The Effect of a Checklist on the Quality of Education During Insulin Initiation by Trained Medical Students

NCT02313805 | Unknown

• 1 other identifier: UndergradStudy
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

Diabetes prevalence continues to rise worldwide, leading to the increasing use of insulin. This especially applies to developing countries where the needle-and-syringe method of administration remains the most affordable and effective form of hyperglycemic treatment. Competent health care professionals are required to ensure safe insulin initiation. The investigators will evaluate a teaching intervention on insulin initiation for medical students, and whether after experiencing that intervention the use of a checklist, during simulate insulin initiation, improves the education they provide to patients.

Conditions

Diabetes Mellitus

Keywords

Insulin initiation; Insulin checklist

Outcome Measures

Primary Outcomes (1)

• The total number of educational points addressed for the safe and effective use of insulin (of the possible 21 specified)

  2 years

Secondary Outcomes (1)

• The number of educational points addressed under each of the four educational domains: insulin side effects, recognition and treatment of hypoglycemia, administration of insulin, and drawing up insulin using the syringe method.

  2 years

Study Arms (2)

With checklist

EXPERIMENTAL

Students will simulate insulin initiation with the aid of a checklist

Other: Checklist

Without checklist

NO INTERVENTION

Students will simulate insulin initiation without the aid of a checklist

Interventions

Checklist OTHER

The checklist is a simple A4 size, two sided, document. Eleven checklist items covering twenty-one key educational points are on the front. Images illustrating the process of using a syringe to draw up insulin from a vial as well as injection sites (for children, adults and pregnant women) are on the back.

Also known as: Insulin initiation checklist

With checklist

Eligibility Criteria

• Age: 17 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Undergraduate students in their final-year medicine clerkship at the University of the West Indies, who are within one year of starting supervised post-graduate employment (internship).
• Students who consent to participate in the study (voluntary participation only).

You may not qualify if:

• Students who refuse consent to participate in the study.

Sponsors & Collaborators

• The University of The West Indies: lead

Study Sites (1)

The University of the West Indies, Cave Hill Campus

Bridgetown, Saint Michael, Barbados

RECRUITING

Related Publications (10)

• 1. International Diabetes Federation. IDF Diabetes Atlas 6th Edition <http://www.idf.org/diabetesatlas>. Accessed May. 2013.

  BACKGROUND

• 2. [Anonymous]IDF Diabetes Atlas. Fifth Edition ed. 2011.

  BACKGROUND

• Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998 Sep 12;352(9131):837-53.

  PMID: 9742976 BACKGROUND

• Qaseem A, Humphrey LL, Sweet DE, Starkey M, Shekelle P; Clinical Guidelines Committee of the American College of Physicians. Oral pharmacologic treatment of type 2 diabetes mellitus: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2012 Feb 7;156(3):218-31. doi: 10.7326/0003-4819-156-3-201202070-00011.

  PMID: 22312141 BACKGROUND

• American Diabetes Association. Standards of medical care in diabetes--2014. Diabetes Care. 2014 Jan;37 Suppl 1:S14-80. doi: 10.2337/dc14-S014. No abstract available.

  PMID: 24357209 BACKGROUND

• 6. Gawande A. The Checklist Manifesto: How to Get Things Right. NY: Metropolitan Books, 2009.

  BACKGROUND

• Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011 Mar;86(3):307-13. doi: 10.1097/ACM.0b013e31820824cd.

  PMID: 21248608 BACKGROUND

• 8. Harden, J.,P.Collins, R.M. AMEE medical education guide no. 13: Real patients, simulated patients and simulators in clinical examinations. Med Teach. 1998; 20:508-521.

  BACKGROUND

• Cleland JA, Abe K, Rethans JJ. The use of simulated patients in medical education: AMEE Guide No 42. Med Teach. 2009 Jun;31(6):477-86. doi: 10.1080/01421590903002821.

  PMID: 19811162 BACKGROUND

• 10. Kirkpatrick DL, Kirkpatrick JD. Implementing the Four Levels: A Practical Guide for Effective Evaluation of Training Programs. 235 Montgomery Street, Suite 650, San Francisco, CA 94104-2916: Berrett-Koehler Publishers, Inc., 2007.

  BACKGROUND

MeSH Terms

Conditions

Diabetes Mellitus

Interventions

Checklist

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases

Intervention Hierarchy (Ancestors)

Data Collection; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation

Study Officials

• Charles G Taylor Jr, MBBS MA MRCP

  University of the West Indies, Cave Hill

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Amanda M Worme, MBBS

CONTACT

(246) 230-8658; amanda.worme@gmail.com

Charles G Taylor Jr., MBBS MA MRCP

CONTACT

(246) 253-7871; charles.taylor@cvehill.uwi.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 8, 2014
• First Posted: December 10, 2014
• Study Start: July 1, 2014
• Primary Completion: July 1, 2016
• Last Updated: December 10, 2014

Record last verified: 2014-11

Locations

BA (1)