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NCT03704389 · ClinicalTrials.gov registry record · NA

Behavioral Economics Applications to Geriatrics Leveraging EHRs

A NA study, sponsored by Northwestern University.

Completed
Registry status
NA
Development phase
664
Enrollment target

NCT03704389: Completed NA study, sponsored by Northwestern University.

NCT03704389 is a NA study that has completed, run by Northwestern University. The registered enrollment target is 664 participants, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (53% lower). According to ClinicalTrials.gov, the official US trial registry.

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The verdict

NCT03704389, a NA study, has completed, sponsored by Northwestern University.

COMPLETED
Registry status
NA
Development phase
664 participants
Enrollment target

Study Summary

The risks and benefits of many diagnostic approaches and treatments differ for older adults compared to middle aged adults. When diagnostic and therapeutic strategies are misapplied to older adults this can lead to increased morbidity and mortality. Well established examples where clinicians do not often follow best practices in the care of older adults include those identified by the American Geriatrics Society for the Choosing Wisely initiative: 1) testing and treatment for asymptomatic bacteriuria, 2) prostate specific antigen testing in older men without prostate cancer, and 3) overuse of insulin or oral hypoglycemics for type 2 diabetes. Clinical decision support nudges, informed by social psychology and delivered via electronic health records (EHRs), are promising strategies to reduce the misuse of services in cases where optimal utilization may not be zero but should be well below current practice. These interventions seek to influence conscious and unconscious drivers of clinical decision making, are low cost to implement and disseminate, and can be incorporated into existing delivery systems. In the R21 phase of this Behavioral Economics Applications to Geriatrics Leveraging EHRs (BEAGLE) study, we will: select EHR delivered nudges to address 3 topics of potential misuse in older adults based on the main psychological drivers of overuse identified in interviews with high-using clinicians; develop and pilot test decision support tools within a health systems' EHR to understand technical feasibility, work flow fit, preliminary impact on clinical outcomes, and clinician acceptability; and develop and validate electronic clinical quality measures of potential overuse/misuse related to the care of older adults.

Primary Outcome

Percentage of women patients aged 65 years and older who underwent a urinalysis and/or urine culture for suspected urinary tract infection (UTI) who did not have genitourinary specific symptoms

Interventions

  • BEHAVIORAL Clinical decision support

Trial Details

FieldValue
Enrollment Target 664 participants
Start Date 2019-01-17
Est. Completion 2019-08-18
Phase NA
Northwestern University

1,209 total trials

What the finished NCT03704389 record still lists

NCT03704389 is an interventional study that assigns participants to a tested intervention. The registered 664 participants enrollment target is mid-sized for trials with a published cap, below the 1,404-participant average among 58,714 other NA trials with a reported enrollment target (53% lower).

The record links to 0 conditions, and to 1 intervention - of which Clinical decision support is the first listed.

NCT03704389 does not publish any study locations in the registry export this page uses.

Frequently Asked Questions

What is clinical trial NCT03704389 about?

NCT03704389 is a clinical study titled "Behavioral Economics Applications to Geriatrics Leveraging EHRs". The risks and benefits of many diagnostic approaches and treatments differ for older adults compared to middle aged adults. When diagnostic and therapeutic strategies are misapplied to older adults this can lead to increased morbidity and mortality. Well established examples where clinicians do not ...

What is the current status of trial NCT03704389?

This trial is currently completed. It is a NA study. The enrollment target is 664 participants. The study started on 2019-01-17. Estimated completion is 2019-08-18.

What interventions are being tested in trial NCT03704389?

The interventions under investigation include: Clinical decision support (BEHAVIORAL).

Who is sponsoring clinical trial NCT03704389?

This trial is sponsored by Northwestern University, which has 1,209 total clinical trials registered on ClinicalTrials.gov.

How this trial's enrollment target compares

Where NCT03704389's enrollment target sits among peer trials

664 155th of 2000 higher than 1,846 of 2,000 other NA trials

participants (enrollment target), bucketed by value

Each bar is a band; taller bars hold more other NA trials. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count and share, and where it sits relative to this entry.

Source ClinicalTrials.gov registry export · 2026-08-08

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Source: ClinicalTrials.gov NCT03704389, the US trial registry maintained by the National Library of Medicine. NCT03704389 (mid enrollment · none site footprint · completed) retrieved and formatted by PlainTrial, see methodology.