NCT03183882

Peer Comparison Feedback on Opioid Prescribing

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

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 49 (actual)
• Sponsor: University of Pittsburgh · Academic / Other
• Sex: All
• Age: 18 Years – 99 Years
• Healthy volunteers: Not accepted

Summary

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

Detailed description

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

Conditions

• Opioid Use

Interventions

Type	Name	Description
BEHAVIORAL	Personal Feedback	One-time summary report of their individual history of opioid prescribing over the past 14 months
BEHAVIORAL	Peer Normative Comparison Feedback	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

Timeline

• Start date: 2017-08-07
• Primary completion: 2017-09-28
• Completion: 2017-09-28
• First posted: 2017-06-12
• Last updated: 2017-12-02

Locations

1 site across 1 country: United States