The SPIN Trial (Stories to Promote Information through Narrative): A RCT testing

SPIN 试验（通过叙事促进信息的故事）：RCT 测试

• 批准号: 8462873
• 负责人: ZACHARY Franklin MEISEL
• 金额: $ 10万
• 依托单位: AMERICAN COLLEGE OF EMERGENCY PHYSICIANS
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-05 至 2016-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8462873
• 关键词: SPIN; Trial; Stories; Promote; Information

DESCRIPTION (provided by applicant): The SPIN Trial (Stories to Promote Information through Narrative) A RCT testing narratives for the dissemination of a national guideline for opioid prescription use in emergency medicine Abstract The SPIN Trial (Stories to Promote Information Using Narrative) is a mixed-methods randomized controlled dissemination trial to test an innovative strategy using written narratives to promote dissemination and utilization of evidence-based guidelines related to opioid prescriptions for emergency physicians. In May 2012, the American College of Emergency Physicians (ACEP) will release evidence-based guidelines to support clinical decisions related to opioid prescriptions for emergency physicians who treat patients with pain. This guideline was developed, in part, due to a national epidemic of unintentional drug overdoses from prescribed opioids. Emergency physicians are one of the highest prescriber groups for this class of medication. Dissemination and implementation of clinical guideline recommendations are notoriously inefficient. The goal of this application is to test two dissemination strategies for the new prescription opioid guideline: narrative and summary. Based on previous investigations, we hypothesize that emergency physicians who are exposed to stories, developed to maximize known characteristics of narrative persuasion, will be more likely to read, recall and intend-to- adopt guideline recommendations compared to those who are exposed to routine summary descriptions alone. This study will have three phases. Phase One will used semi-structured interviews to elicit knowledge gaps, attitudes and beliefs related to opioid prescriptions among emergency physicians. Narratives will then be developed based on these data and known characteristics of narrative persuasion. Phase Two will randomize 30,000 ACEP members to receive a well-read daily e-newsletter containing the narratives or other summary content related to the guideline. Outcomes measured will include use of online hyperlinks to open the guideline and use of an online registration mechanism for enrollment in state sponsored prescription drug monitoring programs (PDMPs), a guideline recommendation. These outcomes reflect dissemination and intention-to-adopt. Phase Three will use qualitative methods to measure post-trial knowledge and intention-to-adopt guideline recommendations, stratified by randomization arm. The SPIN Trial represents an opportunity to test a novel strategy around the dissemination of evidence for an important patient-centered topic.

描述（申请人提供）：SPIN审判（通过叙述促进信息的故事）一项RCT测试叙述，用于传播急诊医学中阿片类药物处方使用的国家指南摘要SPIN试验（故事，以促进信息使用叙事）是一个混合-方法随机对照传播试验，以测试一种创新的策略，使用书面叙述，以促进传播和利用与急诊医生阿片类药物处方有关的循证指南。2012年5月，美国急诊医师学会（ACEP）将发布循证指南，以支持治疗疼痛患者的急诊医师与阿片类药物处方相关的临床决策。制定该指南的部分原因是由于处方阿片类药物的无意药物过量在全国流行。急诊医生是此类药物处方率最高的群体之一。众所周知，临床指南建议的传播和实施效率低下。本申请的目的是测试新处方阿片类药物指南的两种传播策略：叙述和总结。根据以前的调查，我们假设，急诊医生谁是暴露于故事，开发，以最大限度地提高叙事说服的已知特征，将更有可能阅读，回忆和打算采用的指南建议相比，那些谁是暴露于常规的摘要描述单独。这项研究将分为三个阶段。第一阶段将使用半结构化访谈，以了解急诊医生与阿片类药物处方相关的知识差距，态度和信念。然后将根据这些数据和叙事说服的已知特征开发叙事。第二阶段将随机抽取30，000名ACEP成员，让他们每天收到一份内容丰富的电子通讯，其中包含与指南相关的叙述或其他摘要内容。衡量的结果将包括使用在线超链接打开指南，并使用在线注册机制参加州赞助的处方药监测计划（PDMP），这是一项指南建议。这些成果反映了传播和采用的意向。第三阶段将使用定性方法来衡量试验后的知识和意向采纳指南的建议，分层随机armb. The SPIN试验代表了一个机会，以测试一个新的策略，围绕一个重要的以患者为中心的主题的证据传播。