About this trial

The goal of this cluster randomized clinical trial is to test a clinician-targeted behavioral nudge intervention in the Electronic Health Record (EHR) for patients who are identified by a machine-learning based risk prediction model as having an elevated risk for an opioid overdose.

The clinical trial will evaluate the effectiveness of providing a flag in the EHR to identify individuals at elevated risk with and without behavioral nudges/best practice alerts (BPAs) as compared to usual care by primary care clinicians.

The primary goals of the study are to improve opioid prescribing safety and reduce overdose risk.

Eligibility criteria

Qualifiers

Received an opioid prescription within the past year

Age 18 years or older at the time of the opioid prescription

At least one visit to an internal medicine or family care practice within the past year

Disqualifiers

Diagnosis of malignant cancer within the past year

Enrollment in hospice care

Trial design

Treatments tested in this trial

  • EHR-Embedded Elevated-Risk Flag
  • EHR-Embedded Elevated-Risk Flag with Behavioral Nudges
  • Usual Care

Treatment groups

1,350 Participants
are divided into 3 treatment groups

Locations

1
University of Pittsburgh15213, PittsburghPennsylvania, United States

Sponsors and collaborators

University of Pittsburgh

Lead sponsor

National Institute on Drug Abuse (NIDA)

Collaborator