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
Sponsor:
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
  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
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

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 September 30, 2014