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

Solomon 2004.

Methods Type of targeted behaviour: increase in test ordering (BMD test) + prescribing
Study design: cluster RCT
Country: USA
Participants Setting: rheumatology
1 practice, 21 providers, 373 patients
Condition: rheumatoid arthritis and taking oral glucocorticoids (high likelihood of osteoporosis)
Interventions 1. Professional intervention (distribution of educational materials + educational meeting + audit and feedback)
2. No intervention control group
Outcomes Professional practice: number of BMD tests ordered within 6 months; number of prescription medications for osteoporosis
Patient level: none
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
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