[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100644486":3},{"organization":4,"armGroups":7,"interventions":25,"overallOfficials":12,"centralContacts":39,"locations":45,"responsibleParty":59,"collaborators":63,"id":67,"slug":12,"hasResults":68,"nctId":69,"briefTitle":70,"officialTitle":71,"acronym":12,"eligibilityCriteria":72,"healthyVolunteers":68,"sex":73,"minAge":74,"maxAge":12,"enrollmentInfo":75,"targetDuration":12,"studyType":78,"phases":79,"briefSummary":81,"conditions":82,"keywords":86,"overallStatus":91,"whyStopped":12,"lastUpdateSubmitDate":92,"lastUpdatePostDateStruct":93,"startDateStruct":96,"completionDateStruct":98,"leadSponsor":100,"locationsCount":101},{"fullName":5,"class":6},"University of California, Los Angeles","OTHER",[8,13,20],{"label":9,"type":10,"description":11,"interventionNames":12},"Arm 1: Control","NO_INTERVENTION","Eligible, randomly assigned physicians use a basic order composer, which allows them to place referrals with minimal support.",null,{"label":14,"type":15,"description":16,"interventionNames":17},"Arm 2: Information + Review","EXPERIMENTAL","Eligible, randomly assigned physicians use an order composer that displays criteria for high-value referrals and informs them that their referral decisions may be reviewed.",[18,19],"Behavioral: Information provision","Behavioral: Auditing",{"label":21,"type":15,"description":22,"interventionNames":23},"Arm 3: Information + Review + Checklist","Eligible, randomly assigned physicians use an order composer that displays high-value referral criteria, informs them that their referral decisions may be reviewed, and includes cascading checkboxes prompting them to confirm that referral criteria are met before submitting.",[18,19,24],"Behavioral: Checklist",[26,31,35],{"type":27,"name":28,"description":29,"armGroupLabels":30,"otherNames":12},"BEHAVIORAL","Information provision","The order composer displays high-value criteria developed by UCLA Health using professional society guidelines and expert consensus from clinical leadership.",[14,21],{"type":27,"name":32,"description":33,"armGroupLabels":34,"otherNames":12},"Auditing","The order composer notifies physicians that their referral decisions may be subject to review.",[14,21],{"type":27,"name":36,"description":37,"armGroupLabels":38,"otherNames":12},"Checklist","The order composer includes cascading checkboxes that prompt physicians to confirm that referral criteria are met before submitting a referral. Physicians must actively indicate whether the patient meets referral criteria before submitting a referral. Physicians who determine that a referral remains clinically appropriate despite the patient not meeting listed criteria may select an option indicating that none of the listed criteria apply and provide a brief free-text explanation for proceeding with the referral.",[21],[40],{"name":41,"role":42,"phone":43,"phoneExt":12,"email":44},"Richard Leuchter, MD","CONTACT","310-948-8828","rleuchter@mednet.ucla.edu",[46],{"facility":47,"status":12,"city":48,"state":49,"zip":50,"country":51,"countryCode":52,"cosmosGeoPoint":53,"geoPoint":58,"contacts":12},"UCLA Health Department of Medicine","Los Angeles","California","90095","United States","US",{"type":54,"coordinates":55},"Point",[56,57],-118.24368,34.05223,{"lat":57,"lon":56},{"type":60,"investigatorFullName":61,"investigatorTitle":62,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"PRINCIPAL_INVESTIGATOR","Richard K. Leuchter, MD","Assistant Professor",[64],{"name":65,"class":66},"National Institute on Aging (NIA)","NIH","100644486",false,"NCT07671976","Applying the Intention-Action Framework to Specialty Referrals","Reducing Low-Value Care: Applying the Intention-Action Framework to Specialty Referrals","Inclusion Criteria:\n\n* UCLA Health physicians who have made at least one specialty referral to cardiology, pulmonology, or gastroenterology for patients in UCLA Health primary care registry during July-December 2025\n\nExclusion Criteria:\n\n* Physicians who are no longer actively practicing at UCLA Health as of July 1, 2026","ALL","18 Years",{"count":76,"type":77},1600,"ESTIMATED","INTERVENTIONAL",[80],"NA","This is a prospective randomized controlled trial evaluating an EHR-embedded behavioral intervention intended to reduce low-value specialty referrals in cardiology, pulmonology, and gastroenterology. The intervention is designed to (1) strengthen physicians' intentions to avoid low-value specialty referrals at the point of encounter by presenting criteria for high-value referrals and informing physicians that referral decisions may be reviewed and (2) support follow-through on these intentions by modifying the referral process through structured checklist prompts embedded within the referral workflow.\n\nThe primary hypothesis is that physicians exposed to the intervention will demonstrate lower rates of low-value cardiology, pulmonology, and gastroenterology referrals compared with physicians exposed to the arm where the order composer allows physicians to place referrals with minimal decision support.",[83,84,85],"Cardiology","Gastroenterology","Pulmonology",[87,88,89,90,83,85,84],"Low-value referral","Behavioral science","Physician decision-making","Quality improvement","NOT_YET_RECRUITING","2026-06-22",{"date":94,"type":95},"2026-06-26","ACTUAL",{"date":97,"type":77},"2026-07-01",{"date":99,"type":77},"2027-01-31",{"name":5,"class":6},1]