Outreach Visits to Optimize Chronic Care Management in General Practice: A Cluster Randomized Trial

NCT01297075 | Completed

• 1 other identifier: GP00990002
• Study Type: interventional
• Target: 189
• Locations: 1 country
• Sites: 2

Brief Summary

The aim of this project is to motivate and support general practice clinics in implementing the visions and recommendations presented in two of the disease specific programmes for chronic care management (for chronic obstructive lung disease and Type 2 diabetes). These programmes describe evidence based treatment and division of tasks between the municipalities, the hospitals and general practice. The Facilitator Project is funded by The Danish Ministry of Interior and Health.

Conditions

Chronic Disease

Keywords

Health Services Research; Chronic Care; Outreach Visits; Primary care; chronic disease management

Outcome Measures

Primary Outcomes (1)

• Change from baseline at 12 month in Annual systematic chronic disease follow up consultations

  Change in annual systematic chronic disease controls per person affiliated with a primary care at a period at baseline and at 12 month.

  Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)

Secondary Outcomes (4)

• ICPC diagnosis coding

  12 months

• Sentinel Data Capture

  12 months

• Stratification

  12 months

• Change from baseline and at 12 month in practices with low performance on annual systematic chronic disease follow up consultations.

  Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)

Study Arms (2)

Outreach visits

EXPERIMENTAL

Practices allocated to outreach visits may receive up to three outreach visits in order to motivate and support general practice clinics in implementing two chronic care programmes for chronic obstructive Pulmonary disease and Type 2 diabetes.

Behavioral: Outreach visits

Control (late intervention)

NO INTERVENTION

These practices are allocated to outreach visits after the initial evaluation stops at 12 months.

Interventions

Outreach visits BEHAVIORAL

The 16 facilitators in the project attend an educational programme designed to provide them with the necessary skills and tools for the task. The facilitators visit general practice clinics from March 2011 until the end of 2012. Each clinic is offered three visits. The facilitator is to act as a change agent who motivates and helps the clinic team in the process of defining common goals, and choosing the appropriate means for achieving them.

Outreach visits

Eligibility Criteria

• Age: 30 Years - 70 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• General Practices working in the capital region in Denmark

You may not qualify if:

• General Practices where the facilitator works.

Sponsors & Collaborators

• Research Unit Of General Practice, Copenhagen: lead
• Region Capital Denmark: collaborator

Study Sites (2)

Frans Boch Waldorff

Copenhagen, Capital Area, 1014, Denmark

Location

Research Unit of General Practice

Copenhagen, Capital, 1014, Denmark

Location

Related Publications (1)

• Due TD, Thorsen T, Kousgaard MB, Siersma VD, Waldorff FB. The effectiveness of a semi-tailored facilitator-based intervention to optimise chronic care management in general practice: a stepped-wedge randomised controlled trial. BMC Fam Pract. 2014 Apr 9;15:65. doi: 10.1186/1471-2296-15-65.

  PMID: 24716545 DERIVED

MeSH Terms

Conditions

Chronic Disease

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Frans B Waldorff, PhD

  Research Unit of General Practice

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Research Associate professor

Study Record Dates

• First Submitted: February 15, 2011
• First Posted: February 16, 2011
• Study Start: March 1, 2011
• Primary Completion: February 1, 2012
• Study Completion: April 1, 2012
• Last Updated: May 23, 2014

Record last verified: 2011-02

Locations

DK (2)