Your session is about to expire
← Back to Search
EHR Tools to Reduce Unsafe Prescriptions for Aging Adults (NUDGE-EHR Trial)
N/A
Waitlist Available
Led By Niteesh K Choudhry, MD, PhD
Research Sponsored by Brigham and Women's Hospital
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 12 months
Awards & highlights
NUDGE-EHR Trial Summary
This trial found that using EHR tools, informed by behavioral economics, can help reduce prescribing of unsafe medications for older adults.
Who is the study for?
This trial is for primary care providers at Mass General Brigham, focusing on their patients aged 65 or older who have been prescribed a high volume of benzodiazepines or sedative hypnotics recently. The goal is to improve prescription practices and reduce drug-related side effects in these older adults.Check my eligibility
What is being tested?
The study tests decision support tools embedded in EHR systems designed to help doctors prescribe safer medication alternatives for older adults. It uses behavioral economics principles with interventions like follow-up alerts and pre-commitment strategies to enhance alert effectiveness.See study design
What are the potential side effects?
While the trial itself doesn't involve medications that cause direct side effects, it aims to reduce adverse reactions from unsafe prescriptions such as confusion, excessive sleepiness, hospitalizations, falls, and fractures among elderly patients.
NUDGE-EHR Trial Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 12 months
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~12 months
Treatment Details
Study Objectives
Outcome measures can provide a clearer picture of what you can expect from a treatment.Primary outcome measures
Reduction in inappropriate prescribing
Secondary outcome measures
Quantity of high-risk medication prescribed
Other outcome measures
Occurrence of clinically-significant adverse drug events
Pharmaceutical Preparations
NUDGE-EHR Trial Design
3Treatment groups
Experimental Treatment
Active Control
Group I: Open Encounter + Pre-commitmentExperimental Treatment2 Interventions
There will be an enhanced EHR alert, known as a Best Practice Advisory [BPA], which will appear on each provider's EHR screen. We will also test a two-staged pre-commitment BPA in which the providers are prompted to discuss risks of the high-risk medications and share a handout about risks with their patients.
Group II: Open Encounter + Follow-up boosterExperimental Treatment2 Interventions
There will be an enhanced EHR alert, known as a Best Practice Advisory [BPA], which will appear on each provider's EHR screen. We will add a boostering option in the enhanced BPA, which is a provider-directed option for a follow-up in-basket message sent 4 weeks after the BPA is triggered.
Group III: No Alert (Usual Care)Active Control1 Intervention
Providers randomized to usual care will receive no intervention.
Find a Location
Who is running the clinical trial?
Brigham and Women's HospitalLead Sponsor
1,611 Previous Clinical Trials
11,470,318 Total Patients Enrolled
Massachusetts General HospitalOTHER
2,929 Previous Clinical Trials
13,198,104 Total Patients Enrolled
National Institutes of Health (NIH)NIH
2,696 Previous Clinical Trials
6,952,338 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- Not applicable.I am 65 or older and have been prescribed over 90 sedative pills in the last 6 months.
Research Study Groups:
This trial has the following groups:- Group 1: Open Encounter + Follow-up booster
- Group 2: Open Encounter + Pre-commitment
- Group 3: No Alert (Usual Care)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
Frequently Asked Questions
These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
Is this trial currently enrolling participants?
"Clinicaltrials.gov suggests that this clinical trial is still in search of participants; the original posting date was November 10th 2022, with a most recent update on November 14th 2022."
Answered by AI
How many participants are currently eligible for this research endeavor?
"Affirmative. The information on clinicaltrials.gov demonstrates that this investigation, initially posted on November 10th 2022, is currently recruiting participants. Approximately 190 patients are needed from 1 site for the study to be successful."
Answered by AI
Who else is applying?
What portion of applicants met pre-screening criteria?
Did not meet criteria
Share this study with friends
Copy Link
Messenger