Winkens 1995.
Methods | Type of targeted behaviour: modifying test ordering (various) Study design: cluster RCT (balanced incomplete block design) Country: The Netherlands |
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Participants | Setting: primary care 79 providers Condition: various conditions potentially requiring diagnostic tests, including cervical smear, electrocardiography, endoscopy, allergy tests, radiography (chest, cervical spine, pelvis, knees, ankles, sinuses) and ultrasound (kidneys, liver/biliary tract) |
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Interventions | 1. Professional intervention (audit and feedback for one set of tests) 2. Professional intervention (audit and feedback for another set of tests) Due to study design and that musculoskeletal conditions only included in one arm of trial, this study represented as single intervention vs a no‐intervention control |
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Outcomes | Professional practice: number of diagnostic tests ordered within 2 years; diagnostic tests concordant with guideline Patient level: none |
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Notes | Justification for intervention type: not clear Intervention fidelity: not clear Data not available. Data not presented for individual tests |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | Not reported |
Allocation concealment? | Unclear risk | Not reported |
Blinding? All outcomes | Unclear risk | Not reported |
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 | Not reported |
BMD: bone mineral density; CCT: controlled clinical trial; CT: computerised tomography; ITS: interrupted time series; LBP: low back pain; MRI: magnetic resonance imaging; NSAIDs: non‐steroidal anti‐inflammatory drugs; RCT: randomised controlled trial; UK: United Kingdom; USA: United States of America