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

January 13, 2012
January 18, 2012
April 2011
August 2011   (final data collection date for primary outcome measure)
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
Same as current
Complete list of historical versions of study NCT01515111 on ClinicalTrials.gov Archive Site
  • 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.
Same as current
Not Provided
Not Provided
 
Guatemala Internal Medicine Physicians' Knowledge of Non-communicable Disease Clinical Preventive Services
Knowledge and Recommendations on Tobacco Cessation and Other Preventive Interventions Among Internal Medicine Staff in Guatemala Teaching Hospitals

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.

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.

Observational
Time Perspective: Cross-Sectional
Not Provided
Not Provided
Non-Probability Sample

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

Non-communicable Diseases
Not Provided
Internal Medicine Staff
All interns, residents and attendings training (or working) at an Internal Medicine department of a Guatemalan teaching hospital.
Corral JE, Arnold LD, Argueta EE, Ganju A, Barnoya J. Clinical preventive services in Guatemala: a cross-sectional survey of internal medicine physicians. PLoS One. 2012;7(10):e48640. doi: 10.1371/journal.pone.0048640. Epub 2012 Oct 31.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
394
January 2012
August 2011   (final data collection date for primary outcome measure)

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.
Both
18 Years and older
No
Contact information is only displayed when the study is recruiting subjects
Guatemala
 
NCT01515111
IDRC-006, RITC of IDRC
No
Juan Enrique Corral, Unidad de Cirugía Cardiovascular
Unidad de Cirugía Cardiovascular
  • International Development Research Centre
  • Washington University School of Medicine
Study Chair: Joaquin Barnoya, M.D. MPH. Unidad de Cirugía Cardiovascular
Unidad de Cirugía Cardiovascular
January 2012

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