Evaluation of Case Management to Improve the Outpatient Care of Alcohol-related Disorders

NCT00314067 | Completed

• 1 other identifier: BMBF-01EB0412
• Study Type: interventional
• Target: 112
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to disseminate and transfer the comprehensive quality management interventions (CQM) for alcohol-related disorders in primary care developed during the first funding phase into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized controlled trial.

Conditions

Alcohol-related Disorders

Keywords

Quality of Health Care; Primary Health Care; Education; E-Learning; Alcohol-related Disorders

Outcome Measures

Primary Outcomes (2)

• Acceptance of the CQM-system: Number of actively participating practices

• Adherence to the system: relative numbers of screened, documented and followed-up patients

Secondary Outcomes (1)

• Quality of care provided: Patients that are adequately treated and followed-up

Study Arms (3)

1

EXPERIMENTAL

Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care; Procedure: Physician training

2

EXPERIMENTAL

Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care; Procedure: Physician training; Procedure: Practice team training

3

ACTIVE COMPARATOR

Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care

Interventions

Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care PROCEDURE

1; 2; 3

Physician training PROCEDURE

1; 2

Practice team training PROCEDURE

2

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• General practitioner
• Possibility to use broad-band internet

You may not qualify if:

• none

Sponsors & Collaborators

• University Hospital Freiburg: lead

Study Sites (2)

Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy

Freiburg im Breisgau, 79104, Germany

Location

University Hospital for Psychiatry and Psychotherapy, Tübingen

Tübingen, 72076, Germany

Location

Related Publications (9)

• Harter M, Bermejo I, Kratz S, Schneider F. [Continuing education and quality management measures for the implementation of clinical practice guidelines]. Z Arztl Fortbild Qualitatssich. 2003 Nov;97 Suppl 4:67-73. German.

  PMID: 14710670 BACKGROUND

• Mänz C, Berner M, Lorenz G, Härter M, Bermejo I, Berger M, Buchkremer G, Mundle G. Projekt AQAH: Ambulantes Qualitätsmanagement alkoholbezogener Störungen beim Hausarzt. Suchtmedizin 5(1): 1-8, 2003.

  BACKGROUND

• Mänz C, Berner M, Härter M, Lorenz G, Mundle G. Akzeptieren Patienten Screening-Fragebögen für alkoholbezogene Störungen? Nervenarzt 74(2): 261, 2003.

  BACKGROUND

• Harter M, Bermejo I, Schneider F, Gaebel W, Niebling W, Berger M. [Comprehensive ambulatory care quality management for patients with depressive disorders]. Z Arztl Fortbild Qualitatssich. 2003 Nov;97 Suppl 4:9-15. German.

  PMID: 14710664 BACKGROUND

• Berner MM, Habbig S, Harter M. [Quality of guidelines for the treatment of alcohol related disorders -- a systematic review and content analysis]. Fortschr Neurol Psychiatr. 2004 Dec;72(12):696-704. doi: 10.1055/s-2004-830097. German.

  PMID: 15580534 BACKGROUND

• Berner M, Mundle G, Lorenz G, Härter M. Möglichkeiten der Frühintervention bei alkoholbezogenen Störungen in der hausärztlichen Praxis. Suchttherapie 5: 70-75, 2004.

  BACKGROUND

• Berner MM, Zeidler C, Kriston L, Mundle G, Lorenz G, Harter M. [Diagnostic and treatment approaches to alcohol-related disorders]. Fortschr Neurol Psychiatr. 2006 Mar;74(3):157-64. doi: 10.1055/s-2005-870949. German.

  PMID: 16528639 BACKGROUND

• Berner MM, Bentele M, Kriston L, Manz C, Clement HW, Harter M, Mundle G. DOVER and QUVER-new marker combinations to detect and monitor at-risk drinking. Alcohol Clin Exp Res. 2006 Aug;30(8):1372-80. doi: 10.1111/j.1530-0277.2006.00163.x.

  PMID: 16899040 BACKGROUND

• Ruf D, Berner M, Kriston L, Lohmann M, Mundle G, Lorenz G, Niebling W, Harter M. Cluster-randomized controlled trial of dissemination strategies of an online quality improvement programme for alcohol-related disorders. Alcohol Alcohol. 2010 Jan-Feb;45(1):70-8. doi: 10.1093/alcalc/agp079. Epub 2009 Nov 4.

  PMID: 19889887 DERIVED

MeSH Terms

Conditions

Alcohol-Related Disorders

Interventions

Ethanol; Primary Health Care

Condition Hierarchy (Ancestors)

Substance-Related Disorders; Chemically-Induced Disorders; Mental Disorders

Intervention Hierarchy (Ancestors)

Alcohols; Organic Chemicals; Comprehensive Health Care; Patient Care Management; Health Services Administration

Study Officials

• Martin Härter, Prof. Dr. Dr.

  Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy

  PRINCIPAL INVESTIGATOR

• Michael Berner, Dr.

  Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy

  PRINCIPAL INVESTIGATOR

• Daniela Ruf, Dipl. Psych.

  Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy

  STUDY CHAIR

• Götz Mundle, PD Dr.

  Oberbergklinik, Hornberg and University Hospital for Psychiatry and Psychotherapy, Tübingen

  STUDY CHAIR

• Monika Lohmann, Dipl. Psych.

  University Hospital for Psychiatry and Psychotherapy, Tübingen

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: April 10, 2006
• First Posted: April 12, 2006
• Study Start: July 1, 2006
• Primary Completion: May 1, 2007
• Study Completion: August 1, 2007
• Last Updated: October 18, 2013

Record last verified: 2008-06

Locations

DE (2)