Feedback Reports and e-Learning in Primary Care Spirometry

NCT00962455 | Completed Phase 4

• 1 other identifier: UMCN-CARA-0001113
• Study Type: interventional
• Target: 1,135
• Locations: 1 country
• Sites: 1

Brief Summary

Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.

Conditions

Respiratory Tract Diseases; Pulmonary Disease, Chronic Obstructive; Asthma

Keywords

Spirometry; Family Practice; Randomized Controlled Trial; Feedback; Intervention Studies

Outcome Measures

Primary Outcomes (1)

• Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC

  12 months prospective follow-up

Secondary Outcomes (3)

• Proportions of tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria

  12 months prospective follow-up

• Proportions of spirometry tests with ≥2 blows meeting 2005 ERS/ATS end-of-test criteria

  12 months prospective follow-up

• Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000)

  12 months prospective follow-up

Study Arms (2)

e-learning & performance feedback

EXPERIMENTAL

Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality

Other: e-learning & performance feedback

Usual practice

ACTIVE COMPARATOR

Usual practice regarding spirometry execution in family practice

Other: usual practice

Interventions

e-learning & performance feedback OTHER

Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality

e-learning & performance feedback

usual practice OTHER

Usual practice regarding spirometry execution in family practice

Usual practice

Eligibility Criteria

• Age: 10 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')
• purchased spirometer through this support service
• have implemented spirometry as a part of routine patient care
• registered in one of the participating family practices
• performed a spirometry test as a part of routine care during the observation period of the study

You may not qualify if:

• age \< 10 years

Sponsors & Collaborators

• Radboud University Medical Center: lead
• Quartz Transmural Centre for the Helmond Region: collaborator
• Elkerliek Hospital: collaborator

Study Sites (1)

Radboud University Nijmegen Medical Centre, Department of Primary and Community Care

Nijmegen, 6500 HB, Netherlands

Location

MeSH Terms

Conditions

Respiratory Tract Diseases; Pulmonary Disease, Chronic Obstructive; Asthma

Condition Hierarchy (Ancestors)

Lung Diseases, Obstructive; Lung Diseases; Chronic Disease; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Bronchial Diseases; Respiratory Hypersensitivity; Hypersensitivity, Immediate; Hypersensitivity; Immune System Diseases

Study Officials

• Tjard R Schermer, PhD

  Radboud University Medical Center

  PRINCIPAL INVESTIGATOR

• Alan J Crockett, PhD

  The University of Adelaide

  PRINCIPAL INVESTIGATOR

• Willem Pieters, MD, PhD

  Elkerliek Hospital

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: phase 4
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: August 17, 2009
• First Posted: August 20, 2009
• Study Start: November 1, 2007
• Primary Completion: November 1, 2008
• Study Completion: April 1, 2009
• Last Updated: August 20, 2009

Record last verified: 2009-08

Locations

NL (1)