Table 2. Intervention Effects on Opioid Prescriptions at Index Visit.
Period | Opioid justification | Clinician comparison | ||||||
---|---|---|---|---|---|---|---|---|
Unadjusteda | P value | Adjusteda | P value | Unadjusteda | P value | Adjusteda | P value | |
Intervention period | 0.79 (0.68-0.92) | .002 | 0.74 (0.46-1.18) | .20 | 0.57 (0.49-0.67) | <.001 | 0.60 (0.38-0.96) | .03 |
Before clinician comparison emails | 0.82 (0.66-1.01) | .06 | 0.78 (0.45-1.35) | .37 | 0.59 (0.47-0.73) | <.001 | 0.60 (0.34-1.03) | .07 |
After clinician comparison emails | 0.76 (0.61-0.94) | .01 | 0.70 (0.45-1.11) | .13 | 0.56 (0.44-0.70) | <.001 | 0.59 (0.38-0.93) | .02 |
Adjusted odds ratios estimated from mixed-effects logistic regression models that included fixed effects for practice assignment to the justification intervention, practice assignment to the comparison intervention, practice geography (urban/rural), and study month, as well as random effects for practice and health care system. Reference group: control.