Lafata 2007.
Methods | Type of targeted behaviour: increase in test ordering (BMD testing) + prescribing Study design: cluster RCT Country: USA |
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Participants | Setting: primary care 15 practices, 123 providers, 10,354 patients Condition: women 65 to 89 years of age and high likelihood of osteoporosis |
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Interventions | 1. Patient mediated (education materials) 2. Patient mediated (education materials) + professional intervention (reminder) 3. Standard practice control group |
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Outcomes | Professional practice: proportion of patients receiving BMD testing within 12 months; prescription of an osteoporosis medication Patient level: none |
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Notes | Justification for intervention type: previous studies for different 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: “Within stratum, clinics were allocated to the three arms using a random numbers table” |
Allocation concealment? | Unclear risk | Not reported |
Blinding? All outcomes | Unclear risk | Not reported |
Incomplete outcome data addressed? All outcomes | Low risk | Missing outcome data balanced in numbers across intervention groups, with similar reasons for missing data across groups |
Free of selective reporting? | Unclear risk | Insufficient information provided |
Free of other bias? | Low risk |