Effects of Provider Commitments to Choose Wisely
Public ClinicalTrials.gov record NCT03411525. Field values are reproduced from the official study page; the official ClinicalTrials.gov record remains the source of truth for eligibility, enrollment, and contact information.
Data is sourced from official ClinicalTrials.gov public API records. Always review the official ClinicalTrials.gov record for the latest information.
Official title
Provider, Patient, and Health System Effects of Provider Commitments to Choose Wisely
Brief summary
Reproduced verbatim from the official ClinicalTrials.gov record. Not medical advice.
Clinicians' decisions to order potentially unnecessary services -- such as those targeted in the Choosing Wisely® campaign -- are often affected by their high-pressure practice environments, which can make it hard to consistently avoid ordering low-value care. The field of behavioral economics offers a promising and highly scalable approach to decreasing use of low-value services: asking clinicians to commit to avoid ordering such services and providing them and their patients with resources to support adherence to this commitment. This project will evaluate the effects of such an intervention across 2 large health systems, Michigan Medicine and IHA, through a mixed-methods, stepped wedge cluster randomized trial. In each of the study clinics, clinicians will be invited to commit to following a set of targeted Choosing Wisely® recommendations. Clinicians who make such a commitment, and their patients, will receive access to key resources to support adherence to this commitment. To measure the effects of the intervention, automated clinical data and medical record data before and after the intervention will be examined. Surveys and semi-structured interviews of both clinicians and patients will also be conducted to determine the effects of the intervention on their decision-making and experiences.
Study identification
- NCT ID
- NCT03411525
- Recruitment status
- Completed
- Study type
- Interventional
- Phase
- Not applicable
- Enrollment
- 489 participants
Conditions and interventions
Conditions
Interventions
- Commitment Invitation for Clinicians (Clinician Intervention) Behavioral
- Health Education Materials to Patients (Patient Intervention) Other
Behavioral · Other
Eligibility (public fields only)
- Age range
- 18 Years and older
- Sex
- All
- Healthy volunteers
- Accepts healthy volunteers
This page does not interpret eligibility. Detailed inclusion and exclusion criteria are on the official ClinicalTrials.gov record.
Study timeline
- Start date
- Jan 25, 2018
- Primary completion
- Oct 31, 2018
- Completion
- Feb 27, 2019
- Last update posted
- Mar 6, 2019
2018 – 2019
United States locations
- U.S. sites
- 9
- U.S. states
- 1
- U.S. cities
- 4
| Facility | City | State | ZIP | Site status |
|---|---|---|---|---|
| IHA Family & Internal Medicine - West Arbor | Ann Arbor | Michigan | 48103 | — |
| IHA Internal Medicine - Domino's Farms | Ann Arbor | Michigan | 48105 | — |
| Michigan Medicine Briarwood Medical Group | Ann Arbor | Michigan | 48108 | — |
| Michigan Medicine East Ann Arbor Health and Geriatrics Center | Ann Arbor | Michigan | 48109 | — |
| University of Michigan Medical School | Ann Arbor | Michigan | 48109 | — |
| Michigan Medicine Brighton Health Center | Brighton | Michigan | 48116 | — |
| IHA Family & Internal Medicine - Cherry Hill | Canton | Michigan | 48187 | — |
| Michigan Medicine Canton Health Center | Canton | Michigan | 48187 | — |
| IHA Internal Medicine - Towsley | Ypsilanti | Michigan | 48197 | — |
Site contact phone numbers, emails, and investigator names are intentionally not displayed here. Open the official ClinicalTrials.gov record for site contact information.
About this trial record page
- What this page shows
- Public field values for ClinicalTrials.gov record NCT03411525, including study identification, conditions, interventions, eligibility (age, sex, healthy volunteer), timeline, and U.S. site list.
- What this page does not do
- No medical advice, eligibility judgments, treatment recommendations, study quality scoring, or AI-generated medical summaries. No site contact phone numbers, emails, or investigator names.
- Where the data comes from
- Sourced from the official ClinicalTrials.gov public API. The official record is the source of truth.
- Last refresh
- Last update posted Mar 6, 2019 · Synced Sep 4, 2026
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Open the official record
The complete protocol, eligibility criteria, and contact information for NCT03411525 live on ClinicalTrials.gov.