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Prescribing Practices Feedback for Older Patients (EQUIPPED Trial)

N/A

Waitlist Available

Led By George Lee Jackson, PhD MHA

Research Sponsored by VA Office of Research and Development

Eligibility Criteria Checklist

Specific guidelines that determine who can or cannot participate in a clinical trial

Must have

Timeline

Screening 3 weeks

Treatment Varies

Follow Up 12-months post implementation of equipped

Awards & highlights

No Placebo-Only Group

Summary

This trial is looking at whether presenting information to doctors about their prescribing practices will influence whether they prescribe fewer potentially harmful medications to older adults. They will also look at what factors make it more likely for a hospital to adopt this program.

Who is the study for?

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.

What is being tested?

The 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.

What are the potential side effects?

Since this trial focuses on prescribing practices rather than a specific medication, it doesn't have traditional side effects. However, changes in prescription habits may affect patient outcomes, which will be closely monitored.

Timeline

Screening ~ 3 weeks3 visits

Treatment ~ Varies

Follow Up ~ 12-months post implementation of equipped

Screening ~ 3 weeks

Treatment ~ Varies

Follow Up ~12-months post implementation of equipped

This trial's timeline: 3 weeks for screening, Varies for treatment, and 12-months post implementation of equipped for reporting.

Treatment Details

Study Objectives

Study objectives can provide a clearer picture of what you can expect from a treatment.

Primary study objectives

Percentage of PIMs Prescribed

Secondary study objectives

Impact of EQUIPPED on Behavior Change and Factors Impacting Implementation

Micro-Costing the Active and Passive Feedback Versions of the EQUIPPED Intervention

Awards & Highlights

No Placebo-Only Group

All patients enrolled in this study will receive some form of active treatment.

Trial Design

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.

Do I qualify?Apply below to find out