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The Study Guide Cluster Randomized Control Trial

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ClinicalTrials.gov Identifier: NCT03312218
Recruitment Status : Recruiting
First Posted : October 17, 2017
Last Update Posted : January 17, 2018
Sponsor:
Collaborators:
Western University, Canada
The College of Family Physicians of Canada
Memorial University of Newfoundland
Université de Montréal
University of Ottawa
Queen's University, Kingston, Ontario
University of Toronto
McMaster University
University of British Columbia
University of Alberta
Université de Sherbrooke
University of Calgary
Information provided by (Responsible Party):
Roland Grad, Jewish General Hospital

Brief Summary:
Spaced education is a promising theory-driven strategy to improve clinical competence. Our aim is to improve the clinical competence of Family Physicians, an outcome associated with the quality of care delivered to Canadians.

Condition or disease Intervention/treatment Phase
Behavior Behavioral: Spaced educational intervention Not Applicable

Detailed Description:

Research Question: Among family medicine residents, does enhanced feedback through an app providing alerts and test questions (spaced education), compared to the same app without alerts and enhanced feedback (no spaced education), improve competence as measured by the certification examination? In building this proposal for a definitive trial, the investigators have support from coast to coast. In addition to key clinician educators, the team includes knowledge users from the organization responsible for the certification examination in Family Medicine, methodologists and experienced researchers who study how mobile apps can promote engagement with clinical information. The team has the right blend of expertise in medical education and cluster randomized trials.

Approach and Methods: The investigators will follow an organizational participatory research approach, and propose a cluster randomized controlled trial. Setting: All incoming family medicine residents in Canada will be eligible to participate. Intervention site residents will receive alerts through an app to adaptively reinforce the learning of clinical content based on cases and test questions (spaced education). Residents in the control group will receive the same app providing identical clinical cases and test questions-on-demand, but with alerts inactivated (no spaced education). The primary outcome will be scores on the certification examination. This routinely collected data will be provided to the team by the College of Family Physicians of Canada.

Expected Results and Conclusion: Spaced education will improve examination scores. This will inform educational practice by providing evidence to optimize the training of residents.


Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 640 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double (Participant, Investigator)
Primary Purpose: Other
Official Title: Can an App Improve the Examination Scores of Family Medicine Residents? A Cluster Randomized Controlled Trial
Actual Study Start Date : October 18, 2017
Estimated Primary Completion Date : May 1, 2019
Estimated Study Completion Date : November 1, 2019

Arm Intervention/treatment
Experimental: Intervention
Intervention site residents will receive alerts through an app to adaptively reinforce the learning of clinical content based on cases and test questions (spaced education).
Behavioral: Spaced educational intervention
A spaced educational intervention will be provided to participants
No Intervention: Control
Residents in the control group will receive the same app providing identical clinical cases and test questions-on-demand, but with alerts inactivated (no spaced education).



Primary Outcome Measures :
  1. Scores on the certification examination [ Time Frame: 2 years ]
    This is the score on the written component of the examination of the College of Family Physicians of Canada



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Ages Eligible for Study:   Child, Adult, Senior
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • incoming family medicine residents in Canada (July 2017)

Exclusion Criteria:

  • not a family medicine resident
  • did not start residency on July 1, 2017

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03312218


Contacts
Contact: Vinita D'Souza, MSc 514-340-8222 ext 24571 vdsouza@jgh.mcgill.ca

Locations
Canada, Quebec
McGill University Recruiting
Montréal, Quebec, Canada
Contact: Roland Grad         
Sponsors and Collaborators
Jewish General Hospital
Western University, Canada
The College of Family Physicians of Canada
Memorial University of Newfoundland
Université de Montréal
University of Ottawa
Queen's University, Kingston, Ontario
University of Toronto
McMaster University
University of British Columbia
University of Alberta
Université de Sherbrooke
University of Calgary

Responsible Party: Roland Grad, Associate Professor, McGill University Dept. of Family Medicine, Director of the Clinician Scholar Program, Jewish General Hospital
ClinicalTrials.gov Identifier: NCT03312218     History of Changes
Other Study ID Numbers: The Study Guide Trial 2017
First Posted: October 17, 2017    Key Record Dates
Last Update Posted: January 17, 2018
Last Verified: January 2018

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No