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OpenTrials
Completed

NCT Number: NCT03183882

Peer Comparison Feedback on Opioid Prescribing

We aim to determine if descriptive normative feedback of peer prescribing reduces opioid analgesic prescribing by emergency medicine providers

Completed

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Key information

Conditions

Opioid Use

Age range

18 year–99 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

University of Pittsburgh Medical Center Emergency Department

Pittsburgh, Pennsylvania, 15261, United States

About this study

State-based Prescription Drug Monitoring Programs (PDMPs) are being implemented to reduce prescription drug abuse and diversion. On August 24, 2016, Pennsylvania initiated its mandated PDMP. In prior research, we found that ED providers reduced opioid prescribing by 17% immediately after PDMP went live. Still, there is variability between providers in the frequency of opioid prescribing even after PDMP initiation. Changing clinician prescribing behavior is difficult, but recent research has shown that using peer comparisons can assist behavior change (Meeker D et al., JAMA, 2016). In this study, we will randomize a convenience sample of ED providers to receive either their opioid prescribing history data with peer comparative data or without peer comparative data. We will examine the effect on immediate perceived norms as well as impact on opioid prescribing in the subsequent 3 months. Results could inform behavioral feedback to alter clinician prescribing behaviors

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Emergency medicine provider
  • Writes 10 or more opioid prescriptions per month (on average)

Exclusion criteria

  • none

Treatment and study plan

Personal Feedback

Behavioral

One-time summary report of their individual history of opioid prescribing over the past 14 months

Peer Normative Comparison Feedback

Behavioral

One-time summary report of their individual history of opioid prescribing over the past 14 months WITH comparisons to (a) other providers at their site and (2) other providers at all 15 ED sites with similar prescribing

Primary outcomes

  1. Normative beliefs

    Time frame: Pre-post intervention

    How much, relative to other emergency providers, do they prescribe opioids?

  2. Number of opioid prescriptions per month

    Time frame: 3-months pre-intervention to 3-months post intervention

    Number of opioid prescriptions written

Sponsors and collaborators

Lead sponsor

University of Pittsburgh

Other

Registry information

Official study title

Effect of Peer Comparison Feedback on Opioid Prescribing by Emergency Medicine Providers

Important dates

Study start
2017
Primary completion
2017
Study completion
2017
First posted
Jun 12, 2017
Registry last updated
Dec 2, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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