Feedback Reports and e-Learning in Primary Care Spirometry (FRESCO)

This study has been completed.
Sponsor:
Collaborators:
Quartz Transmural Centre for the Helmond Region
Elkerliek Hospital Helmond
Information provided by:
Radboud University
ClinicalTrials.gov Identifier:
NCT00962455
First received: August 17, 2009
Last updated: August 19, 2009
Last verified: August 2009
  Purpose

Spirometry is a biomedical test to measure lung function in subject who (may) have a chronic respiratory condition. Performing the test requires a certain level of training and experience from the health care professional who conducts the test, and sufficient cooperation of the patient. Although the test is widely used in primary care in many countries, the quality of the test performance seems limited and needs improvement in order to avoid false-positive and false-negative test interpretations. In this study, the researchers investigated whether a combination of e-learning and bimonthly written performance feedback to family practice nurses and assistance regarding their spirometry tests improves the rate of adequate tests.


Condition Intervention Phase
Respiratory Tract Diseases
Pulmonary Disease, Chronic Obstructive
Asthma
Other: e-learning & performance feedback
Other: usual practice
Phase 4

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Official Title: Feedback Reports and E-learning to Support Spirometry Test Performance in Dutch Family Practices

Resource links provided by NLM:


Further study details as provided by Radboud University:

Primary Outcome Measures:
  • Proportion of spirometry tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria that were also repeatable for both FEV1 and FVC [ Time Frame: 12 months prospective follow-up ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Proportions of tests with ≥2 acceptable blows according to 2005 ERS/ATS criteria [ Time Frame: 12 months prospective follow-up ] [ Designated as safety issue: No ]
  • Proportions of spirometry tests with ≥2 blows meeting 2005 ERS/ATS end-of-test criteria [ Time Frame: 12 months prospective follow-up ] [ Designated as safety issue: No ]
  • Proportions of spirometry tests with A to C grade according to scholastic-type quality grading system by Ferguson et al (2000) [ Time Frame: 12 months prospective follow-up ] [ Designated as safety issue: No ]

Enrollment: 1135
Study Start Date: November 2007
Study Completion Date: April 2009
Primary Completion Date: November 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: e-learning & performance feedback
Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
Other: e-learning & performance feedback
Initial e-learning by studying CD-Rom 'Spirometry Fundamentals', followed by repeated periodic performance feedback on spirometry test quality
Active Comparator: Usual practice
Usual practice regarding spirometry execution in family practice
Other: usual practice
Usual practice regarding spirometry execution in family practice

  Eligibility

Ages Eligible for Study:   10 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria for Family Practices:

  • collaboration with Elkerliek Hospital Helmond through regional integrated care support service ('QUARTZ')
  • purchased spirometer through this support service
  • have implemented spirometry as a part of routine patient care

Inclusion Criteria for Patients:

  • registered in one of the participating family practices
  • performed a spirometry test as a part of routine care during the observation period of the study

Exclusion Criteria for Patients:

  • age < 10 years
  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: NCT00962455

Locations
Netherlands
Radboud University Nijmegen Medical Centre, Department of Primary and Community Care
Nijmegen, Netherlands, 6500 HB
Sponsors and Collaborators
Radboud University
Quartz Transmural Centre for the Helmond Region
Elkerliek Hospital Helmond
Investigators
Principal Investigator: Tjard R Schermer, PhD Radboud University
Principal Investigator: Alan J Crockett, PhD The University of Adelaide
Principal Investigator: Willem Pieters, MD, PhD Elkerliek Hospital Helmond
  More Information

No publications provided

Responsible Party: Tjard Schermer, senior researcher, Radboud University Nijmegen MC, Dept of Primary and Community Care
ClinicalTrials.gov Identifier: NCT00962455     History of Changes
Other Study ID Numbers: UMCN-CARA-0001113
Study First Received: August 17, 2009
Last Updated: August 19, 2009
Health Authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

Keywords provided by Radboud University:
Spirometry
Family Practice
Randomized Controlled Trial
Feedback
Intervention Studies

Additional relevant MeSH terms:
Chronic Disease
Pulmonary Disease, Chronic Obstructive
Lung Diseases
Respiratory Tract Diseases
Disease Attributes
Pathologic Processes
Lung Diseases, Obstructive

ClinicalTrials.gov processed this record on September 16, 2014