Condition category
Not Applicable
Date applied
23/01/2004
Date assigned
23/01/2004
Last edited
22/02/2008
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Not provided at time of registration

Trial website

Contact information

Type

Scientific

Primary contact

Prof Martin Eccles

ORCID ID

Contact details

Centre for Health Services Research
University of Newcastle Upon Tyne
21 Claremont Place
Newcastle Upon Tyne
NE2 4AA
United Kingdom
+44 (0)191 222 6780
martin.eccles@ncl.ac.uk

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

PSI B-9

Study information

Scientific title

Acronym

Study hypothesis

Our aim was to evaluate the effectiveness of two methods of changing general practitioners' radiology ordering behaviour as active strategies for implementing the Royal College of Radiologists (RCR) guidelines. One of these (audit and feedback) is widely used alone and is of questionable effectiveness and the other (investigation specific prompts) is seldom used routinely but of unknown impact in combination with audit and feedback. The prior hypothesis was that either intervention alone would be more effective than the control intervention (a postal copy of the guidelines) and that both interventions together would be more effective than either alone.

Ethics approval

Not provided at time of registration

Study design

Randomised controlled trial

Primary study design

Interventional

Secondary study design

Randomised controlled trial

Trial setting

Hospitals

Trial type

Screening

Patient information sheet

Condition

Radiology referrals

Intervention

1. Control - postal paper copy of guidelines covering radiographs of the knee and lumbar spine
2. Intervention practices received in addition postal audit and feedback on use of the target investigations and investigation specific educational reminder messages about the relevant use of the investigation

Intervention type

Other

Phase

Not Specified

Drug names

Primary outcome measures

The main study outcome was the rate of ordering of x-rays measured over two 12 month periods, the second of which formed the intervention period.

Secondary outcome measures

Secondary outcomes were a costing study from the perspective of radiology departments and an assessment of the concordance of x-ray requests with criteria derived from guidelines.

Overall trial start date

01/10/1997

Overall trial end date

31/01/2000

Reason abandoned

Eligibility

Participant inclusion criteria

The study was based in six radiology departments (in both district general and teaching hospitals) in the north east of England and Grampian region in Scotland. All 247 general practices, with the exception of one university practice, that were served entirely by these radiology departments were included in the study.

Participant type

Patient

Age group

Not Specified

Gender

Not Specified

Target number of participants

244

Participant exclusion criteria

Not provided at time of registration

Recruitment start date

01/10/1997

Recruitment end date

31/01/2000

Locations

Countries of recruitment

United Kingdom

Trial participating centre

Centre for Health Services Research
Newcastle Upon Tyne
NE2 4AA
United Kingdom

Sponsor information

Organisation

Record Provided by the NHS R&D 'Time-Limited' National Programme Register - Department of Health (UK)

Sponsor details

The Department of Health
Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Sponsor type

Government

Website

http://www.doh.gov.uk

Funders

Funder type

Government

Funder name

NHS Primary and Secondary Care Interface National Research and Development Programme (UK)

Alternative name(s)

Funding Body Type

Funding Body Subtype

Location

Results and Publications

Publication and dissemination plan

Not provided at time of registration

Intention to publish date

Participant level data

Not provided at time of registration

Results - basic reporting

Publication summary

Results:
1. http://www.ncbi.nlm.nih.gov/pubmed/11356439
2. http://www.ncbi.nlm.nih.gov/pubmed/12662955

Publication citations

  1. Eccles M, Steen N, Grimshaw J, Thomas L, McNamee P, Soutter J, Wilsdon J, Matowe L, Needham G, Gilbert F, Bond S, Effect of audit and feedback, and reminder messages on primary-care radiology referrals: a randomised trial., Lancet, 2001, 357, 9266, 1406-1409, doi: 10.1016/S0140-6736(00)04564-5.

  2. Ramsay CR, Eccles M, Grimshaw JM, Steen N, Assessing the long-term effect of educational reminder messages on primary care radiology referrals., Clin Radiol, 2003, 58, 4, 319-321.

Additional files

Editorial Notes