Solomon 2007.

Methods	Type of targeted behaviour: increase in test ordering (BMD test) + prescribing Study design: cluster RCT Country: USA
Participants	Setting: primary care 828 providers, 13,455 patients Condition: people with high likelihood of osteoporosis and high risk of future fracture
Interventions	1. Professional intervention (distribution of educational materials + educational outreach) 2. Patient mediated (education materials) 3. 1 + 2 4. No intervention control group
Outcomes	Professional practice: number of patients who began osteoporosis medication or had BMD test within 12 months; any medication use; physical therapy utilisation; home visit Patient level: medication adherence; fracture of wrist, humerus or hip; attitudes, beliefs, knowledge and self‐reported behaviours
Notes	Justification for intervention type: patient intervention based on theory (Stages of Change Model and Witte’s Extended Parallel Processing Model); academic detailing: cite studies that have shown effectiveness Intervention fidelity: in part. Measured proportion of providers who received intervention
Risk of bias
Bias	Authors' judgement	Support for judgement
Adequate sequence generation?	Low risk	Random number generator
Allocation concealment?	Unclear risk	Not reported
Blinding? All outcomes	Unclear risk	Not reported
Incomplete outcome data addressed? All outcomes	Low risk	No missing data
Free of selective reporting?	High risk	Protocol outcomes not reported: any medication use; physical therapy utilisation; home visit; medication adherence; patient attitudes, beliefs, knowledge and self‐reported behaviours
Free of other bias?	High risk	Contamination of intervention possible because randomisation occurred at provider level, not practice level