Addressing Origins of the Opioid Epidemic by Improving Prescribing for Opioid-Naive Patients

Completed · Not applicable

Conditions studied: Opioid Use, Opioid-Related Disorders, Opioid Abuse, Prescription Drug Abuse and Dependency

In brief

Risk of long-term opioid dependence increases with initial opioid dose/duration, but despite recent Centers for Disease Control and Prevention (CDC)-endorsed minimum doses for initial opioid prescription, primary care providers are likely to overprescribe. In this quality improvement project, primary care departments at Weill Cornell and the Institute for Family Health (federally qualified health center in New York City) will implement an unobtrusive "nudge" in their electronic prescribing software to promote the CDC-endorsed low doses for all opioids. In the evaluation, we will employ a quasi-experimental design with rigorous interrupted time series analysis methods to assess the effect of the "nudge" on prescribing rates. The analysis will be performed at the provider level, with deidentified physician data and a limited data set (fully deidentified except for date of prescription) of patient-level data.

Key facts

Study ID
NCT03377855
Run by
Weill Medical College of Cornell University
People needed
948
Starts
2018-02-01
Expected to finish
2019-12-31
Last updated by the study team
2020-02-24

Who can join

Age: 18 and older, up to 89. Sex: any. Healthy volunteers: accepted.

You may qualify if…

You may not qualify if…

Where it is running

Full record on ClinicalTrials.gov

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