Evaluation of Case Management to Improve the Outpatient Care of Alcohol-Related Disorders
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Purpose
The purpose of this study is to disseminate and transfer the comprehensive quality management interventions (CQM) for alcohol-related disorders in primary care developed during the first funding phase into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized controlled trial.
| Condition | Intervention |
|---|---|
|
Alcohol-Related Disorders |
Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care Procedure: Physician training Procedure: Practice team training |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Comprehensive Quality Management in Out-Patient Care for Alcohol-Related Disorders (AQAH). Transfer and Dissemination Into Routine Practice |
- Acceptance of the CQM-system: Number of actively participating practices
- Adherence to the system: relative numbers of screened, documented and followed-up patients
- Quality of care provided: Patients that are adequately treated and followed-up
| Enrollment: | 112 |
| Study Start Date: | July 2006 |
| Study Completion Date: | August 2007 |
| Primary Completion Date: | May 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 | Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care Procedure: Physician training |
| Experimental: 2 | Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care Procedure: Physician training Procedure: Practice team training |
| Active Comparator: 3 | Procedure: Online Comprehensive Quality Management System (CQM) of alcohol-related disorders in primary care |
Detailed Description:
In the first funding phase the project AQAH ("Ambulantes Qualitätsmanagement alkoholbezogener Störungen in der hausärztlichen Praxis"-"comprehensive quality management for alcohol-related disorders in primary care") systematically investigated three issues: (1) the outpatient care system and evidence-base for screening, diagnosis and treatment was examined; it developed (2) a comprehensive quality management system (CQM) consisting of documentation material, a pathway of care and evidence-based practice guidelines; (3) the effects of the CQM on the detection and treatment of alcohol-related disorders were investigated in a randomized controlled pre-post design and the results show positive effects of the CQM. In the second funding phase (a 3 year bi-center project) the purpose is now to disseminate and transfer the CQM into routine care. The two steps are (1) to optimize the CQM approach and (2) to investigate the dissemination and transfer into routine care in a randomized trial. (1) The paper-based AQAH-practice guidelines are transformed into an interactive electronic version with online patient documentation and evaluation, decision support measures as well as links to specialists and an e-learning tool. (2) After pilot testing in the AQAH-study-networks, an active transfer to the greater regions of Südbaden and Südwürttemberg will be performed in a parallel group cluster randomized controlled trial with GP practices as unit of randomization. Outcome data will be collected concerning the acceptance of the system and the quality of care delivered.
Comparison(s): (1) Use of the interactive electronic version of the CQM for alcohol-related disorders with a special training for general practitioners, compared to (2) use of the CQM with additional education for the whole practice team and organizational re-structuring advice, compared to (3) a control group who uses the CMQ without any special training.
Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- General practitioner
- Possibility to use broad-band internet
Exclusion Criteria:
- none
Contacts and Locations| Germany | |
| Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy | |
| Freiburg, Germany, 79104 | |
| University Hospital for Psychiatry and Psychotherapy, Tübingen | |
| Tübingen, Germany, 72076 | |
| Principal Investigator: | Martin Härter, Prof. Dr. Dr. | Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy |
| Principal Investigator: | Michael Berner, Dr. | Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy |
| Study Chair: | Daniela Ruf, Dipl. Psych. | Freiburg University Hospital, Dept. of Psychiatry and Psychotherapy |
| Study Chair: | Götz Mundle, PD Dr. | Oberbergklinik, Hornberg and University Hospital for Psychiatry and Psychotherapy, Tübingen |
| Study Chair: | Monika Lohmann, Dipl. Psych. | University Hospital for Psychiatry and Psychotherapy, Tübingen |
More Information
Additional Information:
Publications:
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00314067 History of Changes |
| Other Study ID Numbers: | BMBF-01EB0412 |
| Study First Received: | April 10, 2006 |
| Last Updated: | June 5, 2008 |
| Health Authority: | Germany: Federal Ministry of Education and Research |
Keywords provided by University Hospital Freiburg:
|
Quality of Health Care Primary Health Care Education E-Learning Alcohol-related Disorders |
Additional relevant MeSH terms:
|
Alcohol-Related Disorders Substance-Related Disorders Mental Disorders Ethanol Anti-Infective Agents, Local Anti-Infective Agents |
Therapeutic Uses Pharmacologic Actions Central Nervous System Depressants Physiological Effects of Drugs Central Nervous System Agents |
ClinicalTrials.gov processed this record on May 21, 2013