Development, Implementation and Evaluation of the Impact of a Guideline in Clinical Practise for Cardiovascular Risk

Cardiovascular Risk Factors Clinical Trial

Official title:

Development, Implementation and Evaluation of the Impact of a Guideline in Clinical Practise for Cardiovascular Risk.

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01270022
• Other study ID #: PI031216
• Status: Completed
• Phase: N/A
• First received: January 4, 2011
• Last updated: January 4, 2011
• Start date: January 2004
• Est. completion date: July 2010

Study information

• Verified date: January 2011
• Source: Gerencia De Atencion Primaria Area 2 De Madrid
• Contact: n/a
• Is FDA regulated: No
• Health authority: Spain:Health Research Fund. ISCIIISpain: Ethics Committee La Princesa HospitalSpain: Ministry of Health
• Study type: Interventional

Clinical Trial Summary

The aim of this study is to evaluate the impact of a clinical guideline in cardiovascular risk, with a local adaptation model of the existing guidelines in clinical practise at present, of each of the different cardiovascular risk factors, and the implementation strategy.

Description:

With this objective this study will be developed in three diferent phases. The guideline in clinical practice elaboration. It will be based in evidence medicine and it will be adapted based in the cardiovascular risk factors guidelines published at the present.

The spreding and implementation of the guideline between the sanitarians, as much in primary medicine as in specialised area, involved in the care of the patient in cardiovascular risk, in the Area 2 in Madrid.

And the evaluation of the implementation strategy, used between the primary care physicians.

For the local adaptation, will be used a systematic review of the different guidelines in the Spanish and international literature, published in the last years about this topic.

The ones with better quality criteria will be selected and doctors and nurses related from different specialities, involved in the cardiovascular illness, as much as members of the staff of the medical management an nursery, will be invited to participate in the selection of the recommendations of the guides and in the search of the consensus. After that, this guide will be given to a group of patients, who will be asked for a critical approach and their suggestions will be applied.

The evaluation will be done with a clinical trial designe , testing the use of the guide and its results on health intermediary variables. With this objective the results with an implementation technique based on opinion leaders plus computer reminder, will be evaluated, instead of using the standard implementation.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 0
• Est. completion date: July 2010
• Est. primary completion date: April 2006
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 14 Years and older

Eligibility

Inclusion Criteria:

• patients whose health cards showed them to belong to the studied health area

Exclusion Criteria:

• Clinical history have not opened in the health center or this one is empty

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator), Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Cardiovascular Risk Factors
• Clinical Practice Guideline
• Implementation Strategies
• Primary Care

Intervention

Other:
• Implementation

• dissemination

Locations

Country	Name	City	State
Spain	Gerencia de Atención Primaria del área 2	Madrid

Sponsors (2)

Lead Sponsor	Collaborator
Gerencia De Atencion Primaria Area 2 De Madrid	Health Research Fund of ISCIII Spain

Country where clinical trial is conducted

Spain,