NCT03110692

✓ Unanimous Initial: hospital Requery: other — The intervention (radiation treatment) is delivered across an outpatient network of 5 radiation oncology sites, which constitute ambulatory/outpatient care rather than an inpatient hospital admission.

✓ Unanimous Initial: hospital Requery: other — This is a radiation oncology intervention delivered at outpatient radiation treatment facilities across the Penn Radiation Oncology network, which constitutes outpatient clinic settings rather than inpatient hospital care.

✓ Unanimous Initial: other Requery: other — The intervention is delivered in outpatient settings within a network of radiation oncology clinics, not requiring hospital admission.

✓ Unanimous Initial: yes Requery: no — The tested intervention is a behavioral quality improvement initiative to change prescribing defaults, not the radiation therapy itself which serves as the clinical context.

✓ Unanimous Initial: no Requery: no — This study tests a behavioral intervention (default prescription template) to reduce imaging frequency during radiation treatment, not radiation therapy itself as the intervention being tested. Thinking: no — The trial tests a behavioral intervention (default prescription template) to reduce imaging frequency during radiation treatment, not testing radiation therapy itself as the intervention.

✓ Unanimous Initial: no Requery: yes — The trial tests a behavioral intervention aimed at optimizing radiation therapy practices. Thinking: no — The study tests a behavioral default template to reduce daily imaging during standard palliative radiation, not the radiation treatment itself as an experimental therapy.

✓ Unanimous Initial: no

✓ Unanimous Initial: yes Requery: no — This study tests a default prescription template to reduce unnecessary daily imaging during radiation treatment - the intervention is a health services/quality improvement initiative, not palliative care consultation or service delivery itself.

✓ Unanimous Initial: no Requery: no — The intervention involves introducing a default prescription template in the palliative setting to reduce unnecessary imaging during radiation, not palliative care itself.

✓ Unanimous Initial: no Requery: yes — The primary outcome measures the rate of daily imaging, which is a healthcare utilization and feasibility metric rather than a direct measure of patient symptoms, quality of life, dignity, or cost.

✓ Unanimous Initial: yes Requery: yes — The primary outcome measures healthcare utilization (daily imaging frequency) which is a feasibility/implementation metric rather than symptom, quality of life, dignity, or cost outcomes.

✓ Unanimous Initial: yes Requery: yes — The outcome measures the reduction of unnecessary daily imaging, which is a feasibility and process improvement metric, not covered by symptom, QoL, dignity, or cost categories.