Majumdar 2004.
Methods | Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: non‐randomised CCT Country: Canada |
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Participants | Setting: primary care 101 providers, 102 patients Condition: fragility fracture of wrist with high likelihood of osteoporosis |
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Interventions | 1. Professional intervention (distribution of educational materials + reminders) + patient mediated (educational materials + verbal education) 2. Standard care |
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Outcomes | Professional practice: proportion of patients who had BMD test ordered within 6 months; osteoporosis medication prescribed Patient level: none |
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Notes | Justification for intervention type: not reported Intervention fidelity: not reported |
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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 |