Solomon 2004.
Methods | Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: cluster RCT Country: USA |
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Participants | Setting: rheumatology 1 practice, 21 providers, 373 patients Condition: rheumatoid arthritis and taking oral glucocorticoids (high likelihood of osteoporosis) |
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Interventions | 1. Professional intervention (distribution of educational materials + educational meeting + audit and feedback) 2. No intervention control group |
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Outcomes | Professional practice: number of BMD tests ordered within 6 months; number of prescription medications for osteoporosis Patient level: none |
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Notes | Justification for intervention type: cite previous studies showing multifaceted interventions better than meetings Intervention fidelity: reported only that 9 of 10 clinicians attended meeting, otherwise no reporting of fidelity No raw data presented. Data read from histograms |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | From report: “To create a balanced study patient population, we stratified rheumatologists based on their patient volume and randomly assigned them to either intervention or control groups.” |
Allocation concealment? | Unclear risk | Not reported |
Blinding? All outcomes | Unclear risk | Author who measured outcome was not involved in intervention, but did not explicitly report if outcome measures were blinded |
Incomplete outcome data addressed? All outcomes | Unclear risk | Not reported |
Free of selective reporting? | Unclear risk | Insufficient information provided |
Free of other bias? | Unclear risk | Protection against contamination: not reported |