Outreach Visits to Optimize Chronic Care Management in General Practice: A Cluster Randomized Trial (Output)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified February 2011 by Research Unit Of General Practice, Copenhagen.
Recruitment status was  Recruiting
Sponsor:
Collaborator:
Region Capital Denmark
Information provided by:
Research Unit Of General Practice, Copenhagen
ClinicalTrials.gov Identifier:
NCT01297075
First received: February 15, 2011
Last updated: March 3, 2011
Last verified: February 2011

February 15, 2011
March 3, 2011
March 2011
December 2012   (final data collection date for primary outcome measure)
Change from baseline at 12 month in Annual systematic chronic disease follow up consultations [ Time Frame: Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention) ] [ Designated as safety issue: No ]
Change in annual systematic chronic disease controls per person affiliated with a primary care at a period at baseline and at 12 month.
Same as current
Complete list of historical versions of study NCT01297075 on ClinicalTrials.gov Archive Site
  • ICPC diagnosis coding [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Self reports regarding the use of ICPC diagnosis coding for Type 2 Diabetes and Chronic Obstructive Pulmonary Disease.
  • Sentinel Data Capture [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    Application for the electronic Sentinel Data Capture module for overview of patients with chronic diseases.
  • Stratification [ Time Frame: 12 months ] [ Designated as safety issue: No ]
    The self reported use of stratification as part of primary care management of patients with chronic diseases
  • Change from baseline and at 12 month in practices with low performance on annual systematic chronic disease follow up consultations. [ Time Frame: Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention) ] [ Designated as safety issue: No ]
    Reduction in the number of practices with less than 1% annual systematic chronic disease follow up consultations.
Same as current
Not Provided
Not Provided
 
Outreach Visits to Optimize Chronic Care Management in General Practice: A Cluster Randomized Trial
Outreach Visits to Optimize Chronic Care Management in General Practice: A Cluster Randomized Trial

The aim of this project is to motivate and support general practice clinics in implementing the visions and recommendations presented in two of the disease specific programmes for chronic care management (for chronic obstructive lung disease and Type 2 diabetes). These programmes describe evidence based treatment and division of tasks between the municipalities, the hospitals and general practice.

The Facilitator Project is funded by The Danish Ministry of Interior and Health.

In a cluster randomized trial the investigators will explore the efficacy of up to three outreach visits by specially trained GPs. Efficacy data are obtained by means of questionnaires at regional databases.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Crossover Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Chronic Disease
Behavioral: Outreach visits
The 16 facilitators in the project attend an educational programme designed to provide them with the necessary skills and tools for the task. The facilitators visit general practice clinics from March 2011 until the end of 2012. Each clinic is offered three visits. The facilitator is to act as a change agent who motivates and helps the clinic team in the process of defining common goals, and choosing the appropriate means for achieving them.
  • Experimental: Outreach visits
    Practices allocated to outreach visits may receive up to three outreach visits in order to motivate and support general practice clinics in implementing two chronic care programmes for chronic obstructive Pulmonary disease and Type 2 diabetes.
    Intervention: Behavioral: Outreach visits
  • No Intervention: Control (late intervention)
    These practices are allocated to outreach visits after the initial evaluation stops at 12 months.
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
180
December 2012
December 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

General Practices working in the capital region in Denmark

Exclusion Criteria:

General Practices where the facilitator works.

Both
30 Years to 70 Years
Yes
Contact: Frans B Waldorff, PhD +4535327171 fransw@sund.ku.dk
Denmark
 
NCT01297075
GP00990002
No
Frans B Waldorff, Research Unit of General Practice
Research Unit Of General Practice, Copenhagen
Region Capital Denmark
Principal Investigator: Frans B Waldorff, PhD Research Unit of General Practice
Research Unit Of General Practice, Copenhagen
February 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP