Guideline Implementation in Physiotherapy (GIPhT)
The recruitment status of this study is unknown because the information has not been verified recently.
Verified August 2009 by Radboud University.
Recruitment status was Recruiting
Recruitment status was Recruiting
Sponsor:
Radboud University
Collaborators:
Maastricht University Medical Center
ZonMw: The Netherlands Organisation for Health Research and Development
The University of Texas Health Science Center, Houston
Royal Dutch Society for Physiotherapy
Dutch Institute for Allied Health Care
Information provided by:
Radboud University
ClinicalTrials.gov Identifier:
NCT00962169
First received: August 17, 2009
Last updated: August 18, 2009
Last verified: August 2009
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Purpose
The purpose of this study is 1) to develop an intervention strategy to increase physiotherapists' adherence to evidence-based practice guidelines, 2) to try out this intervention on a small scale to determine what efficacy may be expected from it, and 3) to determine the value of a planned, systematic and theory-based approach that was followed in developing and implementing the intervention.
| Condition | Intervention |
|---|---|
|
Low Back Pain |
Other: Behavioral and managerial Other: Behavioral and IT |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Health Services Research |
| Official Title: | Development and Pilot Testing of an Implementation Strategy to Increase Physiotherapists'Adherence to Evidence-based Guideline for Patients With Low Back Pain: a Planned, Systematic and Theory-based Approach |
Resource links provided by NLM:
Further study details as provided by Radboud University:
Primary Outcome Measures:
- Guideline adherence [ Time Frame: 3 months ] [ Designated as safety issue: No ]
Secondary Outcome Measures:
- Determinants of guideline adherence [ Time Frame: 3 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 30 |
| Study Start Date: | July 2009 |
| Estimated Study Completion Date: | December 2009 |
| Estimated Primary Completion Date: | December 2009 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Quality improvement program |
Other: Behavioral and managerial
The quality improvement program is a multi-level intervention program to increase adherence to the Dutch physical therapy Guidelines for Low Back Pain. It consists of two program parts, one for practice quality managers and the other for individual therapists. The management part aims to increase commitment amongst practice owners towards high quality of care, including the appropriate use of guidelines, and addresses the structure and the culture of the physical therapy practice. This part of the program is based on the INK management model and the colour model of De Caluwé. The individual part of the intervention is aimed at increasing physical therapists' guideline adherence by raising awareness and improving recording and clinical reasoning. This part of the intervention is based on psychosocial and educational theories and especially on the principles of Self Regulation.
|
| Experimental: Electronic patient device (EPD) |
Other: Behavioral and IT
The interventions makes use of an improved EPD for physical therapists. Compared to the existing EPDs, the EPD for the present study presents decision information for physical therapists. This decision information is directly based on the recently revised physical therapy guidelines for Low Back Pain and attached to the subsequent steps of clinical reasoning that are inherent to the diagnostic and treatment stages of the usual process of physical therapy care.
Other Name: FysioDesk EPD.
|
Show Detailed Description Eligibility| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
Arm 1 Quality improvement program
- Physiotherapy practices that have started or finalized a quality registration procedure (HNK)
Arm 2 Electronic patient device
- Physiotherapists that are acquainted with the use of EPDs in their practice
Exclusion Criteria:
- Physiotherapists enrolled in other quality improvement programs
Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00962169
Contacts
| Contact: Geert Rutten, MPH | +31 24 361 0591 | g.rutten@iq.umcn.nl |
| Contact: Janneke Harting, PhD | +31 24 361 0591 | j.harting@iq.umcn.nl |
Locations
| Netherlands | |
| IQ healthcare / Radboud UMCN | Recruiting |
| Nijmegen, Netherlands | |
| Contact: Janneke Harting, PhD +31 24 361 0591 j.harting@iq.umcn.nl | |
Sponsors and Collaborators
Radboud University
Maastricht University Medical Center
ZonMw: The Netherlands Organisation for Health Research and Development
The University of Texas Health Science Center, Houston
Royal Dutch Society for Physiotherapy
Dutch Institute for Allied Health Care
Investigators
| Study Director: | Rob Oostendorp, Professor | University Medical Center St Radboud Nijmegen |
More Information
No publications provided
| Responsible Party: | Prof. Dr. RAB Oostendorp, University Medical Center St Radboud Nijmegen |
| ClinicalTrials.gov Identifier: | NCT00962169 History of Changes |
| Other Study ID Numbers: | ZonMw 80-007028-98-07309, CMO 2007/172 |
| Study First Received: | August 17, 2009 |
| Last Updated: | August 18, 2009 |
| Health Authority: | Netherlands: The Central Committee on Research Involving Human Subjects (CCMO) |
Keywords provided by Radboud University:
|
Guideline adherence Implementation Physical therapy Low back pain Health plan implementation |
Additional relevant MeSH terms:
|
Back Pain Low Back Pain Pain |
Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on May 23, 2013