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Improving Care of Osteoporosis: Multi-Modal Intervention to Increase Testing and Treatment (ICOMMIITT)

The University of Alabama at Birmingham logo

The University of Alabama at Birmingham

Status

Completed

Conditions

Osteoporosis

Treatments

Behavioral: Patient educational DVD and brochure
Behavioral: Physician web modules
Behavioral: System

Study type

Interventional

Funder types

Other

Identifiers

NCT00788632
X080219004

Details and patient eligibility

About

The purpose of this study is to rigorously test the incremental impact of simple, generalizable interventions to improve healthcare among older women at high risk for osteoporosis. Building on the experience of our University of Alabama at Birmingham (UAB) interdisciplinary team we have designed an innovative, scientifically rigorous, and highly feasible implementation research project in partnership with two Kaiser Permanente (KP) research centers. Kaiser Permanente, one of the Nation's largest Healthcare Organizations, uses an integrated electronic medical record (EMR), with full capture of pharmacy, clinical (including BMD results), and claims data, and cares for a racially/ethnically, socio-economically, and geographically diverse population. To address innovative questions in implementation research, we will perform a multi-modal group randomized trial involving over 18,000 patients seen by over 330 primary care providers (PCPs) at 25 KP facilities in the Northwest and Southeast. If proven effective, our system-centered and patient-centered approach will advance the state of implementation science and be applicable to evidence implementation in other musculoskeletal disorders and to other health care settings.

Enrollment

12,128 patients

Sex

Female

Ages

65+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • female
  • age 65 or older

Exclusion criteria

  • prior osteoporosis testing (BMD)
  • prior osteoporosis treatment

Trial design

Primary purpose

Prevention

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

12,128 participants in 3 patient groups

educational materials
Experimental group
Description:
Patient educational DVD and brochure
Treatment:
Behavioral: Patient educational DVD and brochure
physician education
Other group
Description:
Physician web modules
Treatment:
Behavioral: Physician web modules
System intervention
Experimental group
Description:
Self-referral letter with toll-free number provided
Treatment:
Behavioral: System

Trial contacts and locations

2

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Data sourced from clinicaltrials.gov

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