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

Chronic Disease Clinical Trial

— Output  

Official title:

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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01297075
• Other study ID #: GP00990002
• Status: Completed
• Phase: N/A
• First received: February 15, 2011
• Last updated: May 22, 2014
• Start date: March 2011
• Est. completion date: April 2012

Study information

• Verified date: February 2011
• Source: Research Unit Of General Practice, Copenhagen
• Contact: n/a
• Is FDA regulated: No
• Health authority: Denmark: Danish Dataprotection Agency
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 189
• Est. completion date: April 2012
• Est. primary completion date: February 2012
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: Both
• Age group: 30 Years to 70 Years

Eligibility

Inclusion Criteria:

General Practices working in the capital region in Denmark

Exclusion Criteria:

General Practices where the facilitator works.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Health Services Research

Related Conditions & MeSH terms

• Chronic Disease

Intervention

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.

Locations

Country	Name	City	State
Denmark	Frans Boch Waldorff	Copenhagen	Capital Area
Denmark	Research Unit of General Practice	Copenhagen	Capital

Sponsors (2)

Lead Sponsor	Collaborator
Research Unit Of General Practice, Copenhagen	Region Capital Denmark

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change from baseline at 12 month in Annual systematic chronic disease follow up consultations	Change in annual systematic chronic disease controls per person affiliated with a primary care at a period at baseline and at 12 month.	Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)	No
Secondary	ICPC diagnosis coding	Self reports regarding the use of ICPC diagnosis coding for Type 2 Diabetes and Chronic Obstructive Pulmonary Disease.	12 months	No
Secondary	Sentinel Data Capture	Application for the electronic Sentinel Data Capture module for overview of patients with chronic diseases.	12 months	No
Secondary	Stratification	The self reported use of stratification as part of primary care management of patients with chronic diseases	12 months	No
Secondary	Change from baseline and at 12 month in practices with low performance on annual systematic chronic disease follow up consultations.	Reduction in the number of practices with less than 1% annual systematic chronic disease follow up consultations.	Month 4, 3, 2 before baseline and month 13,14,15 after baseline (after intervention)	No