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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 is a NA study that has completed, run by Northwestern University. The registered enrollment target is 664 participants.

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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.

Interventions

  • BEHAVIORAL Clinical decision support

Trial Details

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

Sponsor

Northwestern University

1,209 total trials

What the Registry Record Tells You About NCT03704389

The ClinicalTrials.gov registry entry for NCT03704389 describes a study currently listed as completed, categorized as NA. The registered enrollment target is 664 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is Northwestern University, which has 1,209 total studies on file at ClinicalTrials.gov.

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

NCT03704389 reports 0 study locations.

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.

Data sourced from official public datasets. See our methodology for details. Retrieved and formatted by PlainTrial Editorial

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