Table 3. Adjusted Dispensing Outcomesa.
Usual care | Nudge | |||
---|---|---|---|---|
Patient | Clinician | Combined | ||
Unadjusted dispensing rates | ||||
Preintervention, No./total No. (%) | 149/1876 (7.9) | 141/2022 (7.0) | 148/1723 (8.6) | 136/1752 (7.8) |
Intervention, No./total No. (%) | 98/1032 (9.5) | 121/1181 (10.2) | 129/981 (13.1) | 162/937 (17.3) |
Unadjusted difference in percentage points from pre- to postintervention (95% CI) | 1.6 (−0.3 to 3.4) | 3.3 (1.5 to 5.0) | 4.6 (2.5 to 6.6) | 9.5 (7.4 to 11.7) |
Main adjusted model b | ||||
Difference in percentage points relative to usual care (95% CI) | NA | 1.0 (−0.7 to 2.6) | 3.6 (1.5 to 5.7) | 7.2 (5.2 to 9.2) |
P value relative to usual care | NA | .29 | .07 | <.001 |
Fully adjusted model c | ||||
Difference in percentage points relative to usual care (95% CI) | NA | 0.8 (−1.0 to 2.5) | 3.8 (1.6 to 6.2) | 7.3 (5.2 to 9.2) |
P value relative to usual care | NA | .33 | .07 | <.001 |
Abbreviation: NA, not applicable.
Statin dispensing within 30 days after the primary care visit.
Adjusted for study arm, calendar month for the intervention period, preintervention statin prescribing rates at the clinician level, and random effects at the clinician and practice level.
Also adjusted for patient age, sex, race and ethnicity, insurance, annual household income, and Charlson Comorbidity Index.