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

Majumdar 2004.

Methods Type of targeted behaviour: increase in test ordering (BMD test) + prescribing
Study design: non‐randomised CCT
Country: Canada
Participants Setting: primary care
101 providers, 102 patients
Condition: fragility fracture of wrist with high likelihood of osteoporosis
Interventions 1. Professional intervention (distribution of educational materials + reminders) + patient mediated (educational materials + verbal education)
2. Standard care
Outcomes Professional practice: proportion of patients who had BMD test ordered within 6 months; osteoporosis medication 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? High risk From report: “For 1 month at a time, in sequential order, the intervention was ‘on’ at 1 emergency department while it was ‘off’ at the other.”
Allocation concealment? High risk Not reported
Blinding? 
 All outcomes Low risk From report: “All outcomes were ascertained without knowledge of allocation status.”
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? High risk Trial stopped early “because of overwhelming intervention efficacy and concerns related to continuing to enrol patients into the ‘usual care’ group.”; no protection against contamination