N/A
N=37,134
Behavioral Economics Applications to Geriatrics Leveraging EHRs R33 Trial
Prostate Specific Antigen Screening · Asymptomatic Bacteriuria · Type 2 Diabetes
Bottom Line
View on ClinicalTrials.gov: NCT04289753 ↗Enrolled (actual)
37,134
Serious AEs
2.8%
Results posted
Aug 2023
Primary outcome: Primary: PSA Screening in Older Men — 1675; 1373 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- EHR clinical decision support nudges (Behavioral); Brief clinician education (Behavioral)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Northwestern University
- Primary completion
- Mar 2022
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY PSA Screening in Older Men |
— | — |
| PRIMARY Urine Testing for Non-specific Reasons |
— | — |
| PRIMARY Diabetes Overtreatment in the Elderly |
— | — |
| SECONDARY Rate of UTI Requiring Hospital Care Among Women 65 and Over Following Clinical Decision Support Exposure |
— | — |
| SECONDARY Rate of UTI Requiring Hospital Care Among Women 65 and Over Following an Office Visit |
— | — |
| SECONDARY Rate of Hyperglycemia Requiring Hospital Care Following Clinical Decision Support Exposure |
— | — |
| SECONDARY Rate of Hyperglycemia Requiring Hospital Care Among Previously Tightly Controlled |
— | — |
| SECONDARY Rate of Poor Diabetes Control Among Previously Tightly Controlled |
— | — |
| SECONDARY Rate of Hypoglycemia Requiring Urgent Care Among Previously Tightly Controlled |
— | — |
Summary
Investigators will evaluate clinical decision support nudges informed by behavioral science and directed at primary care clinicians. These will be used to reduce commonly misused, and potentially harmful, diagnostic and therapeutic actions that occur in the care of older adults (e.g. overtreatment of type 2 diabetes, misuse of PSA screening, misuse of urine testing in women with nonspecific symptoms or no symptoms.
Eligibility Criteria
Inclusion Criteria
- Northwestern Medicine primary care clinician who sees patients under department code of a randomized clinic
Exclusion Criteria
- Resident physicians will be excluded
- Clinicians who participated in pilot study of these interventions
- Clinician study investigators
Data sourced from ClinicalTrials.gov (NCT04289753). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.