealment? | Unclear risk | Reported that envelopes were used but not reported if they were opaque and sequentially numbered |
Blinding? All outcomes | Unclear risk | Not reported |
Incomplete outcome data addressed? All outcomes | Low risk | 4 from control (died); 4 from intervention (died) and 2 more lost to follow‐up considered to not have had BMD testing |
Free of selective reporting? | Unclear risk | Insufficient information provided |
Free of other bias? | High risk | No protection against contamination; patient directed intervention and outcomes self‐reported by patient. |