Prescribing Practices Feedback for Older Patients
(EQUIPPED Trial)

Recruiting in Palo Alto (17 mi)

+3 other locations

Overseen byGeorge Lee Jackson, PhD MHA

Age: Any Age

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Academic

Waitlist Available

Sponsor: VA Office of Research and Development

No Placebo Group

Trial Summary

What is the purpose of this trial?

This research is being conducted to learn which implementation strategy of EQUIPPED is most effective to improve prescribing practices of ED providers toward older Veterans and determine the factors influencing implementation of this program to reduce the prescribing of PIMs to older adults upon discharge from the ED. The study has three research aims. The procedures for these research aims are described below: * Aim 1 - Examining the Impact of Passive Provider Feedback vs. Active Provider Feedback Through a Randomized Trial * Aim 2 - Determination of Factors Affecting Organizational Adoption of EQUIPPED * Aim 3 - Micro-Costing the Active and Passive Feedback Versions of the EQUIPPED Intervention

Research Team

Elizabeth Camille Vaughan, MD MS

Principal Investigator

Atlanta VA Medical and Rehab Center, Decatur, GA

George Lee Jackson, PhD MHA

Principal Investigator

Durham VA Medical Center, Durham, NC

Eligibility Criteria

This trial is for prescribers and members of the EQUIPPED implementation team at VA Medical Centers that are starting to use EQUIPPED. It's focused on improving how doctors prescribe medication to older veterans in the emergency department (ED) to avoid inappropriate medications.

Inclusion Criteria

are not to prescribe more than a seven day supply of opioids for a new patient for any reason

will work with study coordinators to ensure that all EQUIPPED study procedures are followed

Exclusion Criteria

Providers at VA Medical Centers that are not part of the upcoming EQUIPPED implementation trial.

Treatment Details

Interventions

EQUIPPED with Active Feedback (Behavioural Intervention)
EQUIPPED with Passive Feedback (Behavioural Intervention)

Trial OverviewThe study tests two ways of giving feedback to ED providers using EQUIPPED: 'Passive Feedback' where they get general updates, and 'Active Feedback' with more direct guidance. The goal is to see which method better reduces unsuitable prescriptions for elderly patients.

Participant Groups

2Treatment groups

Active Control

Group I: Active FeedbackActive Control1 Intervention

EQUIPPED with active provider feedback, implementing one-to-one (1:1) in-person academic detailing from a professional colleague that includes in-person audit, feedback, and peer benchmarking and provide on-site expertise.

Group II: Passive FeedbackActive Control1 Intervention

EQUIPPED with passive provider feedback, implementing monthly provider feedback via an electronic dashboard with audit, feedback and peer benchmarking.