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NCT04104256 · ClinicalTrials.gov registry record · NA

Using Behavioral Economics to Reduce Low-Value Care

A NA study, sponsored by University of California, Los Angeles.

Completed
Registry status
NA
Development phase
1,045
Enrollment target

NCT04104256 is a NA study that has completed, run by University of California, Los Angeles. The registered enrollment target is 1,045 participants.

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The verdict

NCT04104256, a NA study, has completed, sponsored by University of California, Los Angeles.

COMPLETED
Registry status
NA
Development phase
1,045 participants
Enrollment target

Study Summary

There is strong consensus - based on robust randomized trial data - that routine pre-operative (pre-op) testing for cataract surgery is inappropriate. Despite these widely endorsed evidence-based recommendations, most seniors undergoing cataract surgery still receive unnecessary blood testing, EKGs, and chest X-rays (CXRs); another substantial percentage even undergo nonindicated cardiac stress tests. We will integrate three new best practice alert (BPA) nudges into the University of California, Los Angeles (UCLA) Health electronic health record (EHR). The nudges are informed by behavioral economic theory and are designed to alter the choice architecture for physicians to decrease the rate of pre-op test ordering while still preserving clinician autonomy. We will conduct a pragmatic trial to evaluate whether these BPA nudges reduce low-value pre-op testing for cataract surgery.

Interventions

  • OTHER Usual Care
  • BEHAVIORAL Nudge #1: Alert highlighting the safety/potential harms to patients of undergoing pre-op tests
  • BEHAVIORAL Nudge #2: Alert highlighting the financial harms to the patient experiencing pre-op tests
  • BEHAVIORAL Nudge #3: Alert highlighting potential psychological harms to the patient of experiencing pre-op tests

Trial Details

FieldValue
Enrollment Target 1,045 participants
Start Date 2021-06-24
Est. Completion 2023-08-14
Phase NA

What the Registry Record Tells You About NCT04104256

The ClinicalTrials.gov registry entry for NCT04104256 describes a study currently listed as completed, categorized as NA. The registered enrollment target is 1,045 participants, a figure that helps gauge the scale of data the investigators plan to collect. The listed sponsor is University of California, Los Angeles, which has 897 total studies on file at ClinicalTrials.gov.

The record links to 0 conditions, and to 4 interventions - of which Usual Care is the first listed.

NCT04104256 reports 0 study locations.

Frequently Asked Questions

What is clinical trial NCT04104256 about?

NCT04104256 is a clinical study titled "Using Behavioral Economics to Reduce Low-Value Care". There is strong consensus - based on robust randomized trial data - that routine pre-operative (pre-op) testing for cataract surgery is inappropriate. Despite these widely endorsed evidence-based recommendations, most seniors undergoing cataract surgery still receive unnecessary blood testing, EKGs,...

What is the current status of trial NCT04104256?

This trial is currently completed. It is a NA study. The enrollment target is 1,045 participants. The study started on 2021-06-24. Estimated completion is 2023-08-14.

What interventions are being tested in trial NCT04104256?

The interventions under investigation include: Usual Care (OTHER), Nudge #1: Alert highlighting the safety/potential harms to patients of undergoing pre-op tests (BEHAVIORAL), Nudge #2: Alert highlighting the financial harms to the patient experiencing pre-op tests (BEHAVIORAL), Nudge #3: Alert highlighting potential psychological harms to the patient of experiencing pre-op tests (BEHAVIORAL).

Who is sponsoring clinical trial NCT04104256?

This trial is sponsored by University of California, Los Angeles, which has 897 total clinical trials registered on ClinicalTrials.gov.

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

Every figure on PlainTrial is rendered directly from the ClinicalTrials.gov registry, no number is typed in by an editor. This page mirrors this trial's own ClinicalTrials.gov registry record, live from the dataset. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.