BehaviorNCT06465667
Improving Engagement With a Process Measure Dashboard Through Precision Feedback
A study testing Dashboard and Precision Feedback Push in people with Behavior, run by University of Michigan at 1 site in United States.
Trial summary
The study seeks to assess the impact of e-mailing specific, targeted, practice-pattern based information ("precision feedback") on provider engagement with a dashboard for a quality process measure (showing stent omission after pre-stented ureteroscopy), compared with generic information ("one size fits most"… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Behavior
- What is being tested?
- Dashboard and Precision Feedback Push
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 100 participants
- Where
- 1 siteUnited States
- Study dates
- 17 Jul 2024to 31 Oct 2025
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- -Urologists participating in MUSIC that were in the top one hundred individuals in annual case volume from 2023 for "pre-stented ureteroscopy", the case for which the dashboard contents are most relevant.
Who cannot join
- Urologists that are not in the top one hundred individuals in annual "pre-stented ureteroscopy" case volume, urologists in the study team, or that opt out from the study at the individual or site level.
Trial locations and contacts
1 site in 1 country.
About this study
The study seeks to assess the impact of e-mailing specific, targeted, practice-pattern based information ("precision feedback") on provider engagement with a dashboard for a quality process measure (showing stent omission after pre-stented ureteroscopy), compared with generic information ("one size fits most" feedback).
Read the detailed description
The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a state-wide, physician-led quality improvement collaborative comprised of over 40 urology practices representing varied practice sites within Michigan and nationally, designed to evaluate and improve the quality of urologic care.
A recently identified area for quality improvement within MUSIC is avoidance of placing ureteral stents following uncomplicated ureteroscopy and lithotripsy for kidney stones. Such unnecessary stents do not measurably increase post-operative safety, but rather have been shown to contribute to unnecessary emergency department visits. This process measure (stent omission after uncomplicated ureteroscopy) is the subject matter for the dashboard and will serve as the focus of precision feedback.
The study team hypothesizes that a behavior change intervention bundle consisting of "precision feedback" along with communication strategies to simplify access to feedback will increase dashboard engagement (measured via click-through rate and dashboard logins) compared with standard "one size fits most" e-mail messages. Knowledge gained from this study will inform the development of other precision feedback programs within our urology quality improvement collaborative (MUSIC), and provide a framework for rapid, pragmatic trials for small to mid-sized collaborative quality initiatives nationally.
- Conditions
- Behavior
- Being tested
- Dashboard, Precision Feedback Push
- Keywords
- Ureteral stent omission, Ureteral stent placement, Behavior change, Dashboard, Precision feedback
- Medical subject headings
- Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DashboardBehavioural
The Dashboard intervention, representing current standard of care, will consist of a standard e-mail message with a link to the dashboard and text explanation. No performance data will be included in the e-mail, and links will not be monitored for clickthrough with repeat e-mail.
Precision Feedback PushBehavioural
The experimental intervention, precision feedback e-mail messaging, will consist of an e-mail with a link to the dashboard along with tailored information about a participant's performance in the quality process measure of interest. For example, e-mail subject lines may read "You have room for improvement in stent omission," accompanied by a visual display in the body of the e-mail showing a participant's performance relative to a top performing peer. The behavior change intervention delivery component will also involve modifications to existing procedures. Namely, performance feedback will be reported directly in the e-mail as either plain text, or an embedded or attached image with graphed data.
| Study group | Role | What they receive |
|---|---|---|
| Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months) | Experimental | Months 0-3 dashboard only, months 3-15 months dashboard with Precision feedback. Receives: Behavioral: Dashboard; Behavioral: Precision Feedback Push |
| Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months) | Experimental | Months 0-6 dashboard only, months 6-15 months dashboard with Precision feedback. Receives: Behavioral: Dashboard; Behavioral: Precision Feedback Push |
| Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months) | Experimental | Months 0-9 dashboard only, months 9-15 months dashboard with Precision feedback. Receives: Behavioral: Dashboard; Behavioral: Precision Feedback Push |
| Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months) | Experimental | Months 0-12 dashboard only, months 12-15 months dashboard with Precision feedback. Receives: Behavioral: Dashboard; Behavioral: Precision Feedback Push |
What is being measured
The primary outcome is the main question the study is designed to answer.
Clickthrough rate to the online dashboard
Clickthrough is defined as a link ever being clicked in the three months following e-mail send date, at which point in time a new e-mail will be sent. Clickthrough rate will be calculated as the number of clickthroughs divided by number of links sent (i.e., opportunities for clickthrough).
Measured: Every 3 months up to 15 months
Secondary outcomes (6)
Total number of dashboard visits
Dashboard visits captured by Google Analytics.
Measured: 15 months
Cumulative time (minutes) spent on the dashboard
Time spent will be captured by Google Analytics.
Measured: 15 months
Urologist opt-out rate
Measured: 15 months
Helpful/not helpful rate
There will be one question if the intervention was helpful or not.
Measured: 15 months
Stent rate for pre-stented ureteroscopy
Measured: 15 months
E-mail open rate
E-mail open rate will be measured as number of e-mail opens divided by number of e-mails sent.
Measured: Every 3 months up to 15 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted20 Jun 2024
- Study start17 Jul 2024
- Primary completion31 Oct 2025
- Study completion31 Oct 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for BehaviorStudies of the same condition, open and under way.
- More trials run by University of MichiganThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Model description
- This is be a stepped wedge randomized controlled trial of precision feedback. One hundred urologists will be randomized into four groups, stratified by case volume. The trial will consist of four steps of three months each, at the beginning of which one group will cross over from control to intervention arm. This is preceded by a three-month pre-rollout period, comprising a total study length of 15 months. The duration of the trial was chosen based on a desire to deliver "rapid" results to inform the scale-up of the intervention, and to mirror the period of time over which a typical dashboard project may be conceived, designed, and delivered. Case volume may predict dashboard engagement, stenting practices, and privileged awareness of ongoing study efforts, and is therefore suitable for stratification.
- Masking
- None (open label)
- Enrolment
- 100 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Michigan
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kristian Stensland, University of Michigan
- Investigators
- Kristian Stensland, MD, Principal investigator, University of Michigan
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06465667
- Sponsor's protocol ID
- HUM00248876
- Status last verified
- Jan 2026
- First submitted
- 13 Jun 2024
- Last updated
- 12 Jan 2026
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Lewicki P, Clark S, Shoemaker E, Wang B, Ross J, Daignault-Newton S, Carlozzi N, Martin-Schwarze A, Meurer W, Sales A, Ghani K, Dauw C, Stensland K. Rationale and protocol for a prospective clinical trial enrollment improvement hybrid study within a trial. Contemp Clin Trials Commun. 2025 Sep 20;48:101548. doi: 10.1016/j.conctc.2025.101548. eCollection 2025 Dec.
PubMed 41050879Lewicki P, Salka B, Daignault-Newton S, Ross J, Krumm A, Ghani KR, Dauw C, Landis-Lewis Z, Stensland KD; Michigan Urological Surgery Improvement Collaborative. Rapid cycle, randomised testing of precision feedback to improve engagement with a process measure dashboard amongst urologists: study protocol for a hybrid trial. BMJ Open. 2025 May 6;15(5):e092742. doi: 10.1136/bmjopen-2024-092742.
PubMed 40335130
Study at a glance
From the registry record, last updated by the sponsor on 12 Jan 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Improving Engagement With a Process Measure Dashboard Through Precision Feedback
- ClinicalTrials.gov ID
- NCT06465667
- Acronym / sponsor ID
- HUM00248876
- Conditions
- Behavior
- Keywords
- Ureteral stent omission, Ureteral stent placement, Behavior change, Dashboard, Precision feedback
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 100 participants (actual)
- Lead sponsor
- University of MichiganUniversity, hospital or other
- Study start
- 17 Jul 2024 (actual)
- Primary completion
- 31 Oct 2025 (actual)
- Study completion
- 31 Oct 2025 (actual)
- First posted
- 20 Jun 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The study seeks to assess the impact of e-mailing specific, targeted, practice-pattern based information ("precision feedback") on provider engagement with a dashboard for a quality process measure (showing stent omission after pre-stented ureteroscopy), compared with generic information ("one size fits most" feedback).
Detailed description
The Michigan Urological Surgery Improvement Collaborative (MUSIC) is a state-wide, physician-led quality improvement collaborative comprised of over 40 urology practices representing varied practice sites within Michigan and nationally, designed to evaluate and improve the quality of urologic care.
A recently identified area for quality improvement within MUSIC is avoidance of placing ureteral stents following uncomplicated ureteroscopy and lithotripsy for kidney stones. Such unnecessary stents do not measurably increase post-operative safety, but rather have been shown to contribute to unnecessary emergency department visits. This process measure (stent omission after uncomplicated ureteroscopy) is the subject matter for the dashboard and will serve as the focus of precision feedback.
The study team hypothesizes that a behavior change intervention bundle consisting of "precision feedback" along with communication strategies to simplify access to feedback will increase dashboard engagement (measured via click-through rate and dashboard logins) compared with standard "one size fits most" e-mail messages. Knowledge gained from this study will inform the development of other precision feedback programs within our urology quality improvement collaborative (MUSIC), and provide a framework for rapid, pragmatic trials for small to mid-sized collaborative quality initiatives nationally.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- None (open label)
- Number of arms
- 4
- Model description
- This is be a stepped wedge randomized controlled trial of precision feedback. One hundred urologists will be randomized into four groups, stratified by case volume. The trial will consist of four steps of three months each, at the beginning of which one group will cross over from control to intervention arm. This is preceded by a three-month pre-rollout period, comprising a total study length of 15 months. The duration of the trial was chosen based on a desire to deliver "rapid" results to inform the scale-up of the intervention, and to mirror the period of time over which a typical dashboard project may be conceived, designed, and delivered. Case volume may predict dashboard engagement, stenting practices, and privileged awareness of ongoing study efforts, and is therefore suitable for stratification.
| Arm | Type | Receives |
|---|---|---|
| Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months) | Experimental | Behavioral: Dashboard, Behavioral: Precision Feedback PushMonths 0-3 dashboard only, months 3-15 months dashboard with Precision feedback. |
| Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months) | Experimental | Behavioral: Dashboard, Behavioral: Precision Feedback PushMonths 0-6 dashboard only, months 6-15 months dashboard with Precision feedback. |
| Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months) | Experimental | Behavioral: Dashboard, Behavioral: Precision Feedback PushMonths 0-9 dashboard only, months 9-15 months dashboard with Precision feedback. |
| Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months) | Experimental | Behavioral: Dashboard, Behavioral: Precision Feedback PushMonths 0-12 dashboard only, months 12-15 months dashboard with Precision feedback. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- -Urologists participating in MUSIC that were in the top one hundred individuals in annual case volume from 2023 for "pre-stented ureteroscopy", the case for which the dashboard contents are most relevant.
Key exclusion criteria (1 listed)
- Urologists that are not in the top one hundred individuals in annual "pre-stented ureteroscopy" case volume, urologists in the study team, or that opt out from the study at the individual or site level.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| DashboardThe Dashboard intervention, representing current standard of care, will consist of a standard e-mail message with a link to the dashboard and text explanation. No performance data will be included in the e-mail, and links will not be monitored for clickthrough with repeat e-mail. | Behavioural | Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months), Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months), Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months), Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months) |
| Precision Feedback PushThe experimental intervention, precision feedback e-mail messaging, will consist of an e-mail with a link to the dashboard along with tailored information about a participant's performance in the quality process measure of interest. For example, e-mail subject lines may read "You have room for improvement in stent omission," accompanied by a visual display in the body of the e-mail showing a participant's performance relative to a top performing peer. The behavior change intervention delivery component will also involve modifications to existing procedures. Namely, performance feedback will be reported directly in the e-mail as either plain text, or an embedded or attached image with graphed data. | Behavioural | Group 1 dashboard (3 months) then dashboard with Precision feedback (12 months), Group 2 dashboard (6 months) then dashboard with Precision feedback (6 months), Group 3 dashboard (9 months) then dashboard with Precision feedback (6 months), Group 4 dashboard (12 months) then dashboard with Precision feedback (3 months) |
Primary outcome
Clickthrough rate to the online dashboard
Time frame: Every 3 months up to 15 months
Clickthrough is defined as a link ever being clicked in the three months following e-mail send date, at which point in time a new e-mail will be sent. Clickthrough rate will be calculated as the number of clickthroughs divided by number of links sent (i.e., opportunities for clickthrough).
6 secondary outcomes
Total number of dashboard visits
Time frame: 15 months
Cumulative time (minutes) spent on the dashboard
Time frame: 15 months
Urologist opt-out rate
Time frame: 15 months
Helpful/not helpful rate
Time frame: 15 months
Stent rate for pre-stented ureteroscopy
Time frame: 15 months
E-mail open rate
Time frame: Every 3 months up to 15 months
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 12 Jan 2026.
- Background: PubMed 41050879Lewicki P, Clark S, Shoemaker E, Wang B, Ross J, Daignault-Newton S, Carlozzi N, Martin-Schwarze A, Meurer W, Sales A, Ghani K, Dauw C, Stensland K. Rationale and protocol for a prospective clinical trial enrollment improvement hybrid study within a trial. Contemp Clin Trials Commun. 2025 Sep 20;48:101548. doi: 10.1016/j.conctc.2025.101548. eCollection 2025 Dec.
- Derived from this study: PubMed 40335130Lewicki P, Salka B, Daignault-Newton S, Ross J, Krumm A, Ghani KR, Dauw C, Landis-Lewis Z, Stensland KD; Michigan Urological Surgery Improvement Collaborative. Rapid cycle, randomised testing of precision feedback to improve engagement with a process measure dashboard amongst urologists: study protocol for a hybrid trial. BMJ Open. 2025 May 6;15(5):e092742. doi: 10.1136/bmjopen-2024-092742.
- Individual participant dataSharing planned: No
Related trials for Behavior
Recruiting
Postoperative Delirium and Analgesia in Elderly Patients
Postoperative Delirium, Postoperative Pain, Acute
Not yet recruiting
New Smoking Cessation Intervention in Primary Care - a Randomized Controlled Trial
Smoking Cessation, Smoking Cessation Counselling
Active, not recruiting
Improving Emotional Wellbeing of University Students: Emotion Regulation
Emotion Regulation
Not yet recruitingObservational study
Assessing the Impact of Perceptions of Unpredictability on Objective Measures of Food Consumption and Metabolism
Healthy Volunteer, Obestity
RecruitingObservational study
Olfactory Function and Model-Based Behavior in People Living With HIV and SUD
HIV, Substance Use Disorder
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kristian Stensland, MD principal investigator
University of Michigan
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Dashboard and Precision Feedback Push in people with Behavior, run by University of Michigan at 1 site in United States.
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 1 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 12 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
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?
Clickthrough rate to the online dashboard (time frame: Every 3 months up to 15 months). 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 NCT06465667, which also lists 2 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 12 Jan 2026.