Training to Improve Vertigo Management in Primary Care

NCT04929444 | Unknown

• 2 other identifiers: 4R21/003PI19/00736
• Study Type: interventional
• Target: 20
• Locations: 0 countries
• Sites: N/A

Brief Summary

Objectives: To verify the effectiveness of a blended course in PC to improve adherence to clinical practice guidelines. Design: randomized community trial, by clusters (control group -CG- / intervention group -IG-) Scope: 20 PCT (primary care teams)(10 per group) Outcome variables will be: Diagnostic records (proportion of nonspecific diagnoses such as dizziness and vertigo, with respect to specific diagnoses such as BPPV, vestibular neuritis); Derivations to otorhinolaryngologist (ENT) and neurologist; Prescription of antivertiginous medications and Number of days off work caused by vertigo-related. Statistical analysis:Descriptive statistics of all the baseline variables will be carried out and, the differences between groups in the post-intervention outcome variables will be evaluated through the t-test. In the IG, a multivariate logistic regression model will identify response patterns based on the baseline variables of professionals and centers

Conditions

Vertigo; Vertigo, Paroxysmal

Keywords

primary care; vertigo; randomized clinical trial

Outcome Measures

Primary Outcomes (1)

• Diagnostic records

  proportion of nonspecific diagnoses such as dizziness and vertigo, with respect to specific diagnoses such as BPPV, vestibular neuritis

  one year

Secondary Outcomes (3)

• Derivations to otorhinolaryngologist (ENT) and neurologist

  one year

• Prescription of antivertiginous medications

  One year

• Days off work

  One year

Study Arms (2)

Training group

ACTIVE COMPARATOR

The professionals of the primary care teams that are in Intervention group would receive the training at the beginning of the study

Other: Training on vertigo

Common Practice

NO INTERVENTION

The professionals of the primary care teams that are in Control group will be offered the training after the conclusion of the study

Interventions

Training on vertigo OTHER

Online training on vertigo management in primary care with a face-to-face session. On the one hand, the course will contain theoretical content and clinical cases will be used as the methodology of the course, with feedback paths for each correct or incorrect answer from the students and videos recorded expressly for the course. In addition, there will be a face-to-face session where all participants must perform the diagnostic and therapeutic maneuvers proposed in the course, to evaluate the use of the training and also to standardize the way of doing them for the study

Training group

Eligibility Criteria

• Age: 15 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• randomized primary care teams out of the 56 that make up the "Costa de Ponent" Primary Care Department that serve a population of 1.3 million people.

You may not qualify if:

• Primary care teams in which\> 60% of their professionals have received a course on vertigo in the last 5 years will be excluded.
• Primary care teams who are not interested in participating in the study will be excluded

Sponsors & Collaborators

• Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina: lead
• Societat Catalana de Medicina Familiar i Comunitària, Assoc. (CAMFiC): collaborator
• Instituto de Salud Carlos III: collaborator

Related Publications (1)

• Patino JEP, Moreno JLB, Matos YR, Ortega JA, Puertolas OC, Munoz RC, Balboa IV, Compta XG, Agudelo OLA, Munoz SC, Rodriguez VM, Cortes AN, Rodriguez EP. Effectiveness of a training intervention to improve the management of vertigo in primary care: a multicentre cluster-randomised trial, VERTAP. Trials. 2022 Jul 29;23(1):608. doi: 10.1186/s13063-022-06548-7.

  PMID: 35906606 DERIVED

MeSH Terms

Conditions

Vertigo

Condition Hierarchy (Ancestors)

Vestibular Diseases; Labyrinth Diseases; Ear Diseases; Otorhinolaryngologic Diseases; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• José L Ballve, MD, PHD

  Fundacio d'Investigacio en Atencio Primaria Jordi Gol i Gurina

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Eva Peguero, MD. PHD

CONTACT

#34630053772; pegueroeva@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized community trial, by clusters (CG /IG), multicenter and open, taking as unit of allocation the primary care team (PCT). The professionals of the PCT that are in IG would receive the training at the beginning of the study and those of the control group will be offered after the conclusion of the same

Study Record Dates

• First Submitted: June 7, 2021
• First Posted: June 18, 2021
• Study Start: September 1, 2021
• Primary Completion: September 1, 2021
• Study Completion: December 31, 2022
• Last Updated: June 18, 2021

Record last verified: 2021-05