A Randomized Trial Testing the Effect of Narrative Vignettes Versus Guideline Summaries on Provider Response to a Professional Organization Clinical Policy for Safe Opioid Prescribing

摘要: Study objective Clinical guidelines are known to be underused by practitioners. In response the challenges of treating pain amid a prescription opioid epidemic, American College Emergency Physicians (ACEP) published an evidence-based clinical policy for prescribing in 2012. Evidence-based narratives, effective method communicating health information variety settings, offer novel strategy disseminating physicians and engaging providers with evidence. We compare whether narrative vignettes embedded ACEP daily e-newsletter improved dissemination members, engagement members policy, compared traditional summary text. Methods A prospective randomized controlled study, titled Stories Promote Information Using Narrative trial, was performed. Derived from qualitative interviews 61 physicians, 4 were selected refined, using consensus panel implementation experts. All then block state residence receive alternative versions e-mailed newsletter total 24 days during 9-week period. newsletters contained selection that referenced dilemmas. Control descriptive text about length appearance similar vignettes. Embedded Web links complete vignette or text, as well additional full site providing assistance drug monitoring program enrollment. The otherwise identical. Outcomes measured percentage subjects who visited any pages guideline-related odds unique physician visiting these study. Results There 27,592 randomized, 21,226 received study When each counted once period, there 509 visitors group 173 control (4.8% versus 1.6%; difference 3.2%; 95% confidence interval [CI] 2.7% 3.7%). 744 gross visits 3 248 (7.0% 2.3%; ratio 3.2; CI 2.7 3.6). During one informational sites 3.1 (95% 2.6 Conclusion Among national sample emergency outperformed guideline promoting related prescriptions.