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We aim to determine if descriptive normative feedback of peer prescribing reduces opioid analgesic prescribing by emergency medicine providers
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
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Normative Peer Comparison | Experimental | One-time summary report of 14-month individual history of opioid prescribing WITH comparisons to (a) other providers at their site and (2) other providers at 15 ED sites with similar prescribing |
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| Control Feedback | Active Comparator | One-time summary report of their individual history of opioid prescribing |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Personal Feedback | Behavioral | One-time summary report of their individual history of opioid prescribing over the past 14 months |
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| Measure | Description | Time Frame |
|---|---|---|
| Normative beliefs | How much, relative to other emergency providers, do they prescribe opioids? | Pre-post intervention |
| Number of opioid prescriptions per month | Number of opioid prescriptions written | 3-months pre-intervention to 3-months post intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Pittsburgh Medical Center Emergency Department | Pittsburgh | Pennsylvania | 15261 | United States |
No plan to share
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| Peer Normative Comparison Feedback | Behavioral | 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 |
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