Stephanie W. Edmonds|Fredric D. Wolinsky|Alan J. Christensen|Xin Lü|Michael P. Jones|Douglas Roblin|Kenneth G. Saag|Peter Cram
The PAADRN Study: A design for a randomized controlled practical clinical trial to improve bone health
University of Iowa|University of Iowa|University of Iowa|University of Iowa|University of Iowa|Kaiser Permanente|University of Alabama at Birmingham|University of Iowa|Iowa City VA Health Care System
describe rationale design nih funded randomized controlled trial patient activation dxa result notification paadrn study aim trial evaluate effect direct mailing dualenergy xray absorptiometry dxa results bone density testing centers patients patients knowledge treatment selfefficacywe enroll approximately 7500 patients presenting dxa three study sites university iowa university alabama birmingham kaiser permanente atlanta georgia randomize providers respective patients either intervention arm usual care patients randomized intervention group receive letter dxa results educational brochure randomized usual care receive dxa results according standard practice seven discrete outcomes changes baseline 12weeks andor 52weeks postdxa 1 guideline concordant pharmacologic nonpharmacologic therapy 2 knowledge dxa results 3 osteoporosisspecific knowledge 4 general healthrelated quality life 5 satisfaction bonerelated health care 6 patient activation 7 osteoporosisspecific selfefficacythis trial offer evidence impact novel approachdirecttopatient mailing test resultsto improve patient activation bone health care results inform clinical practice communication dxa test results