The Design and Evaluation of a Message-Based Feedback System to Change The Behavior of General Practitioners to Reduce Prescription of Dexamethasone to Outpatients
In our study, we will try to find a solution to rationalize Dexamethasone prescribing. In this RCT study, Short Messages Sending (SMS) regarding the harms associated with injecting Dexamethasone will be sent to the patients. We also will send one SMS every ten days to the physicians about the percentage of injection form of Dexamethasone in their prescriptions.
Methodology: This study will be performed with baseline control group in four phases. In phase one, all previous prescriptions issued in a given period (2016 /20/3 to 2016 /20/ 6) by selected physicians in Daralshafa clinic who had prescribed dexamethasone will be collected. During phase two, SMS associated with the side effects of Dexamethasone will be sent to the patients in the intervention group. Message content will ask patients not to request physicians to prescribe dexamethasone. In phase three, SMSs will be sent to the selected physicians in the intervention group which show the percentage of prescribed dexamethasone in their prescriptions. Finally, statistical analysis of the collected data will be done to determine the effect of the SMS on prescribing Dexamethasone.
General information
Acronym
IRCT registration information
IRCT registration number:IRCT2017020532395N1
Registration date:2017-11-20, 1396/08/29
Registration timing:retrospective
Last update:
Update count:0
Registration date
2017-11-20, 1396/08/29
Registrant information
Name
Marjan Rasoulian kasrineh
Name of organization / entity
Mashhad University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 51 3800 2429
Email address
rasouliankm941@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Vice chancellor for Research, Mashhad University of Medical Sciences
Expected recruitment start date
2016-11-05, 1395/08/15
Expected recruitment end date
2017-04-04, 1396/01/15
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The Design and Evaluation of a Message-Based Feedback System to Change The Behavior of General Practitioners to Reduce Prescription of Dexamethasone to Outpatients
Public title
The Design and Evaluation of a Message-Based Feedback System to Change The Behavior of General Practitioners to Reduce Prescription of Dexamethasone to Outpatients
Purpose
Basic scienece
Inclusion/Exclusion criteria
Inclusion:
All physicians working in the clinic Daroshafa and All patients referred to the clinic Daroshafa
Exclusion:
None.
Age
No age limit
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
19
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Single blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Table of random numbers
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
University of Medical Sciences of Mashhad
Street address
University Street
City
Mashhad
Postal code
Approval date
2016-07-20, 1395/04/30
Ethics committee reference number
IR.mums.fm.REC.1395.195
Health conditions studied
1
Description of health condition studied
Index prescription
ICD-10 code
z74.9
ICD-10 code description
Problem related to care-provider dependency, unspecified
Primary outcomes
1
Description
Percent of dexamethasone prescription
Timepoint
Befor and after the intervation
Method of measurement
The number of prescription that have dexamethasone divide by entire prescription
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group:
Physicians who prescribed dexamethasone were divided into two groups according to the median Prescribing percentage, each of which was divided into two groups Intervention and control are divided into. Three months to the patients of the intervention group and three months later, the physicians of the intervention group and their patients received SMS with the subject of non-application and inappropriate dexamethasone Prescribing
Category
Behavior
2
Description
Control group:
this group wont received any feedback.
Category
Treatment - Drugs
Recruitment centers
1
Recruitment center
Name of recruitment center
Clinic Daroshafa
Full name of responsible person
Dr Akhvan
Street address
Mashhad, Astan Quds Razavi Therapy Institute, Clinic daroshafa
City
Mashhad
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Vice chancellor for Reserch of Mashhad university of medical sciences
Full name of responsible person
Mohsen Tafaghodi
Street address
Daneshgah St, Centeral Building of Mashhad University of Medical Sciences
City
Mashhad
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice chancellor for Reserch of Mashhad university of medical sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty
Person responsible for general inquiries
Contact
Name of organization / entity
Mashhad University Of Medical Sciences
Full name of responsible person
Marjan Rasoulian Kasrineh
Position
Msc Student
Other areas of specialty/work
Street address
Department Of Medical Informatics, Faculty Of Medicine
City
Mashhad
Postal code
Phone
+98 51 3500 2429
Fax
Email
Rasouliankm941@mums.ac.ir
Web page address
Person responsible for scientific inquiries
Contact
Name of organization / entity
Mashhad University Of Medical Sciences
Full name of responsible person
Mohammad Reza Hasibian
Position
Msc Of Artificial Intelligence
Other areas of specialty/work
Street address
Department Of Medical Informatics, Faculty Of Medicine
City
Mashhad
Postal code
Phone
+98 51 3800 2429
Fax
Email
HasibianMR@mums.ac.ir
Web page address
Person responsible for updating data
Contact
Name of organization / entity
Mashhad University Of Medical Sciences
Full name of responsible person
Marjan Rasoulian Kasrineh
Position
Msc Student
Other areas of specialty/work
Street address
City
Mashhad
Postal code
Phone
+51 55 225150
Fax
Email
Rasouliankm941@mums.ac.ir
Web page address
Sharing plan
Deidentified Individual Participant Data Set (IPD)