Effect of Enhanced Feedback to Hospitals in an Emerging Clinical Information Network
1 other identifier
interventional
900
1 country
12
Brief Summary
A cluster randomised pragmatic trial will be conducted within an emerging clinical information network composed of 12 Kenyan county hospitals. Hospitals will be randomised to an enhanced feedback intervention delivered over a nine-month period and compared to standard feedback. The trial to be implemented during a phase of implementing change in guideline recommendations for pneumonia will assess the impact of enhanced feedback on hospital uptake of the revised pneumonia treatment recommendations.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2016
Shorter than P25 for not_applicable
12 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2016
CompletedFirst Submitted
Initial submission to the registry
June 27, 2016
CompletedFirst Posted
Study publicly available on registry
June 29, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2016
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedJuly 24, 2017
July 1, 2017
9 months
June 27, 2016
July 20, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Pneumonia classification and treatment
The proportion of all pneumonia admissions (fulfilling criteria for treatment with oral amoxicillin) who are correctly classified and treated using new guideline recommendations
9 months
Secondary Outcomes (1)
Antibiotic change
9 months
Study Arms (2)
Enhanced feedback
EXPERIMENTAL1. Monthly written feedback incorporating goal setting, and action planning delivered by a senior clinical coordinator for selected pneumonia indicators 2. Two-monthly written feedback on multiple quality of paediatric care indicators 3. Clinical network promoting clinical leadership linked to mentorship and peer to peer support 4. Improved use of health information on service delivery
Standard feedback
ACTIVE COMPARATOR1. Two-monthly written feedback on multiple quality of paediatric care indicators 2. Clinical network promoting clinical leadership linked to mentorship and peer to peer support 3. Improved use of health information on service delivery
Interventions
Hospital level feedback delivered every month through paediatrician on the level of adherence to revised pneumonia treatment recommendations.
Hospital level feedback delivered every two months through paediatrician on the performance of multiple paediatric care indicators for managing severely ill children.
Eligibility Criteria
You may qualify if:
- Children aged 2 to 59 months admitted to participating network hospitals with WHO pneumonia diagnosis eligible for treatment with oral amoxicillin
You may not qualify if:
- Children aged 2 to 59 months with WHO pneumonia diagnosis and co-morbid illnesses requiring intravenous antibiotic treatment including severe acute malnutrition, bacteraemia, meningitis, or
- children presenting with pneumonia and tuberculosis or cough lasting more than 2 weeks, or severe malaria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (12)
Kerugoya County Hospital
Kerugoya, Kerugoya, Kenya
Busia County Hospital
Busia, Kenya
Embu County Hospital
Embu, Kenya
Kakamega County Referral Hospital
Kakamega, Kenya
Vihiga County Hospital
Kakamega, Kenya
Karatina County Hospital
Karatina, Kenya
Kiambu County Hospital
Kiambu, Kenya
Kisumu County Hospital
Kisumu, Kenya
Kitale County Hospital
Kitale, Kenya
Machakos County Hospital
Machakos, Kenya
Mama Lucy Kibaki Hospital
Nairobi, Kenya
Nyeri County Hospital
Nyeri, Kenya
Related Publications (2)
Ayieko P, Irimu G, Ogero M, Mwaniki P, Malla L, Julius T, Chepkirui M, Mbevi G, Oliwa J, Agweyu A, Akech S, Were F, English M; Clinical Information Network Authors. Effect of enhancing audit and feedback on uptake of childhood pneumonia treatment policy in hospitals that are part of a clinical network: a cluster randomized trial. Implement Sci. 2019 Mar 4;14(1):20. doi: 10.1186/s13012-019-0868-4.
PMID: 30832678DERIVEDAyieko P, Irimu G, English M. Effect of enhanced feedback to hospitals that are part of an emerging clinical information network on uptake of revised childhood pneumonia treatment policy: study protocol for a cluster randomized trial. Trials. 2017 Sep 7;18(1):416. doi: 10.1186/s13063-017-2152-8.
PMID: 28877729DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Mike English, MD
KEMRI-Wellcome Trust Research Priogramme
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 27, 2016
First Posted
June 29, 2016
Study Start
March 1, 2016
Primary Completion
December 1, 2016
Study Completion
December 1, 2016
Last Updated
July 24, 2017
Record last verified: 2017-07
Data Sharing
- IPD Sharing
- Will not share