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Physician Survey Response RatesNCT00853918

Clinical Practice Intensity: Comparing Veterans Affairs (VA) to Private Sector Physicians

A study testing $20 cash, $50 cash and $50 check in people with Physician Survey Response Rates, run by VA Office of Research and Development.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a national physician mail survey examining primary care practice patterns. The experimental component of the study (the clinical trial) is a randomized trial of different monetary incentive forms and amounts for physicians invited to participate in the study. Read more about this study

Who is it for?
Any age
Conditions the study is for
Physician Survey Response Rates
What is being tested?
$20 cash, $50 cash and $50 check
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,000 participants
Where
No sites listed yet
Study dates
1 Jun 2009to 1 Dec 2010
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

  • Primary care general internists in the United States, identified through the AMA Physician Masterfile, who practice at least 20 hours per week are eligible to participate.
  • All physicians included in the sample to whom the survey packets are mailed will be included in the analysis of the incentive experiment, except those for whom a survey packet is returned as undeliverable and those non-respondents identified through follow-up procedures as non-locatable, deceased, or retired.

Who cannot join

  • Physicians self-identified in the AMA Masterfile as medical subspecialists or hospitalists are excluded from the sample.

About this study

Official title: Clinical Practice Intensity: Comparing VA to Private Sector Providers

This is a national physician mail survey examining primary care practice patterns. The experimental component of the study (the clinical trial) is a randomized trial of different monetary incentive forms and amounts for physicians invited to participate in the study. Only non-VA physicians will be included in this part of the study. (VA physicians are not allowed to receive monetary incentives.) Physicians will be randomized to receive one of four incentives. The main outcome measure is the response rate.

Read the detailed description

This primary care physician survey is being conducted by Harris Interactive, an international survey research firm working collaboratively under contract to VA investigators heading the study. Surveys will be mailed to a random sample of 1000 non-VA primary care general internists practicing 20 or more clinical hours per week, identified via the Physician Masterfile of the American Medical Association.

The initial survey mailing, delivered via USPS Priority Mail, will include a cover letter inviting the physician to participate, a 12-page survey booklet (including a cover page, a 9-page survey, and 2 blank pages), a monetary incentive, and a prepaid addressed return envelope. The survey is estimated to take 20 minutes to complete. All survey recipients will also have the opportunity, as part of the survey, to request information about practice patterns in their community. Harris Interactive will randomly assign all invited (non-VA) physicians to receive one of four incentives, included in the initial survey mailing.

Non-responders will be contacted two additional times (at approximately 2 and 4 weeks following the initial mailing) by telephone and by mail. Subsequent mailings will include the survey, a cover letter, and a stamped addressed return envelope, but no monetary incentive.

Response rates will be compared between the four arms of the trial; between check v. cash; and between different denominations.

Being tested
$20 cash, $50 cash, $50 check, $100 check
Keywords
Physician survey, Mail survey, Response rate

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • $20 cashOther

    $20 cash incentive mailed with survey

  • $50 cashOther

    $50 cash incentive mailed with survey

  • $50 checkOther

    $50 check incentive mailed with survey

  • $100 checkOther

    $100 check incentive mailed with survey

Study groups in NCT00853918
Study groupRoleWhat they receive
$20 CashExperimentalNot described
Receives: Other: $20 cash
$50 CashExperimentalNot described
Receives: Other: $50 cash
$50 CheckExperimentalNot described
Receives: Other: $50 check
$100 CheckExperimentalNot described
Receives: Other: $100 check

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Survey response rate

    Measured: 2 weeks, 2 months (primary), and 6 months after initial mailing

Secondary outcomes (1)
  1. Item non-response rates

    Measured: 2 weeks, 2 months (primary), and 6 months after initial mailing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted2 Mar 2009 (estimated)
  2. Study start1 Jun 2009
  3. Primary completion1 Jun 2010
  4. Study completion1 Dec 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
1,000 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00853918
Sponsor's protocol ID
IIR 03-242
Other IDs
DMS-17632
Status last verified
Oct 2017
First submitted
27 Feb 2009
Last updated
6 Oct 2017
Results posted
No
Data monitoring committee
No

Publications

  • Sirovich BE, Gottlieb DJ, Welch HG, Fisher ES. Regional variations in health care intensity and physician perceptions of quality of care. Ann Intern Med. 2006 May 2;144(9):641-9. doi: 10.7326/0003-4819-144-9-200605020-00007.

    PubMed 16670133
  • Robertson DJ, Sirovich BE. Colorectal cancer risk following a negative colonoscopy. JAMA. 2006 Nov 22;296(20):2437; author reply 2437-8. doi: 10.1001/jama.296.20.2437-a. No abstract available.

    PubMed 17119136
  • Sirovich BE, Woloshin S, Schwartz LM. Too Little? Too Much? Primary care physicians' views on US health care: a brief report. Arch Intern Med. 2011 Sep 26;171(17):1582-5. doi: 10.1001/archinternmed.2011.437.

    PubMed 21949169

Questions about this trial

What is this clinical trial studying?

A study testing $20 cash, $50 cash and $50 check in people with Physician Survey Response Rates, run by VA Office of Research and Development.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Oct 2017. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Survey response rate (time frame: 2 weeks, 2 months (primary), and 6 months after initial mailing). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00853918, which also lists 3 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Oct 2017.

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