Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services

This study has been completed.
Sponsor:
Collaborators:
International Development Research Centre
Washington University School of Medicine
Information provided by (Responsible Party):
Juan Enrique Corral, Unidad de Cirugía Cardiovascular
ClinicalTrials.gov Identifier:
NCT01515111
First received: January 13, 2012
Last updated: January 18, 2012
Last verified: January 2012
  Purpose

A national cross-sectional survey was conducted to evaluate recommendations on clinical preventive services and additional information on non-communicable disease prevention. Trained surveyors interviewed interns, residents and attendings of the Internal Medicine departments of all teaching hospitals in Guatemala. Analysis compared recommendation practices within and between hospitals.


Condition
Non-communicable Diseases

Study Type: Observational
Study Design: Time Perspective: Cross-Sectional
Official Title: Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals

Further study details as provided by Unidad de Cirugía Cardiovascular:

Primary Outcome Measures:
  • Recommendations of clinical preventive services for non-communicable diseases. [ Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour. ] [ Designated as safety issue: No ]

    Recommendations on eleven clinical preventive services for non-communicable diseases were evaluated considering:

    • Whether they recommended them or not
    • Appropriate frequency and starting age
    • Preferred screening method
    • Availability of the service(s) at their hospital


Secondary Outcome Measures:
  • Barriers faced in providing adequate services. [ Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour. ] [ Designated as safety issue: No ]
    Self-perceived barriers to provide clinical preventive services adequately.

  • Opinion on who should implement changes in clinical preventive services provision. [ Time Frame: After accepting to participate in the study, participants will be followed the time necesary to complete the structured questionnaire, an average of 1 hour. ] [ Designated as safety issue: No ]

    Participant's opinion on who should be responsible to implement changes in:

    • Chronic disease prevention in national health care
    • Medical education in this field.


Enrollment: 394
Study Start Date: April 2011
Study Completion Date: January 2012
Primary Completion Date: August 2011 (Final data collection date for primary outcome measure)
Groups/Cohorts
Internal Medicine Staff
All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital.

Detailed Description:

A voluntary, anonymous, self-completed, cross-sectional survey was administered to all available internal medicine staff in Guatemalan teaching hospitals.

The questionnaire included: physician's demographics, work time dedicated to outpatients, knowledge of leading causes of death in Guatemala, guidelines used for non-communicable disease prevention, simulated cases asking for recommendation(s) on different preventive services for asymptomatic adults (i.e. whether they recommended them or not, appropriate frequency and starting age, preferred screening method, and availability of the service(s) at their hospital). The survey also assessed barriers faced in providing adequate services, and opinions on who should implement changes in national health care and in medical education.

The answers given by the internal medicine staff were compared with the United States Preventive Services Task Forces (USPSTF) Recommendations and Guatemalan Ministry of Health Guidelines.

Analysis compared recommendation practices within and between hospitals.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Internal medicine interns, residents or attendings of any of the teaching hospitals in Guatemala.

Criteria

Inclusion Criteria:

  • All interns, internal medicine residents and attendings (including department director, unit directors and regular attendings) that are currently training or working in an Internal Medicine department in any of the ten teaching hospitals in Guatemala.

Exclusion Criteria:

  • Staff that is on vacations, on sick leave or suspended by any reason.
  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: NCT01515111

Locations
Guatemala
Hospital Nacional Pedro Bethancourt
Antigua Guatemala, Sacatepequez, Guatemala
Hospital Nacional de Escuintla
Escuintla, Guatemala
Hospital Roosevelt
Guatemala, Guatemala, 01011
Hospital General San Juan de Dios
Guatemala, Guatemala, 0101
Hospital Hermano Pedro
Guatemala, Guatemala, 01011
Unidad de Cirugía Cardiovascular
Guatemala, Guatemala, 01011
Hospital Centro Médico Militar
Guatemala, Guatemala, 01016
Hospital General de Enfermedad Común - IGSS
Guatemala, Guatemala, 0109
Hospital Universitario Esperanza
Guatemala, Guatemala, 01010
Hospital Regional de Occidente, San Juan de Dios
Quetzaltenango, Guatemala
Sponsors and Collaborators
Unidad de Cirugía Cardiovascular
International Development Research Centre
Washington University School of Medicine
Investigators
Study Chair: Joaquin Barnoya, M.D. MPH. Unidad de Cirugía Cardiovascular
  More Information

No publications provided by Unidad de Cirugía Cardiovascular

Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
Responsible Party: Juan Enrique Corral, Research Fellow, Unidad de Cirugía Cardiovascular
ClinicalTrials.gov Identifier: NCT01515111     History of Changes
Other Study ID Numbers: IDRC-006, RITC of IDRC
Study First Received: January 13, 2012
Last Updated: January 18, 2012
Health Authority: Guatemala: Ministerio de Salud Pública y Asistencia Social

Keywords provided by Unidad de Cirugía Cardiovascular:
Non-communicable diseases
Preventive services
Medical education
Guatemala

ClinicalTrials.gov processed this record on July 28, 2014